Asuhan Keperawatan Pasien Illeus Obstruksi

PENGKAJIAN

Identitas klien

Aktifitas / istirahat
Lemah, gelisah
Sirkulasi
Takikardia, berkeringat
Eliminasi
Perubahan warna urine dan feces, distensi abdomen
Makanan / cairan
Mual / muntah, nyeri epigastrium
Nyeri / kenyamanan
Adanya insisi pembedahan
Pernafasan
Peningkatan frekuensi pernafasan, pernafasan tertekan ditandai oleh nafas pendek, dangkal
Laboratorium
Antara lain : Hb/Ht, leukosit, trombisit, elektrolit, AGD

DIAGNOSA KEPERAWATAN

Pola nafas tidak efektif

Resiko tinggi kekurangan volume cairan

Gangguan integritas kulit

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ASUHAN KEPERAWATAN

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