Professional Documents
Culture Documents
Resume Ing
Resume Ing
PENULIS:
NAMA : SAGITA WULAN SARI
NIM: 131511133021
Nama
NIM
: 131511133021
Mata Kuliah
: ENGLISH NURSING II
Judul Tugas
Pertemuan Ke
:8
Tanggal
mengumpulkan
: 11 November 2016
Dengan ini saya menyatakan bahwa tugas berikut adalah hasil karya saya
sendiri. Apabila dengan sengaja terdapat kesamaan (plagiarisme) dalam
pengerjaannya. Saya bersedia untuk mengulang pengerjaan portofolio
sebagaimana ditetapkan bersama dengan PJMK BAE 112.
Surabaya, 10 NOVEMBER 2016
Hasil Review
A. Nursing Diagnosis
1. Decreased Cardiac Output related to Altered contractility
2. Acute Pain related to Biological injury agent (ischemia)
3. Activity intolerance related to imbalance between oxygen supply/demand
B. Intervention and rational
Nursing
Diagnosis
Outcomes to
Outcome
Intervention
rational
measure Resolution overall rating
of Diagnosis
Domain 4 : Cardiac
Pump 1. (040001)
1. Cardiac Care 1. Limitation of
Activity / Rest
Effectiveness (0400)
complications
(4040)
Systolic
Class
4
:
resulting from
2. Hemodynamic
blood
Cardiovascular /
an imbalance
Regulation
pressure :
pulmonary
between
(4150)
4-5
responses
myocardial
3. Vital Signs
2. (040019)
Code : 00029
oxygen supply
Monitoring
Diastolic
Decreased
and demand for
(6680)
Cardiac Output
a patient with
blood
related
to
symptoms of
pressure :
Altered
impaired
4-5
contractility
cardiac
function.
3. (040023)
2.
Optimization of
Dyspnea at
heart rate,
rest : 4-5
preload,
afterload, and
contractility
3. Collection and
analysis of
cardiovascular,
respiratory, and
body
temperature
data to
determine and
prevent
complications
Domain 12 : Pain level (2102)
1 (210201)
1. analgesic
1. Use of
Comfort
pharmacologic
administratio
Reported
Class
1
:
agents to reduce
n (2210)
pain : 4-5
Physical
or eliminate
2. Pain
2 (210206)
comfort
pain
management
Facial
Code: 00132
2. Alleviation of
(1400)
expressions
Acute
pain
pain or a
of pain : 4-5 3. Sedation
releated
to
reduction in
management
3 (210227)
Biological
pain to a level
(2260)
Nausea : 4-5
injury agent (
of comfort that
ischemia)
is acceptable to
the patient
3. Administration
of sedatives,
Domain 4 : Activity
Activity/Rest
(0005)
Class
4
:
Cardiovascular/
pulmonary
responses
Code : 00092
Activity
intolerance
related to
imbalance
between oxygen
supply/demand
tolerance 1. (000501)
Oxygen
saturation
with
activity : 2-1
2. (000502)
Pulse rate
with
activity : 2-1
3. (000503)
Respiratory
rate with
activity : 2-1
monitoring of
the patients
response, and
provision of
necessary
physiological
support during a
diagnostic or
therapeutic
procedure
1. Activity
1. Prescription of
Therapy
and assistance
(4310)
with specific
physical,
2. Cardiac
cognitive,
Care:
social, and
Rehabilitativ
spiritual
e(4046)
activities to
increase the
3. Energy
range,
Management
frequency, or
(0180)
duration of an
individuals or
groups activity.
2. Promotion of
maximum
functional
activity level for
a patient who
has experienced
an episode of
impaired
cardiac function
that resulted
from an
imbalance
between
myocardial
oxygen supply
and demand
3. Regulating
energy use to
treat or prevent
fatigue and
optimize
function
D. Evaluation
1. Normally cardiac output
2. Pain level diminished or lost
3. Increase patients activity