Nama : Aldo Stefanus

Nim : 01.2.18.00638

Bhs inggris

Data Etiology Nursing problems

Subjective data: Infectious process Hyperthermia
The patient complains of fever
during the day and gradually
returns to normal at night.

Objective data:
a. Previously the patient
had taken paracetamol
(self-medication)
b. Patient's vital signs
with blood pressure
120/80 mmHg, pulse
80 x/minute,
temperature 38.9 oC,
heat akral, respiration :
15 x/minute, spo2 :
99%
c. The patient has a
history of typhoid 15
years ago
d. Dizziness and muscle
pain
e. Medical Therapy:
IV injection of
antibiotics
Azithromycin 1x1
 500mg, oral
Paracetamol 3x1
500mg, IV NaCl
infusion 0.9% 14 tpm.
f.
Subjective data: Physiological Injury Agents Pain (Acute)
The patient reports dizziness (eg inflammation, ischemia,
and pain in the epigastric neoplasm)
region.

Objective data:
1. blood pressure
120/80 mmHg,
weak pulse 80
beats/minute,
2. axillary
temperature
38.9oC, hot akral,
3. respiratory rate 15
x / min, detected
spo2 99%.
4. In the upper
extremity of the
left hand, an
infusion of 0.9%
NaCl 14 drops per
minute was placed.
5. The patient's
mouth was found
to have dry oral
mucosa and canker
 sores,
6. tenderness in the
epigastric region.
7. The patient is
weak, pale and the
level of
consciousness is
compos mentis.

Subjective data: Physical Infitness Impaired Physical Mobility

The patient's activities are
assisted by the family and
nurses because the patient
feels weak and does not have
the energy to carry out
activities.

Objective data:
.
1. The patient's activities
seem to be assisted by
the family and nurses
2. The patient looks
lethargic and lethargic
3. The patient is unable to
carry out his own
activities
4. Patient's vital signs
with blood pressure
120/80 mmHg, pulse
80 x/minute,
temperature 38.9 oC,
heat akral, respiration :
15 x/minute, spo2 :
99%
5. Medical Therapy:
IV injection of
antibiotics
Azithromycin 1x1
500mg, oral
Paracetamol 3x1
500mg, IV NaCl
infusion 0.9% 14 tpm