Page 11 - PowerPoint Presentation
P. 11

Dx Medis dan Dx Keperawatan






                                                                                                     POSSIBLE NURSING
          CLINICAL SITUATIONS  DIAGNOSTIC CONCEPT
                                                                                                                DIAGNOSES


           SYSTEMIC ARTERIAL                                  Cardiac output                      Decreased cardiac output
                    HYPOTENSION

                HYPOVOLEMIA                                    Fluid balance                         Deficient fluid volume

                         PAIN                                         Pain                                    Acute pain


                                                                                                         Tissue perfusion:
          METABOLIC ACIDOSIS                                 Tissue perfusion                               cardiopulmonary,

                                                                                                                 ineffective

            WOUND DRAINAGE                                      Skin integrity                       Impaired skin integrity

                                                                                                         Tissue perfusion:
           SYSTEMIC ARTERIAL                                 Tissue perfusion
                  HYPERTENSION                                                                              cardiopulmonary,
                                                                                                                 ineffective

                     OLIGURIA                              Urinary elimination                  Impaired urinary elimination


                    POLYURIA                               Urinary elimination                  Impaired urinary elimination

               HYPERTHERMIA                                Body temperature                                 Hyperthermia


               HYPOCALCEMIA                                   Cardiac output                      Decreased cardiac output
   6   7   8   9   10   11   12   13   14   15   16