Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 2

Hipotermia D.

0131
Kategori: Lingkungan
Subkategori: Keamanan dan Proteksi

Definisi
Suhu tubuh di bawah nilai rentang normal tubuh

Penyebab
1. Kerusakan hipotalamus
2. Konsumsi alkohol
3. Berat badan ekstrem
4. Kekurangan lemak subkutan
5. Terpapar suhu lingkungan rendah
6. Malnutrisi
7. Pemakaian pakaian tipis
8. Penurunan laju metabolisme
9. Tidak beraktivitas
10. Transfer panas (mis. Konduksi, konveksi, evaporasi, radiasi)
11. Trauma
12. Proses penuaan
13. Efek agen farmakologis
14. Kurang terpapar informasi tentang hipotermia

Gejala dan Tanda Mayor

Subjektif Objektif
(Tidak tersedia) 1. kulit teraba dingin
2. menggigil
3. Suhu tubuh di bawah nilai normal
Gejala dan Tanda Minor

Subjektif Objektif
(Tidak tersedia) 1. Akrosianosis
2. Bradikardi
3. dasar kuku sianotik
4. hipoglikemia
5. hipoksia
6. pengisian kapiler > 3 detik
7. konsumsi oksigen meningkat
8. ventilasi menurun
9. piloreksia
10. Takikardi
11. vasokonstriksi perifer
12. kutis memorata (pada neonatus)
Kondisi Klinis Terkait
1. Hipotiroidisme
2. Anoreksia nervosa
3. Cedera batang otak
4. Prematuritas
5. Berat badan lahir rendah (BBLR)
6. Tenggelam

Referensi
Ackley, B. J., Ladwig, G, Bo & MakiC. Q. B. F. (2017). Nursrng diagnosis handbook, an
evidence-based guide to planning care. 11th Ed. St Louis: Elsevier.
Appoloni, A. H., Herdman, T. H., Napoleao, A. A., Campos de Carvalho, E., & Hortense, P.
(2013). Concept analysis and validation of the nursing diagnosis, delayed surgical recovery.
International Journal of Nursing Knowledge, 24(3),115-121. doi:10.1111/j.2047-
3095.2013.01241.x.
Carpernito-Moyet, L. J. (2013). Nursing diagnosis applicatron to clinical practice. 14B Ed.
Philadelphia: Lippincott Williams & Wilkins
Doenges, M. E., Moorhouse. M. F., & Murr, A. C. (2013) Nursing diagnosis manual planning,
individualizing and documenting client care. 4th Ed. Philadelpma: F. A. Davis Company.
International Council of Nurses (2015). Internasional classification of nursing practice, nursing
diagnosis and outcomes statement, Geneva, Switzerland: International Council of Nurses.
Newfield, 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 th Ed. Philadelphia: F. A. Davis Company.

You might also like