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NURSING CARE IN MR.

MS WITH SHOCK SEPTIC


IN THE EMERGENCY ROOM OF WANGAYA HOSPITAL ON 08 DECEMBER 2015

1. Ainul Yatim 7. Fanita R

2. Arina Fitri 8. Jihan Pratiwi

3. Disa Aisyah 9. M. Dikky S.W

4. Dodi Iskandar 10. Sri Utami

5. Eka Afridayanti 11. Nur Hasanah

6. Fajar Ibnu 12. Sumiyati


• Name : Mr. MS PATIENT IDENTITY
• Age : 80 years
• Male gender
• Occupation: Not working
• Hindu religion
• Hospital Entry Date : December 8, 2015
• Reason for entry: shortness of breath, body heat, weakness, does not want to
eat and drink

• Medical Diagnosis : Septic shock + Susp. Pneumonia


PRIMARY SURVEY
AIRWAY
DISABILITY
Ineffective airway clearance related to infection
BREATHING
GCS : E 3, V 3, M 4
Breathing Frequency: 25 x/minute EXPOSURE
Oxygen Saturation : 95%
There are no injuries
CIRCULATION

Radial/carotid pulse: palpable, 100 beats/minute


Blood Pressure: 90/60 mmHg
Peripheral Acral : Warm
HISTORY
• Since this morning the patient's body is hot and weak
with eating and drinking only a little. In the afternoon
the patient complained of shortness of breath and his
consciousness had decreased
Terima kasih

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