You are on page 1of 16
ASUHAN KEPERAWATAN PADA_NY.%_(46-tanun) DENGAN ost LAR / Tumor fecTi + RESP. FAURE DI ICU _RSUP DR. M. DTAMIL PADANG Sere aot a s q 2041312112 PROGRAM STUDI PROFESI NERS FAKULTAS KEPERAWATAN UNIVERSITAS ANDALAS 2021 BAGIAN KEPERAWATAN GAWAT DARURAT FAKULTAS KEPERAWATAN UNIVERSITAS ANDALAS FORMAT PENGKAJIAN jama Mahasiswa : Renny, Rate No BP Yolandhani Tanggal Prakiok = Kame, 1 Jah 2031 ‘Tempat Praktek sup 32ND. Nama Pasien : Ny..¥. Umur + 46 abun Li) 5 Pengkajian Primer re Pernapatan...panen. chbentu.. dengan ETT. retret t+ a Jalan apes ticlak. eaten. setret.. bemarnes kemag. tental..«. gargling...dain. snoring. teak B Pernaparan parien...cibaote. ventlater....dergan. mode. BIPAPars, Psp tt, Pasb 8 FQ fo 1 PEELE De M Djamil padang,..we.tte.. ddatuban...colenestory.. ai dapat pe eee = = ‘ z O Paela, tanga! Jul 20'9. pasien..nelatetan. dndaten,operans, (& pes, Aan. wltas..pete!,10.02 we. dengan yunleh...rderahan 6 relelah, pert. Plt auld... dh feng baka teat, dtanrpor dan gercontme. benty. mengaunatan hag valve mark moe jporr Lapuratoms clan stoma _—_—$—$— tor pencet : en [fone..trtate, at atn, tembung.. rectal. untuk, 898... BAB reper keloran.. tambing....Se)at..4. Hard SM 2S. Lamanya keluhane 6 balan, Felepyaamengeeat fda oh Upaya yang diiakultan uptuk mengatasi: ak. pecaknga. fat anven..egarting.. lath - lore 0 > Rrempern ‘ ‘ 7 = buen ‘| ‘ X menvggel i i a -- 9 Serumeh oO — __pangkajian Sokunder Kopala ingpeksi/Palpasi -tambut. heavarne, xoiunan = HA. ede, Keluhon eri, [benolan tdkada, rambut rentoke Mata Fungsi pengiihatan : Hak épt dinday Ukuran pupil...2%0 /200, Akomodasi Palpedra Toba (RB) (ekg Unsokor .. [80Kor ! Unisokor Konjungtive : Nen:.Aremis. Sklera Adak ctor, Edema Palpebra : Aiat. ede. pembenglokon...pala. palbebre, Keluhan... = Telinga Fungsi Pendengaran “Tidak. dt. dimilay Fungsi keseimbangan : tat dapat diarlar Keluhan x Hidung dan Inspeksi peda. hdurg. torn... ferparang. ET. ‘i Pembangkakan: Adak. ada, kat i: ae ieee _pembengkatan. Pendarahan : tlk ade. peadarahcin Mulut dan tenggorok Inspeksi Tampa. ferpeiang,,.6.T Keadaan gigi Jampak.ada...foner. gia! Keadaan membran mukosa—:...ukera. bbe. Fenng, Kesulitan menelan 2 Tidak dapat. dod... Loher Inspeksi / palpasi tidak. oda...penberaran, IVP. Felener. getah beng clan roid Auskultas - ‘Thoraks Inspeksi Notmal. chert. ke Ys detel. me, ett Kempabio IX. Pengobatan dhol talent “Topuna E1000... 1 Hoxpin. lore, 182 <6 Teducum mg far ce t Kalbam..amparen, Lee. "pre 2 amt /ag0 Kel 3r.ng rapeh...dan.ttude.. ms, slufo! ‘seimpat,. cet dhe, Jryee, 2 Meropenem.... BALE. Ammann. (X00 9 + Mefremdatde 3.x 500mg). “Ar taneramal 3%! on eee BxI..9, nym urporniow) —unyn4D] -€ wale doigas vaisol jquodey -¢ wand yoo%au jo ,99-,5y opolay eued aig T arpnad2.ay | voredeured vopoxfuuel qo s091W0\N °& wa6i140 1Hin.0y i you06s30 | sngoxs dgaayiay sop2}yuon 4049 104100 wemasgg uexepany| syusoyann ~ 12214009 Foul + yonequael sy 1809004090) arynadony| | a9 70700 -5| ysbisgo 1521005 49;N0H) “P sodoa sbung \sojinasny '€ 2 (9 Boys wbp poquay 4y4 spr. (3) op; ep oe ne (3) 210% Wop yroqwayy yoUOqLYG 4DPD) + (59 mjeH Wbp pequeH cg] Jopen | (s) e1eis ube 124094 HY (yen vbp srequn soho 705 + (5) 25 u6p yexGouee uorepose4 j0460. + 109 wosy uvbuogiey (5) 9045 ubp equa pay? HE + (5) oon ubp snoquom PIpsoAD. « bp sioques To4 + joys ubp 310940u4 C034 (5) 20% (5) 91> (5 candied ssoptuoy ecbucquiaree4es PA 526 wosngnis04_uonGburg| Upjemmnalag esoubaig weg a | TleMw SF ama — 1en124 wxp Gunns | vrei 421401 youn -| yep e199 -| 299 yptebaal uns, ojimp yyy aosopoiay 70204 aplucy v2. Gepe) 19993 soko fig -| | yo | ea ae eee i ae er Pee en ee | sodou wofinln ) Py035 ‘ jlupzous Gye ge? tong -| aur uotugjope4 *4aad Jopvou To is (| 06p perme vosopoisy yo460n “ | op mu Pe: vhonsasga| 2" }u2A vawatouryl vobuap reyes | bye 4 eOYOPUL, isoudiay vonDWwOWa} «| voydosoyp wol here Mer | isondsay _vonequa.a « 8] YONDHOUA) | soromossial “orOpUIA VOIDTONE ses ag 1 Buvfunuod ee UEP | ayy \ sey jsuensoqu {use} evo wep wexeN | ese parce pe om Lyunuva LYMWO NVLVMV¥ad34 NVHNSY VNVONAY LWINNOS mia ropywon vovequad \soseqPieg“t | E1090)» « | gov veopisuad voxn0) “¢ 361139 vosMeg +5 | yynador}| | an aay’ Hd doyoqnia) sopvow SioHunBu INpD}S s0;WOWy wost —s ( wucaaraiey qaa6ux) soydipvap| 7 | “sop 8049 | 210g wosy “Lou0y) «| | omye6ppur | | ep hyqpay vovania) soso “€ aoyepiuon BpOW voyijyuod OIa;DICA T | 09003 gop ola | Bxndwosye 4408 anqen Gog uoslois’4 | gaijanswbxna) 3 | | epep dosayaisid 04041») | | Ne | } | aaa jeune, | nseteueuntuepuerer | Suntusa nea | oy = : | \ “thy tees VUNG LYMVS NVLVMVYAd3) NYHNSY YNVONSY LYIHOS ee he bbe 60% apquryopseiuew py yabus uoy9g *t doped sodeu wel uoxuoyop “T 0 wonea eaGunpyo} | osbal | vardony eoppminal mr0ibG ward 7076w} wep wsoposey Inpois 402" | | | Gaya esse snKOH 22)N0) “¢ 1040 uoquoN, ~ 1312y26}990snyops sOHUO|W “E (3) 210% 46 meomou yp +opey 2 josnt ayn - snyovou\noypieg snyoys 40;N0NN'T | 2st ey = yovow\norpied spy “ss YON Bp moquon 444 sopn4 «5 peo) iusjanodiyy + 40% “Lounyy « (37 opeys oqo) aa | 6; yy 401 saya v0 lucy - | | 92=P aed unequal oa cde alan eat amep 2 pie) vane uesiequal yrovoqe}e4 4 ee Hwvopediy 91 FMD venequial s01090}04 4 U6p AeyKaw yoIOP HCUDR -—) 150109019) (5) >}03 1210 weno aalnsy wopuog:y | O8p rexGaman 19 sobre poem) (5) m}045 | ana indyna ua? axoyu 40} “€ wwajanodyy | USP 2X6 pou UREMAS *t : Biusjonediy mjeG6 Up opucy 05424 T| 206s “Luo + | 1424 vay vobuap A2qu—| at vonsa$qo| “cones mpeg voslowyp wl next) | wwajonodiyy Lowy) «| Majonadj} C240») +) yoyorncsadan wOAopUry YOANADHP_4O—325 qt - | | Bue{unueg eyeq wep \ seHDY | jsuentoyu} | luseH ee wep were] | uvjemesodoy esoubeig) ON cena ! AVUNYYG LYMVS NVLVMV€ada NVHNSY YNVONSY LYINNOS [orga wousqua} oxen + LupKAPI09 | 2x0) wojooera) FDS |POHS AUBE vEPAUDYOHEY “¢' 19%) aane> ubp voryiieg -C | #249) a 4 mes 4oHe\) aoynjoq uoxi0da) “1 »jnadoray| 17240 pwr} punk soo oy) >I} AOI 493DIy °T sonayg bam, vojome) ayydorw 1073 doxaa4opa} '€ verted unbuep yoyo opnses upp winpqar yobuny 1) °¢ Ganfunbuad qojunt 19999, snnadon aryowapsi! wep tsyaduy pleb uop epyrh 30300 1sionasga) 00004 + | 12%) | _— wsjady)_ 04 a ivan Sines angered #29 e704 Jp 98h oway # wopomonela; wm soutoig 9.506 +5- {44 cory 313037) Guay agg miognya yobu0y 90.44 em seqaas am 42/304 -| goqaa) 2p? 0}04, jolany ox, HOPE + | aes v6? | Gey ayom vp enamow «HHy | | vebuap unsnuau | vordaroyyp aon (s) ores 46P pega quo rp BS JPEN? (9) anunuow woyoi0Md} | * ym) 4OyOmDI2 + waqem | at syaduy aoyobaruay .| -218d04 oops 9990 oa Se | eae ee ea | sey HOM we | ueqenesadan 280u8eI0) uv LYMWS nvuwanvda NVHASY YNVONSY vwuod eee A\ Suwon ~t _ajzrsadauo son qHIN- | a/peaes fon Bamge:f029 Ete | Ca¥ 40pivoaaw “¢ | ears soasiny + apne Opes opoUslN of mosey Loum « Jsepdias vonopuowdd « ae vosynlumye ‘suansayu) sq |/ Gas) 4n22P05 npopes youaqued ssos0904 wo | om “0% hat Wamynyse) uon@Gurh + MDP} uinjaq 4 IOI | ee bea eer Hels) . 4 “uouans uasmvjaw -6 jvrer eele doyes vowed unsol yoqnbvovy -y (2109 woo «Louw + Fluo lappyuan vawolasm » D.0€ 1S - 4/4 ow0-) “ajtd was sob 1906.00 20 05¢ wowodee 1p wasn wp | eosoioused uovrtiwal apofee soz%oWeN “e 2 hi ya ja webu yeas jojo} Guam 21m} HE AOI)-| —negaon Mena) sabia iam see 1018)" | yonder. jolup Bi Sopa PHOT onl yoluny yuna sosal- Saat Geno elon -| wep toy Som: nb | yao oH | sa aera gagigo nomnyes Sopops 12314040 | | sadeu fund soya oxen *| geal shi ee iamed ohare -2yH0AH | ide 2 a los ps yceny 1) someHtey see fs nba conven] 206 VaTrHaL UEP a Ea ‘oubea suyous opap Gupurp 134043 - | ‘5%, + yopiy aumon -| anyovy 30408 9803) ou rsequouord | ee nvowvawanisad NvLvLvO LVINHOS po EPP x6 Oaiou | MERMOD -Couoyy 2 oct oaceieg] i] | CEH MMI ssunseyy) .g| POMODHEHE oIIUy cabuye von uaW 9 PIue}oMeby + apo uy idl | OE eG ormey eg Jato vot voyunyoyaluow -§ | 26004 cua, ere IY IO}us " — Z PAN UowpoDy Remy | YOHEPEIOY Yorn} UBBiquaned Homan“ | Zon tQ05 ~ (aa 28 Giescibay unsod | “P99 s0hmj) ecg ages seyulety 4 | ‘mopee nay. wow 6iete Injojs sopneuue PayHY Noqwey Ha ae _| “IpEY) LovoMMdopee” ys EL | buns) Deyn) vosgaayy- neopry 18 -t0mm.| | yer01 goluor 10.1 a0). | 22% umnge, praea | vane sovegel soi oat) Sex 5, | (2407021 apsesounnd | aounyna, nina J210 wesio2 walns uosmeguew -€| | ayony - cee | stn sr fe py | | (oso ihe |oeate% «ana sefiny nboworn gen- said) om, | ioe orahy 9}2%26 unp opuny uooiquawal voAntORH ale fi cumopncdyy Loup «| w2Guay7n Fg MAI” weqemesodoy, | yseqoureydwy \ esousera oo ssenjeng a tana a — ma NVONVAIWaNaad NVLVLVO LVWHOS ein: seid 193 anyobonued- opynlunyip ssuansaiy) «| sxeduy opsar: yoibogas wetrley YP ¥ bu 005% € jorppuaraw + ayobour unsioqaad “é Ganyiaie2s Uoxopn} UOAMIEpH -€ ym avepI@y sopUOWaY “T 2am UE}oMo%%) « pylaro yway vonunyopatuaws 4) 2.6 25 - | mupoarel q04Any = | vpxopyy YOAMAPL IP guag pops aobwo, 0244 7 yopasas upp unp9es ucGaop 120204. § wiwot 9 poral) sod 2am) bunlonbao) youn OPE MEW 2) qiaeg Yoprs weluok 281085 a0y4a5ig = taduy opel vop pnp OWOWAN pvtotuy snpesosh, : 2) 5 quay oP” 2 spade) uoyobinny ,| 22 ontos Vp raha) 0904 | -< a uueyenesodey, on ee ysequowordusy esouBe1a ysenjead ee ——_—— NVONVEWANead NVLVLVS LVIYOS

You might also like