Minggu, 18 Desember 2016

Asuhan Keperawatan Diagnosis Pasien Pada Penyakit Influenza

Asuhan Keperawatan Pada Pasien Penyakit Influenza

Asuhan Keperawatan Diagnosis Pasien  Pada  Penyakit Influenza
Asuhan Keperawatan Diagnosis Pasien  Pada  Penyakit Influenza

Asuhan Keperawatan dengan diagnosis penyakit influensa jangan salah yang nama nya penyakit jika di biarkan lama kelamaan akan menjadi akut, jika sudah menjadi akut akan semakin parah dan akan lama proses penyembuhan nya.maka dari itu penyakit Influensa jangan di anggap ringan disini saya akan memberikan pengertian mengenai masalah penyakit Influensa

Pengertian 

Influenza adalah : Suatu penyakit infeksi akut saluran pernapasan terutama ditandai oleh demam, menggigil sakit otot, sakit kepala dan sering disertai pilek, sakit tenggorokan dan batuk non produktif.

Penularan.

Penularan influenza secara alami berasal dari percikan ludah saat bersin atau batuk. Penyebaran dapat pula berasal dari kontak langsung dan kontak tak langsung.
Virus influenza B menyebar dalam waktu 1 hari sebelum gejala timbul tetapi pada kasus influenza A baru tampak setelah 6 hari.penyebaran virus influenza pada anak berlangsung selama kurang dari 1 minggu pada influenza A dan sampai 2 minggu pada infeksi influenza B. masa inkubasi influenza berkisar dari 1 sampai 7 hari tetapi umumnya berlangsung 2 sampai 3 hari.

Pencegahan

Yang paling pokok dalam menghadapi influenza adalah pencegahan. Infeksi dengan virus influenza akan memberian kekebalan terhadap reinfeksi dengan virus yang homolog. Karena sering terjadi perubahan >>baca lagi
Baca Juga File file Asuhan keperatan berbagai Penyakit disini  .....file  file..

Jumat, 02 Desember 2016

Nausea: Nanda-NIC-NOC 2017

Nausea Nanda-NIC-NOC 2017

Nausea: Nanda-NIC-NOC 2017
Nausea: Nanda-NIC-NOC 2017

The related Factore

Related treatment

  • Gastric irritation (aspirin, medicine nonstedoid bitter taste, steroid, antibiotic)
  • Distensi hull
  • Pharmacological agents
  • Toxin

The biophysical

  • Biochemical disorders
  • Esophageal diseases or pancreatitis
  • Distensi hull
  • Stomach irritation
  • Intra abdominal tumor
  • Kapsula heart stretch or nodes
  • Local tumors such as neuroma abdomen, primary or secondary brain tumors
  • Drunk motion, mneiere disease or labirinitis
  • Pain
  • Physical factors such as intracranial emphasis and meningitis
  • Toxin

Situational

  • Psychological factors such as pain, fear, ansietas, etc.

Restriction characteristics

  • Subjective
  • Avoid foods
  • The sensation of wanting to vomit
  • Increased production of saliva
  • Improvement of swallowing
  • Reported nausea
  • A sour taste in the mouth

Objective (Non nanda)

  • Pale skin
  • Cold, wet
  • Flutter
  • Static gastristik
  • Vomiting

Results & NOC

NOC:


Appetite; the desire to eat while in a State of pain or are currently undergoing treatment 
Level of comfort; the perception of the degree of posistif of physical and psychological comfort
Hydration; keadekuatan fluid adekuat in the intrasel and ekstrasel body compartment
Controlling nausea-vomiting; individual actions to control nausea and vomiting
Nausea and vomiting: effects of disturbance; the severity of the interference effects observed or reported due to nausea, vomiting, and want to throw up on everyday functions
The severity of nausea and vomiting; the severity of nausea, vomiting and want to vomit
Status of nutrition: dietary intake and fluid; the amount of food and liquid into the body within 24 hours

Objectives and evaluation criteria

Nausea will be evidenced by reduced appetite, comfort levels, Hydration, control nausea-vomiting, nausea and vomiting: the effect of disturbance, the severity of nausea and vomiting, adekuat nutrition Status
Shows the effects of disturbances nausea and vomiting that can be accepted, as evidenced by the 

following indicators:
  • very heavy
  • the weight of the
  • is being
  • light
  • do not experience
Indicator
1
2
3
4
5
Decrese your intake of fluids





Adecrease in food intake





Decreased urine output





Fluid balance disorder





Serum electrolyte disorders





Impaired nutritional status





Weight loss






shows hydration, which is evidenced by the following indicators:

  • eksterm disorders
  • the weight of the
  • is being
  • light
  • no distractions
Indicator
1
2
3
4
5
An increase in the hematokrit





Mucous membrane moist





An increase in the hematokrit





The thirst





Sunken eye balls and moist





A decrease in blood pressure     





Rapid and weak pulse






The patient will:

  • report free of nausea
  • identify and take actions that can decrease nausea

NIC Interventions

The study of
  • Subjective symptoms monitor nausea in patients
  • Monitor color, weight, type and quantity of urine
  • Review the causes of nausea
  • Monitoring of nutrition (NIC):
  • Monitor the tendency of increase or decrease in weight
  • Monitor the presence of dry skin and chapped accompanied depigmentation
  • Monitor turgorkulit if necessary
  • Monitor the presence of swelling or softening, depreciation and increased bleeding in the gums
  • Monitor energy levels, malaise, tiredness and weakness
  • Monitor your calorie intake and food
  • Fluid Management (NIC):
  • Maintain the accuracy of the recording of intake and urinary haluaran
  • Monitor TTV if necessary
  • Monitor food and liquids consumed and calculate your calorie intake per day, if necessary
  • Monitor hydration status, if necessary

Counseling for patients and families

Explain the causes of nausea

  • Apaila permits, tell patients how long the possibility of mua will occur
  • Teach the patient to consciously swallowing or deep breath to suppress gag reflex
  • Taught to eat slowly
  • Teach to limit drink 1 hour before, 1 hour after, and during the meal
Collaborative activities
  • Antiemetic drugs provided as recommended by
  • Consult your doctor to prescribe a pain control adekuat and does not cause the mua in patients
  • Fluid Management (NIC): give therapy IV, in accordance with the advice of
Other activities
  • Elevate the head of the bed or change the position of the patient's lateral to prevent aspiration
  • Maintain the cleanliness of the client and the bed in the event of vomiting
  • The move immediately objects that cause the smell
  • Do not menjadwakan actions that cause pain or nausea before or after eating
  • Give oral care after vomiting
  • Give it a cool wet cloth dipergelangan hands, neck and forehead of the patient
  • Offer food and other food with minimal scent
  • Monitoring of nutrition (NIC): note significant changes nutritional ststus and as soon as do the handling, if necessary
Care at home
  • Instruct the client to avoid odors from food prepared at home
  • All of the above interventions can be made for treatment at home
For infants and children
  • Infants and children at risk of experiencing a lack of fluid volume as a result of the mua because usually refused to be fed

For the elderly

  • Monitor carefully antiemetic medication side effects
  • Examine whether likelihood of nausea caused by nonsteroidal anti-inflammatory drugs that are taken by the patient
 

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