NoviANTL LAILIAR 132113143017, KEL. 10 PROGRAM PENDIDIKAN PROFESI NERS FAKULTAS KEPERAWATAN UNIVERSITAS AIRLANGGA ‘Tanggal Pengkajian : (B/W /2021 JamPengkajian. —: 15.00 Diagnosa Mask ©: Widrocephatus non commu~ Alcon + port craniotomy 13/10/2021 10-00 wis 5 a. Qo-KK xx LL IDENTITAS PASIEN exiei tumor 1 NamaPasien : Sade. m. 3+ 2 Umur Sq. Tahun 3, Sula Bangsa ; Maduro 4 Agama Ulam 5 Pendiditon SMA Kelas 2 6 Pekejean—: pelogor 7. Alamst =: pamenaron 8 Sumber Bisya : @pac ti I RELUHAN UTAMA agen eral 1 RIWAYAT PENYAKTT SEKARANG een pase corse mee arien meng eluh, paiing’ don ayer pad Womans Eparasg arta’ (eeauian) den cutis Amor Ceertbeal fanen HEA) Skid paste gettin. MER hagac’ Wace” aver poring. Bes Ae IV, PENGKAJIAN DATA FOKUS |A. PEMERIKSAAN FISIK Mee 1g zlennt menerus tga 585 so tegen ena 2 Capen', PEMERIKSAAN PENUNIANG 3) LABORAT DAN TERAPI Laberat Cdarah \engicor) — IS/ n/tert crerapit : a — Wey ise 9 /at absie/ 20% ee: } phengtern smg /teg bb / Injen Coben) ay paracetamal fab soomg /Ayam coral) avjem Ci) ¥) wee 5 992 wt yan PETS eo wt / AL Recs 4.16 wh /at Aiyumia y 3662 g/dl 4) WFO wact 0.8 7 3) omerentere yom // coo eat mt Sm aus: wer ag/dl 1) venamecnaron tay 712 Tem - ya prow Ks &-8g9 mmot JE CLs tor, 6a mmol /e Nas ii, mmt/E cas Begy g/dl hg gy my Zat Anausis pata Tanggat Data ettotogi macatah 19 mov 20a [os = pawtor genes on i <4 (0099), + sepers ods beban Tumor inten serebral ‘berat Wt Mepate tape elauang + Fk state Tindexer K ancotomi T+ rent meneus saget % pest e057 tumor ParTen mengeluh ayert v 00 Terpunisays saingen pede - Pexien poat oF Keantotem SCALP “Aon a Lenya exit tumor hed Ke 3 Pengergraten tumor pads Frenweasi madi menrnguat ae 2 Wa Zennt [ v Penurunnn nepcy maton | merangiang saree ayed J Satenh dan barsticae (need eeaep tor) trotecue. ie 4 a Mendapat berg Pr mengeluh pusing Parecetamel per orat aon mn le kepata 00 mg / Byem sacs Rate set v Penmmgeaton ined |. cones ded ovutVI. PRIORITAS DIAGNOSIS KEPERAWATAN 1. Alyeri anut beds agen pancederr pint Copernei terant ottmi obit humor) dl, pasten mmengetuh aged, premaent’ nadi Mentiguat , geseah aaa hertceat prover Wr derebral Hdek Ceeklip dd. hidrosepalur non comuricant , POST 2 Restke perp Keoatotomi ebsisi tumor Ritiko dermt nutri td. PeMNNER AAPG maken, KeERggenen unue maken Lanjutan anausie Date ‘ lah te krologt masal Tanggat Dato beat = rah aa imo perputi Ferebea T parten oweagelsh pasty Teaume (9eed a 18 nov aon [OS + Fs vee pode atee mengumbat aU" | eda epee (0-001) dan nyes pada *E cat ” 00s erelral ; eedaraen inten Fer = pasten post santoton enstst | F ‘ tamer» terpasong drain Fieore pada ota J+ erwayer bdcoreratus NE v : urpateng ve short Latta clon matsbeorbis bast trv v Penumpuicen “Cas dt otek GCE + G56, namun pasten re oe leech anya trelac Karen ae eustag ’ TOs taafyg mma, Ninsx/mat] Peamunen evevastesi daca Soha 26,2 °C. me ofan | raat nae Keng I> pacien menatapat torapi Phenyteta mg tnb /1 jam { krantotom? sive epee nutes post eperesi Krantoto pisike bere 1B nou zou [05 + pasten mengeluh pratay den mua, dake nopsu emcteh rumor ferebeat (9.0032) maicon v nyed pada beoten oo hos se eresi den begten Frekuensi maton 2x “hed Bhi pans Eats Meal mation haya : Terapi meditcam eaters uahin mmengueaegi ryed parca op. 4 2 cendote bubur — mutal » manta isang ent r se mer oa SLAs rt mtg] newotad es yt at + F He: vasa | muintah Lae, yt 8/8 Conan + £868 ordi Cray Penurunen apse mexen F Ada aka don edema pods biker > becas Pemasangan veatitator [- pasten mendopat tespi D omermrote Gomg/iryom 2) KER tablet 600 mg/8 gem epee + mual 1D pheaytomn pmg tab /12Jem 4) pararetome! 100 mg thy § yenasus Trauma (percarahen pada otek akidat Kecalatten y v Peccdacahan inva serebent v Fibrosis pada ots = . Obstrucs don matabsorest Ai C55 v penumpunad ess di orale ¥ HrdeoseFalus: v Penurinen sremutati dah Ke Ofek ’ Ada weluhen pusrag 49° nges pada wepala + Mk: Rive perpusi feeb frdax epenke Dk _setaunder (0.0019) pautor genetre v tumor intra rerebrat v Tindaken Kantotorn! + BE hemor — e e + pasa wenden ager pase to x s secantotom! Terputusnys Jedagon peda Scalp Aen + : dongs eengangeatn tenveen tenth tamer pada otek oe ma merangeang peningiater ane ee Hel di ambung: necrraseoter ages i = reuat, muntah dor ae eee Pernuuncn AeFsy pusmng don sauce nee pede bag, Hepa a a mks nertko peptt pentngeatan ned ¥ Wake ayer Atat (0077) auwtnxi (0.0082)REN CANA INTERVI NST TART DIAGNOSA KEPERAWATAN | —— WAKTU 1 INTERVENSI RASIONAL [TANGGAL (Fujuan, Kriteria Masi) anew comes Oe ames [200 |rged aeat (0-007) bd. ogo —_[Mangjemen NES Ch. ct zm) caengetatad wont Foo eect Pre. (Fost oP. ntoho) oy seves er gong arenemeen ttnov rou | MS [EIS Rina) ded pesten mege-| 5 cenanwesi pa : ee : D cdenpest paney aged x nyes . pentaguenten, edi Joy mengucangi eatetor Cae OA Satter | saummect ponme op mengetens 7 Tesh Te Pages myers (ee eD6e) eee | ue fe iatan ea eyetfenencten’ co TERRE Soe Te pemneten meget ere sengng f+ Skee grosses menunen 29 [rere eubic ES ener po crenata radi memosin te) [on more gested oot oe Redian teeta nan perenn halages oe a a Compas date) 1D mecqueonsi ayes 1D menpeatuvati ieneahat den tune menoemeg Nobutaka Rico erehch aay ae © myergrrten Gear ates naan) snemmndian ersten astern mengurenst | hetevered Le | BD pembetan anatgtite suet apo. |P menmreagt aged ge Game] [Rain PAT Frc Task (mangonen poesia Fama weary peng HOUT ee ea | one [erente Coen) Ad Hitmneres [Craig an gett port wenamtond event tomer — [staevedt creo ralnguaton THK eepust cereneet (1-004) [yaa sy mangtstieg bance a 9 manttor tenda gegate ming ston caren | [Onguar wetedacan congaimen|” Toy yo, ane i ee 3) s FRM, Spon, RR GEE 3) mangttabes Monde | 2 auth wept, méctinin 16) mentor iatene dan wutyut coeran | SH apa ade | o. Ta EN Set erent ery [0 meatier ens Seacenacte asge| aaulutes pee Cuoroue) ” pecinrahen | Ae Rentong A mentaguint (=> Of eee ees 5: Germean terbates mento (6) aH 1 mencegah tee: T pembeen anh xonvutson ay sesued RPO‘VIL INTERVENS RENCANA INTERVENSI 1) Pemberion mak emetik stbetum maton. WARY DIAGNOSIS KEPERAWATAN - S ranacar | WAKTC (Cujuan, Kriteria Hasil) Sa basal kamtsy | as-00 [RIK deratt nutes (0-082) 44 |manajemen Nuts CE-o 3ng) D mengeetai Fabs eaten taney rou | wig | PEMNNES AeRSH Makes, Setenggen| observa ajten spans meta wate maton Didenteest stats nubish ae Status wutrisi (L 04020) 1) mentor amped matanen 2D memesiican garten beter 9 porat matanan yang dthabtanen [5 serve heath Uk Cran attuunn) menguoarums makanna meringue CF) Teepeste 3) mengetahal stabs tetroes 29 Ketnginen manan meniaguat fey [9 TAREMON erat hyslene Feblam maton pee 1) rrewuens maar membare Cr) [ESAS See are mat mensicon 1 1D Cdules’ pembetan macan sectlut tpt sexeg scale tapi [5D menngeation pengatanian m3 Posen den menceg ah () Arownen pearsi cadet Chead up Meine Pom en mariah eevee PD Meretar atoms mrengurang, muta.a, MPLEMENTASY IMPLEMENTASI DAN EVALUASI KEPERAWATAN Warirgvswit | Nook | Jam Implementas Parat | Jam Evaluasi SOAP) Parat Kames /& peor 15.60 [D mrengitenipccasi ayes paste p-00 Pasien mengataicen masth oe tong eaaettoepusenees |Gue fattng don nyet wcum | Me etmg. ae 3, ee edn Coy easy roreng Serat , vermin sak 10. px sudeh meninum ebat \ sg2. pol eoaictnseilenecntonan FOIE |) mengajarken tend nops dation Leahat medagts don getsch, Fan merase. nged (ry Frees madi La ment imuaped tTps te mene ehas pesten patectey Font sper, agn baie [FS mosatah Meperatatan 15-20 5) membeiken ceat parasctomat Lum erates’ 500 mg per erat tablet. ue le = Legutan interwensi > relates AmpAs datem ston Pemberan amlgest« ~IMPLEMENTASI DAN EVALUASI KEPERAWATAN [ Hariigi’shin [ No DK | Amplem ‘dao respon tiap (indakan | Varaf | Jam [ ‘Evaluasi (SOAP) Dee [5.05] melanacen Tv pasien 17g [wee [2 onion mach mnrgetan matey |p as | —— Bellanca (ke (92 |S mene wren eae taal ; TOs us/fommng spe 2 99 x Os wifag Sura t seee | Stong HR: Use smat Ges see HRS yet SP 2 99% | was tgx fom suas 5pere | |pewten mesth aatam pear neoe | ceaie | 15.05 |) menteitien postti head up | \ o on A+ messiah Mer, beetum berater \ eee | eee | 5 |) mengeduteri pan 2 ee eee iie| pout secem porcge ete le ceemeacineeaeta || al epee Pertahen set mang arcu | (nA 2D peste eon pesten Lead 09 Fehoap AF mente meron | SP soe oa | \ Kames/ | 0.0082 |ig-00 |) menangawon apanah pesim Ridah wanon al T oe a : 19-00 |S. pasten mengataion trdan it nov 22 ce me (ts tant henge trae | OE Siang ls-00 |) mencnyaron opakah past | ae | . a38 0 math mua © + maken Cemehio yom 16-00 | © | Retan + month da tnan ners (ve gee baker a dente | : — massich Hep. tem | nine [2 EO emeermtoe Yome / wv tetas i Reson + uk eda Keun (te | ei) oe . e jutwen tatervennt : | est 9 mecwens cnt on eae cums ~Sdentpete ax tom io ment | (MHL 8 pemberma | sebelim matcan | chat oak must rT | £3019 duet ote mesigsatiieg tances | (HE = 16 | makenon sediice tpl Sammy |