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r\par\pard\pard\sl-456 \li16 \ri0 \expndtw-7 \f20 \fs36 Penumpukan cairan dalam
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\sl-80\fs8\par\sl-240\fs24\par\par\par\par\par\par\pard\pard\sl-441 \li16 \ri104
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\pard\sl-504 \li0 \ri0 \fi167 \expndtw-6 \f20 \fs39 menurun Protein berfungsi un-
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\pard\sl-504 \li0 \ri107 \fi297 \expndtw-6 \f20 \fs39 tuk mengikat cairan di dalam
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\sl-259\fs26\par\sl-240\fs24\par\par\par\pard\pard\sl-504 \li0 \ri653 \fi1157
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\sl-116\fs12\par\sl-240\fs24\par\par\par\par\pard\pard\sl-455 \li802 \ri1211 \fi508
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sect\sectd\sbknone\cols3\colno1\colw2696\colsr1492\colno2\colw6050\colsr209\colno3\
colw4890
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beraktifitas
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\pard\sl-571 \li0 \ri336 \expndtw-6 \f20 \fs36 3. Monitor status hemodinamik
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}}}
\plain\pard\sl-342 \li9500 \ri1878 \expndtw-3 \f20 \fs27 4. monitor intake dan
outpot cairan
\plain\par
\pard\sl-475 \li9500 \ri1990 \expndtw-4 \f20 \fs27 5. monitor tanda hemokonsentrasi
\plain\par
\pard\sl-470 \li9500 \ri19 \expndtw-3 \f20 \fs27 6. monitor tanda peningkatan
tekanan onkotik plasma
\plain\par
\pard\sl-475 \li9500 \ri1489 \expndtw-3 \f20 \fs27 7. monitor kecepatan infus
secara ketat
\par
\
colw6019
\plain\pard\sl-611 \li17 \ri913 \fi86 \expndtw-10 \f20 \fs39 Mendesak rongga
\plain\par
\pard\sl-504 \li233 \ri1041 \expndtw-10 \f20 \fs39 perut( lambung)
\plain\par
\fi120 \expndtw-11 \f20 \fs36 Mengakibatkan
\plain\par
\pard\sl-576 \li17 \ri2002 \fi345 \expndtw-13 \f20 \fs36 anoreksia
\plain\par
\expndtw-8 \f20 \fs36 Terjadi penurunan be-
\plain\expndtw0 \f20 \fs36 rat badan secara sig-
\plain\par
\pard\sl-451 \li22 \ri1669 \fi1075 \expndtw-16 \f20 \fs36 nifikan
\plain\par
\expndtw-9 \b \f20 \fs36 MK : DEFISIT NUTRISI
\par
\column
\plain\sl-299\fs30\par\pard\pard\sl-504 \li0 \ri250 \fi614 \expndtw-10 \f20 \fs39
Mendesak rongga
\plain\par
\pard\sl-504 \li859 \ri1190 \fi801 \expndtw-28 \f20 \fs39 dada
\plain\par
\expndtw-9 \f20 \fs39 Sehingga terjadi
\plain\par
\pard\sl-503 \li0 \ri0 \fi585 \expndtw-9 \f20 \fs39 penurunan ekspansi
\plain\par
\pard\sl-504 \li0 \ri1096 \fi1810 \expndtw-28 \f20 \fs39 paru
\plain\par
\expndtw-7 \f20 \fs32 Mengakibatkan terjadinya
\plain\expndtw-3 \f20 \fs32 sesak napas, peningkatan
\plain\par
\pard\sl-403 \li0 \ri666 \fi345 \expndtw-7 \f20 \fs32 frekuensi pernafasan
\par
\column
\plain\pard\sl-470 \li0 \ri2072 \expndtw-4 \f20 \fs27 8. monitor efek samping
deuretik
\plain\par
\sl-157\fs16\par\sl-240\fs24\par\par\pard\pard\sl-308 \li0 \ri3937 \expndtw-9
\f20 \fs27 TERAPIUTIK
\plain\par
\pard\sl-475 \li0 \ri90 \expndtw-2 \f20 \fs27 1. Timbang berat badan setiap hari
pada waktu yang
\plain\par
\pard\sl-350 \li0 \ri4580 \fi360 \expndtw-21 \f20 \fs27 sama
\plain\par
\pard\sl-475 \li0 \ri1907 \expndtw-1 \f20 \fs27 2. Batasi asupan cairan dan garam
\plain\par
\pard\sl-470 \li0 \ri1307 \expndtw-2 \f20 \fs27 3. Tinggikan kepala tempat tidur
30-40�
\plain\par
\sl-157\fs16\par\sl-240\fs24\par\par\pard\pard\sl-308 \li0 \ri4219 \expndtw-10 \f20
\fs27 KOLABORASI
\plain\par
\pard\sl-475 \li0 \ri3190 \expndtw-1 \f20 \fs27 1. Pemberian diuretic
\plain\par
\pard\sl-470 \li0 \ri415 \expndtw-1 \f20 \fs27 2. Penggantian kehilangan kalium
akibat diuretic
\plain\par
\pard\sl-475 \li0 \ri1735 \expndtw-2 \f20 \fs27 3. Pemberian CRRT jika diperlukan
\par
\sect\sectd\sbknone\plain\pard\sl-273 \li5404 \ri5118 \expndtw-11 \b \f20 \fs36
MK : POLA NAFAS TIDAK
\plain\par
\pard\sl-446 \li5404 \ri7105 \fi1426 \expndtw-17 \b \f20 \fs36 EFEKTIF
\par
\sect\sectd\sbkpage\margtsxn680\pard
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\cols3\colno1\colw5107\colsr134\colno2\colw4760\colsr391\colno3\colw5185
\plain\pard\sl-315 \li8 \ri1438 \expndtw-4 \f20 \fs24 INTERVENSI DEFISIT NUTRISI :
\plain\par
\pard\sl-422 \li8 \ri3276 \expndtw-8 \f20 \fs24 OBSERVASI :
\plain\par
\pard\sl-464 \li8 \ri0 \expndtw0 \f20 \fs27 1. identifikasi status nutrisi, alergi
dan intol-
\plain\par
\pard\sl-355 \li8 \ri2693 \fi359 \expndtw-7 \f20 \fs27 eransi makanan
\par
\column
\plain\pard\sl-482 \li0 \ri0 \expndtw-7 \f20 \fs27 INTERVENSI TOLERANSI AKTIVITAS
\plain\par
\pard\sl-475 \li0 \ri2939 \expndtw-17 \f20 \fs27 OBSERVASI
\plain\par
\pard\sl-470 \li0 \ri1644 \expndtw-1 \f20 \fs27 1. Defisit atingkat ktifitas
\par
\column
\plain\sl-166\fs17\par\sl-240\fs24\par\pard\pard\sl-355 \li0 \ri9 \expndtw-6
\f20 \fs27 INTERVENSI POLA NAFAS TIDAK EFEK-
\plain\par
\pard\sl-355 \li0 \ri4157 \expndtw-16 \f20 \fs27 TIF :
\plain\par
\pard\sl-470 \li0 \ri3322 \expndtw-17 \f20 \fs27 OBSERVASI
\par
\sect\sectd\sbknone\plain\pard\sl-475 \li8 \ri2459 \expndtw0 \f20 \fs27 2.
Identifikasi makanan yang di sukai, kebu- 2. Kemampuan berpartisipasi dalam aktivi-
1. monitor pola nafas
\par
\
sect\sectd\sbknone\cols3\colno1\colw4929\colsr312\colno2\colw4670\colsr480\colno3\c
olw5185
\plain\pard\sl-321 \li8 \ri1152 \fi359 \expndtw-4 \f20 \fs27 tuhan kalori danjenis
nutrient
\plain\par
\pard\sl-470 \li8 \ri0 \expndtw-1 \f20 \fs27 3. Monitor asupan makan, berat badan,
dan
\plain\par
\pard\sl-355 \li8 \ri1929 \fi359 \expndtw-5 \f20 \fs27 hasil pemeriksaan lab
\plain\par
\pard\sl-471 \li8 \ri2814 \expndtw-8 \f20 \fs27 TERAPIUTIK :
\plain\par
\pard\sl-475 \li8 \ri418 \expndtw0 \f20 \fs27 1. Fasilitasi menentukan pedoman diet
\par
\column
\plain\pard\sl-308 \li0 \ri2769 \fi360 \expndtw-7 \f20 \fs27 tas tertentu
\plain\par
\pard\sl-475 \li0 \ri0 \expndtw-1 \f20 \fs27 3. Monitor respon emosional, fisik
social
\plain\par
\pard\sl-350 \li0 \ri2102 \fi360 \expndtw-6 \f20 \fs27 terhadap aktivitas
\plain\par
\pard\sl-475 \li0 \ri119 \expndtw-1 \f20 \fs27 4. Koordinasi pemelihan
aktivitassesuai
\plain\par
\pard\sl-350 \li0 \ri3479 \fi360 \expndtw-21 \f20 \fs27 usia
\par
\column
\plain\pard\sl-470 \li0 \ri1204 \expndtw-1 \f20 \fs27 2. Monitor bunyi napas
tambahan
\plain\par
\pard\sl-475 \li0 \ri2710 \expndtw-1 \f20 \fs27 3. Monitor sputum
\plain\par
\sl-157\fs16\par\sl-240\fs24\par\par\pard\pard\sl-308 \li0 \ri3187 \expndtw-9
\f20 \fs27 TERAPIUTIK
\par
\plain\pard\sl-470 \li8 \ri0 \expndtw-1 \f20 \fs27 2. Sajikan makanan secara
menarik dan suhu
\plain\par
\pard\sl-355 \li8 \ri3102 \fi359 \expndtw-8 \f20 \fs27 yang sesuai
\par
\column
\plain\pard\sl-351 \li0 \ri861 \expndtw0 \f20 \fs27 5. Fasilitasi pasien dan
keluarga dalam me- 1. Pertahankan kepatuhan jalan nafas
\plain\par
\pard\sl-475 \li360 \ri1101 \expndtw0 \f20 \fs27 nyesuaikan lingkungan untuk
mengako- 2. Posisikan semi foler atau fowler
\plain\par
\pard\sl-187 \li360 \ri4856 \expndtw-3 \f20 \fs27 modasi aktivitas libatkan
keluarga dalam
\par
\
sect\sectd\sbknone\cols3\colno1\colw4919\colsr682\colno2\colw943\colsr3848\colno3\c
olw5185
\plain\pard\sl-364 \li8 \ri0 \expndtw-1 \f20 \fs27 3. Berikan makanan tinggi serat,
kalori dan
\par
\column
\plain\pard\sl-350 \li0 \ri0 \expndtw-10 \f20 \fs27 aktivitas
\par
\column
\plain\pard\sl-308 \li0 \ri1589 \expndtw-1 \f20 \fs27 3. Lakukan pengisapan cairan
\par
\plain\pard\sl-355 \li368 \ri0 \expndtw-11 \f20 \fs27 protein
\par
\column
\plain\pard\sl-460 \li0 \ri390 \expndtw0 \f20 \fs27 6. faIlitasi pasien dan
keluarga dalam me- 4. Kolaborasi dalam pemberian alat bantu
\par
\
colw4825
\plain\pard\sl-365 \li8 \ri2524 \expndtw-13 \f20 \fs27 EDUKASI
\plain\par
\pard\sl-466 \li8 \ri0 \expndtw-2 \f20 \fs24 1. Anjurkan pasien untuk posisi duduk
\plain\par
\pard\sl-465 \li8 \ri354 \expndtw-4 \f20 \fs24 2. Ajarkan diet yang diprogramkan
\plain\par
\sl-103\fs10\par\sl-240\fs24\par\par\pard\pard\sl-308 \li8 \ri1949 \expndtw-10 \f20
\fs27 KOLABORASI
\par
\column
\plain\pard\sl-350 \li0 \ri2266 \fi360 \expndtw-7 \f20 \fs27 mantau kemajuan
\plain\par
\pard\sl-475 \li0 \ri121 \expndtw-1 \f20 \fs27 7. Ajarkan cara melakukan aktivitas
yang
\plain\par
\pard\sl-350 \li0 \ri3392 \fi360 \expndtw-11 \f20 \fs27 dipilih
\plain\par
\pard\sl-475 \li0 \ri8 \expndtw0 \f20 \fs27 8. Anjurkan keluarga untuk memberi pen-
\plain\par
\pard\sl-350 \li360 \ri0 \expndtw-2 \f20 \fs27 guatan positif atas partisipasi
dalam ak-
\plain\par
\pard\sl-355 \li360 \ri2322 \expndtw-5 \f20 \fs27 tivitas kolaborasi
\par
\column
\plain\pard\sl-308 \li0 \ri3251 \expndtw-9 \f20 \fs27 pernafasan
\par
\sect\sectd\sbknone\plain\pard\sl-470 \li8 \ri5060 \expndtw0 \f20 \fs27 1.
Kolaborasi dengan ahli gizi untuk menen- 9. Kolaborasi dengan terapis okupasi da-
\par
\plain\pard\sl-308 \li8 \ri0 \expndtw-6 \f20 \fs27 tukan program diet
\par
\column
\plain\pard\sl-355 \li0 \ri5012 \expndtw-4 \f20 \fs27 lam merencanakan dan
memonitor pro-
\plain\par
\pard\sl-350 \li0 \ri7553 \expndtw-7 \f20 \fs27 gram aktivitas
\par
\sect\sectd\sbknone}

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