4.

C r it ic a l C a r e P a in O b s e r v a t io n T o o l ( C P P O T )

IN D IK A T O R D E S K R IP S I SKO R

E k e s p r e s i w a ja h • T id a k ada k e te g a n g a n o to t w a ja h yang R e la x , N e tr a l 0
te r a m a ti ( e k s p r e s i )
• K e r u ta n d a h i, a lis tu r u n , g e r a k a n m a ta d a n Tegang 1
k o n tr a k s i o to t le v a to r
• G e r a k a n e k s p r e s i w a ja h d a n k e lo p a k m a ta M e r in g is 2

te r tu tu p r a p a t ( G r im a c in g )

G e ra k T u b u h
• T id a k b e r g e r a k s a m a s e k a li ( tid a k b e r a r ti T id a k B e r g e r a k 0
tid a k n y e r i )
• B e r h a ti – h a ti g e r a k a n la m b a t, m e y e n tu h / P e r lin d u n g a n 1
m e ra b a b a g ia n yang s a k it, m e n c a ri ( P r o te c tio n )
p e r h a tia n m e la lu i g e r a k a n
2
• G e lis a h d a n m e le p a s a la t y a n g te r p a s a n g ,
tid a k b is a m e n g ik u ti p e r in ta h , m e n y e r a n g G e lis a h
p e tu g a s , m e n c o b a k e lu a r d a r i te m p a t tid u r

K e te g a n g a n o to t • T id a k a d a r e s is te n s i ( p e r la w a n a n ) p a d a R e la x 0
E v a lu a s i d e n g a n p e r g e r a k a n p a s iv e
fle x i p a s iv e d a n • R e s is te n s i p a d a p e r g e r a k a n p a s iv e Tegang, kaku
1
e k s te n s i e k s tr e - • S angat r e s is te n ( m e n e n ta n g ) pada S angat te g a n g /
m ita s a ta s p e rg e ra k a n p a s iv e tid a k m am pu kaku 2

m e n y e le s a ik a n n y a

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 K e r e la a n p a s ie n • M u d a h ( a la r m tid a k a k tif ) D a la m to le r a n s i 0
saat d ip a s a n g • A la r m b e r h e n ti s p o n ta n B a tu k ta p i d a la m 1
v e n tila to r to le r a n s i
( in tu b a s i) • T id a k s in k r o n , a la r m s e r in g b e rb u n y i M e la w a n 2
v e n tila to r te r h a m b a t penggunaan
v e n tila to r

a ta u
• B ic a r a a ta u d e n g a n n a d a n o r m a l / tid a k B ic a r a n a d a n o r m a l 0
V o c a lis a tio n (
p a s ie n b e rs u a ra / tid a k b e r s u a r a

• M e n d e s a h , m e r in tih / m e n g e r a n g M endesah, 1
e k s tu b a s i )
m e n g e ra n g

• B e r te r ia k - te r ia k , m e n g is a k is a k B e r te r ia k - te r ia k , 2
m e n g is a k - is a k

T o ta l R a n g e 0 -8

a. I n d i k a s i : P a d a p a s ie n t a h a p t e r m in a l, t id a k s a d a r y a n g t id a k
d a p a t m e n g g a m b a r k a n in t e n s it a s n y e r i
b. I n s t r u k s i : P e r a w a t m e n ila i d a r i e k s p e r s i w a ja h , g e r a k t u b u h ,
k e t e g a n g a n o t o t , k e r e la a n p a s ie n s a a t d ip a s a n g v e n t ila t o r
( in t u b a s i) s e t e la h it u m e n u lis k a n t o t a l s k o r p a d a t a b e l
c. T o ta l s k o r
0 : T id a k a d a n y e r i
1 -2 : N y e r i r in g a n
3 -4 : N y e ri s e d a n g
5 -6 : N y e ri b e ra t
7 -8 : N y e ri s a n g a t b e ra t

C . P E N A N G A N A N N Y E R I N O N F A R M A K O L O G IS
1. T e r a p i k o g n it if : m e r u p a k a n t e r a p i y a n g p a lin g b e r m a n f a a t d a n
m e m ilik i e f e k y a n g b e s a r d a la m m a n a je m e n n y e r i n o n - o b a t u n t u k
anak

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