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7-year-old son L MRS on 19 October 2010 with the main complaints: headaches, fatigue and no

appetite. When admitted to the hospital not at all BAB, BAK no problem. Conditions client: cowong eyes
and lips look dry.

TTV: temperature 360C

Nadi 100x/menit

TD 90/50 mmHg

RR 30X/menit

Subjek :
4.2 analyzes the case

a. assessment and diagnosis

1. identity:

Name: An.L

Age: 7 years

Ethnic groups: Indonesia

Religion: Islam

Address: ivory rejo

Date of entry: 19 October 2010 / 07:00 AM

Date of Assessment: 19 OCTOBER 2010

Diagnose medic: morbili

2. The main complaints: dizziness

3. past medical history: no

4. history of present illness: morbili

Rest and sleep patterns

SMRs

MRS

2X a day
b. physical examination

DS

DO

dizziness

limp

No appetite

TD: 90/50 mmHg

Temperature: 36o C

Nadi: 100x/menit

RR: 30X/menit

eyes cowong

dirty tongue

dry lips

There is a mass of feces

Bowel sounds menrun

conjunctiva anemis

Mucous membranes pale lips

not necessarily

(day and night)

Objek :

c. diagnosis

Disorders of nutrition less than the needs associated with inadequate intake is characterized by fatigue,
dry lips and tongue dirty

c. diagnosis
Disorders of nutrition less than the needs associated with inadequate intake is Characterized by fatigue,
dry lips and tongue dirty

After the act of nursing 1x24 elimination disorders can be resolved characterized by abdominal bloating,
bowel sounds normal, there is no sound hypertimpani

After the act of nursing 1x24 anxiously expected reduced


1. Give nutritional intake as needed
2. Give food a little but often
3. TTV Oservasi
4. Kolabrasi the nutrition team in the provision of nutrition

1. Encourage eating fibrous foods

2. Instruct the patient to mobilize

3. Instruct the patient to drink a lot

4. Kolabrasi in therapy

1 . BHSP

2 . Assess the level of parental knowledge about their disease


3 . Give support

4 . Provide education about their disease

Knowing the development and improvement of BB


To meet the needs of piecemeal
As the initial data to determine the development
To meet the needs of the body
To expedite CHAPTER
To improve the intestinal peristaltic
In order rehydration fluids are met
To expedite CHAPTER
Fostering a trusting relationship
Assess how far the level of parental knowledge
for motivation
In order for parents to know about the disease process

c . implementation and evaluation

No.

implementation

evaluation

1.

Review if the client is still dizzy and weak

Give Dulcolax through anus

Provide nutritious meals and nutritious

Specifies the extension of the disease to the family morbili


Clients are not dizzy and weak

CHAPTER clients smoothly

BB dank lien would normally eat regularly

Families understand the disease morbili