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No

1. Risk of Infection related by the Risk of infection 1. Explain the pt 1. With


entrance of the bacteria because doesn’t occur about the explaining, ot
of the fistula which marked by during the nursing procedure will understand
there’s reddish look on the pt’s assessment with 2. Monitor the the procedure
skin criteria: skin around 2. By monitoring,
- Pt cooperative the fistula we will know if
- No reddish 3. Clean the there’s infection
skin fistula area or not
- No itchy feel with aseptic 3. By cleaning
technique will avoid the
4. Collaboration infection
with physician 4. Antibiotic to
in giving avoid the
antibiotic infection
drugs 5. Good vital sign
5. Observe vital is indication of
sign the good body
hemodynamic

2. Lack of knowledge related by Lack of 1. Explain the 1. With


the pt doesn’t know the knowledge can be procedure explaining, ot
procedure about the dialysis solved after giving 2. Give will understand
marked by pt always asked 5 x 24 hours with education the procedure
about the procedure of dialysis, criteria: about the 2. By giving
pt always asked about their - Pt dialysis education, the
condition, Pt looks confused cooperativ procedure pt will know
e 3. Motivate the the procedure
- Pt doesn’t pt to believe 3. The pt will be
ask about in what will cooperative
the we do
dialysis
- Pt doesn’t
ask about
their
condition
3. Anxiety related by the lack of Anxiety can be 1. Explain 1. With
knowledge of the pt, marked by solved after giving about the explaining, ot
the pt always asked about their nursing procedure will
condition, pt looked afraid assessments in 5 x 2. Make sure understand the
24 hours with to the pt procedure
criteria: that they’ll 2. The pt will
- Pt be alright feel save
cooperativ 3. Prepare the 3. To strengthen
e pt’s mental pt’s mental
- Pt doesn’t 4. Advice the for the
ask about pt to do dialysis
the relaxation procedure
condition technique 4. To reduce the
- Pt doesn’t anxiety level
look afraid of the pt

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