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Asuhan Keperawatan Klien Dengan Tamponade Jantung

Asuhan Keperawatan Klien Dengan Tamponade Jantung

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Published by: muhrival.doc on Oct 24, 2008
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06/24/2013

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ASUHAN KEPERAWATANKLIEN DENGAN TAMPONADE JANTUNG
OLEH : YUDI TRIGUNA
 
GAMBARAN UMUM
 Tamponade jantung : kondisi kegawatandimana cairan terakumulasi didalam ronggaperikardium.
Penyebab Umum Tamponade jantung :keganasan, pericarditis, uremia, trauma.
Akibat Tamponade jantung :
* Peningkatan tekanan intracardiac
* Penurunan pengisian diastolik penurunan volume sekuncup & cardiac output.
Manifestasi klinik → “Beck triad” : hipotensi,peningkatan CVP (distensi vena jugularis), quietheart.
 Jumlah cairan pd R. perikardium yg dptmengancam :* akut : > 20 cc & < 100 cc
 
PENGKAJIAN
DATA SUBJEKTIF :2.Riwayat kesehatan sekarang :* trauma tumpul atau penetrasi dada,leher, punggung, atau abdomen* repair lesi cardiac baru-baru ini* dispnea* kecemasan* nyeri dada* fatigue/malaise2. Riwayat Medis : penyakit jantung, penyakitneoplasma atau infeksi, gagal ginjal(tergantung hemodialisis)

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