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PORTOFOLIO MATA KULIAH

BAHASA INGGRIS DALAM KEPERAWATAN II


KODE MATA KULIAH: BAE 112

PENULIS:
NAMA : DIAH AYU MUSTIKA
NIM : 131511133080

FAKULTAS KEPERAWATAN UNIVERSITAS AIRLANGGA


SURABAYA
2016
Nama : Diah Ayu Mustika
NIM : 131511133080
Mata Kuliah : English In Nursing 2
Judul Tugas : Resume Nursing Care Plan In Heart Failure
Pertemuan Ke :
Tanggal mengumpulkan : 06 September 2016

Dengan ini saya menyatakan bahwa tugas berikut adalah hasil karya saya sendiri. Apabila dengan
sengaja terdapat kesamaan (plagiarisme) dalam pengerjaannya. Saya bersedia untuk mengulang
pengerjaan portofolio sebagaimana ditetapkan bersama dengan PJMK BAE 112.

Surabaya, 06 Desember 2016

(Diah Ayu Mustika)


NIM:131511133080

Tugas terlampir telah direview dan ditelaah


Nama Dosen Pengampu :

NIP/NIK :

Hasil Review :

Nilai Tugas (0100) :

Tanda Tangan Dosen


NURSING CARE PLAN IN HEART FAILURE

Heart failure is a condition that occurs when the heart fails to pump blood in sufficient
numbers to complete the metabolic requirements (unequal supply with demand), or the heart to
work properly only when the filling pressure (ventricular filling) is raised. Heart failure is also a
final state (end stage) of any heart disease, including atherosclerosis of the coronary arteries,
myocardial infarction, heart valve abnormalities, and congenital abnormalities. (Muttaqin, 2009).
Killips classification based on use in patients with acute myocardial infarction, by division:
- Grade I: without heart failure
- Grade II: Heart failure with smooth wet crackles in the lung bases and increased Galop S3
pulmonary venous pressure
- Grade III: severe heart failure with pulmonary edema throughout the lung fields.
- Grade IV: Cardiogenic shock with hypotension (systolic blood pressure _ 90 mmHg) and
peripheral vasoconstriction (oliguria, cyanosis and diaphoresis).

The clinical manifestations of heart failure in general include:


1. Increased intravascular volume
2. Light congestion
3. Increased insistence pulmonary venous (pulmonary edema) is characterized by cough and
shortness of breath
4. Increasing the insistence of the systemic veins, as seen in the general peripheral edema and weight
gain
5. Decrease in cardiac output, accompanied by dizziness, mental confusion, fatigue, heart
intolerance to exercise, cold extremities, and oliguria.
The main treatment of heart failure is:
1. Give rest to reduce the workload of the heart.
2. Increase the power and efficiency of contractility myocard with pharmacological preparations.
3. Discard the excess accumulation of body water by providing antidiuretic therapy, diet and rest.

The Nursing Diagnosis of Heart Failure is :

1. Decrease in cardiac output associated with altered heart rate, altered preload, altered afterload,
and contractility
2. Acute pain associated with biological injury agent (miocardial ishcemik)
3. Excess fluid volume associated with increased production of ADH, sodium and water resistance