Scribd Logo
Upload

Welcome to Scribd!

  • Maps Apendisitis

    Uploaded by

    Arifah Zanuar Kumalasari
    131 views1 page
    diagnosa keperawatan apendisitis dan map berdasarkan nanda

    Original Title

    Maps apendisitis

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    diagnosa keperawatan apendisitis dan map berdasarkan nanda

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    131 views1 page

    Maps Apendisitis

    Uploaded by

    Arifah Zanuar Kumalasari
    diagnosa keperawatan apendisitis dan map berdasarkan nanda

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    REFERENSI

    NIC: Fever treatment, temperature


    NOC: Thermoregulation Nurarif, Amin Huda & Hardhi
    regulation, vital sign monitoring
    Kusuma. 2016. Asuhan
    Keperawatan Praktis.
    Yogyakarta: Mediaction Jogja.
    Invasi & multiplikasi Febris
    Hipertermi

    Peradangan pada jaringan Kerusakan kontrol suhu


    APPENDICITIS
    terhadap inflamasi

    Operasi NIC: anxiety reduction, NOC: anxiety


    relaxation therapy level, social Secresi mucus berlebih pada
    anxiety level lumen apendik

    Luka incisi Ansietas

    NOC: immune status,


    Kerusakan jaringan NIC: infection control knowledge: infection Apendic teregang
    Pintu masuk kuman
    contro, ris kontrol

    Ujung saraf terputus Resiko infeksi


    NIC: pressure NOC: tissue integriti:
    ulcer prevebtion skin and mucous, wound
    wound care healing: primary and
    Pelepasan prostaglandin Kerusakan integritas
    secondary intention
    jaringan

    Stimulasi dihantarkan NIC: pain management,


    analgesic administration Tekanan intraluminal lebih
    Spasme dinding apendik dari tekanan vena

    Spinal cord Nyeri


    Hipoxia jaringan
    NOC: pain level, apendic
    Cortex celebri Nyeri di persepsikan pain control,
    comfort level Ulcerasi

    Perforasi
    Anestesi Reflek batuk menurun
    Akumulasi sekret

    Depresi sistem respirasi


    Menurunya Peristaltik Resiko ketidakefektifan
    usus perfusi gastrointestinal
    Ketidakefektifan
    bersihan jalan nafas
    Distensi abdomen Anorexia

    NOC : Ventilation ,
    Gangguan rasa nyaman Mual & muntah Airway patency
    NIC : Airway NIC: tube care
    suction gastrointestinal, bledding
    reduction gastrointestinal

    NIC: anxiety reduction


    (penurunan kecemasan)

    Ketidakseimbangan
    nutrisi kurang dari
    NOC: anxiety, fear leavel,
    kebutuhan tubuh NOC: nutrision
    sleep deprivation, comfort,
    status, fluid intake,
    readines for, anchanced
    weight control

    Risiko kekurangan volume


    cairan
    NIC: nutrision NOC: bowel elimination,
    NOC : NIC : management, circulation status, electroite
    Fluid management nutrision mentoring and aciid base balance,
    Electrolit and acid fluid balance, hidration,
    balance, Fluid Fluid monitoring tissue perfusion: abdominal
    balance, Hydration organs

    You might also like