LAPORAN RESUME KEPERAWATAN PADA PASIEN .......

DENGAN ..............................................................................................

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MADE JULIANA DEWI

(1802621061)

PROGRAM STUDI SARJANA KEPERAWATAN DAN PROFESI NERS

FAKULTAS KEDOKTERAN
UNIVERSITAS UDAYANA
DENPASAR
2019
 LAPORAN RESUME ASUHAN KEPERAWATAN GAWAT DARURAT

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Identitas Pasien
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Umur : ........................................................................................................
Jenis Kelamin : ........................................................................................................
Pekerjaan : ........................................................................................................
Agama : ........................................................................................................
Tanggal Masuk RS : ........................................................................................................
Alasan Masuk : ........................................................................................................

Narasi Kasus:
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SURVEY PRIMER dan RESUSITASI AIRWAY DAN KONTROL SERVIKAL

1. Keadaan Jalan Nafas (Look, Listen, Feel)
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2. Masalah Keperawatan
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3. Intervensi / Implementasi
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4. Evaluasi
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BREATHING
1. Fungsi Pernafasan (Look, Listen, Feel)
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2. Masalah Keperawatan
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3. Intervensi / Implementasi
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4. Evaluasi
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CIRCULATION
1. Keadaan Sirkulasi (Look, Feel)
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2. Masalah Keperawatan
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3. Intervensi / Implementasi
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4. Evaluasi
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DISABILITY
1. Penilaian Fungsi Neurologis
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2. Masalah Keperawatan
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3. Intervensi / Implementasi
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4. Evaluasi
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EKSPOSURE
1. Penilaian Fungsi Eksposure
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2. Masalah Keperawatan
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3. Intervensi / Implementasi
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4. Evaluasi
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A. HASIL LABORATORIUM
KOMPONEN TANGGAL PEMERIKSAAN
NILAI RUJUKAN
PEMERIKSAAN
B. HASIL PEMERIKSAAN DIAGNOSTIK
TANGGAL JENIS PEMERIKSAAN
HASIL PEMERIKSAAN DIAGNOSTIK
/JAM DIAGNOSTIK
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C. TERAPI MEDIS
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PERENCANAAN PASIEN PULANG/PINDAH RUANGAN

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MAHASISWA

MADE JULIANA DEWI

1802621061