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Gangguan Ventilasi Spontan D.

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Kategori : Fisiologis

Subkategori : Respirasi

Definisi

Penurunan cadangan energi yang mengakibatkan individu tidak mampu bernapas secara
adekuat.

Penyebab

1. Gangguan metabolisme
2. Kelemahan otot pernapasan

Gejala dan Tanda Mayor

Subjektif  1. Penggunaan otot bantu napas


meningkat
1. Dispnea 2. Volume tidal menurun
3. PCO2 meningkat
Objektif
4. PO2 menurun
5. SaO2 menurun

Gejala dan Tanda Minor

Subjektif Objektif

(tidak tersedia) 1. Gelisah


2. Takikardia

Kondisi Klinis Terkait

1. Penyakit paru obstruktif kronis (PPOK)


2. Asma
3. Cedera kepala
4. Gagal napas
5. Bedah jantung
6. Adult respiratory distress syndrome (ARDS)
7. Persistent pulmonary hypenension of newborn (PPHN)
8. Prematuritas
9. lnfeksi saluran napas
Referensi

Ackley, B. J., Ladwig, G. B., & Makic, M. B. F. (2017). Nursing diagnosis handbook, an
evidence-based guide to planning care. 11th Ed. St. Louis: Elsevier.

Carpernito-Moyet, L. J. (2013). Nursing Diagnosis Application to Clinicai Practice. 14m Ed.


Philadelphia: Lippincott Williams & Wilkins.

Coucher, B. (2014). The challenge of diagnosing dyspnea. AACN Advanced Cn'tical Care,
25(3), 284-290.

Do Canto, D. F., & Almeida, M. A. (2013). Nursing outcomes for ineffective breathing patterns
and impaired spontaneous ventilation in intensive care. Revista Gadcha De
Enfermagem / EENFUFRGS, 34(4), 137-145.

Newheld, S. A., Hinz, M. D., Tiley, D. S., Sridaromont, K. L., Maramba, P. J. (2012). Cox’s
Clinical Applications of Nursing Diagnosis Adult, Child, Women’s Mental Health,
Gerontic, and Home Health Considerations. 6‘h Ed. Philadelphia: F.A. Davis
Companny.

Parshall, M. B., Schwartzstein, R. M., Adams, L., et at. (2011). An offcial American thoracic
society statement: update on the mechanisms, assessment, and management of
dyspnea. American Journal of Respiratory & Critical Care Medicine, 185(4), 435-452.

Zeitoun, S. S., de Barros, A. L., Michel, J. M., & de Bettencourt, A. C. (2007). Clinical validation
of the signs and symptoms and the nature of the respiratory nursing diagnoses in
patients under invasive mechanical ventilation. Jouma/ Of Clinical Nursing, 16(8),
1417-1426.

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