D.0007 Gangguan Sirkulasi Spontan

Kategori : Fisiologis

Subkategori : Sirkulasi

Definisi

Ketidakmampuan untuk mempertahankan sirkulasi yang adekuat untuk menunjang kehidupan.

Penyebab
  1. Abnormalitas kelistrikan jantung
  2. Abnormalitas struktur jantung
  3. Penurunan fungsi ventrikel
Gejala & Tanda Mayor
Gejala & Tanda Minor
Kondisi Klinis Terkait
  1. Henti jantung
  2. Bradikardia
  3. Takikardia
  4. Syndrome koroner akut
  5. Gagal Jantung
  6. Kardiomiopati
  7. Miokarditis
  8. Disritmia
  9. Trauma
  10. Perdarahan (mis. perdarahan gastrointestinal rupture aorta. perdarahan intra kranial)
  11. Keracunan
  12. Overdosis
  13. Tenggelam
  14. Emboli paru
Luaran (Outcome)

Luaran Utama :

  1. Sirkulasi Spontan (L.02015)

Luaran Tambahan :

  1. Keseimbangan Asam Basa (L.02009)
  2. Perfusi Gastrointestinal (L.02010)
  3. Perfusi Miokard (L.02011)
  4. Perfusi Perifer (L.02011)
  5. Perfusi Renal (L.02013)
  6. Perfusi Serebral (L.O2014)
  7. Status Sirkulasi (L.02016)
Intervensi

Intervensi Utama :

  1. Manajemen Defibrilasi (I.02038)
  2. Resusitasi Cairan (I.03139)
  3. Resusitasi Jantung Paru (I.02083)

Intervensi Pendukung :

  1. Code Management (I.02029)
  2. Dukungan Kepatuhan Program Pengobatan (I.12361)
  3. Insersi Intravena (I.02030)
  4. Insersi Jalan Napas Buatan (I.01005)
  5. Kateterisasi Urine (I.04147)
  6. Konsultasi (I.12461)
  7. Manajemen Alat Pacu Jantung Sementara (I.02033)
  8. Manajemen Asam Basa Alkalosis Metabolik (I.03096)
  9. Manajemen Asam Basa Asidosis Metabolik (I.03096)
  10. Manajemen Asam Basa Asidosis Respiratorik (I.01009)
  11. Manajemen Elektrolit: Hiperkalemia (I.03103)
  12. Manajemen Elektrolit: Hiperkalsemia (I.03104)
  13. Manajemen Elektrolit: Hipermagnesemia (I.03105)
  14. Manajemen Elektrolit: Hipernatremia (I.03106)
  15. Manajemen Elektrolit: Hipokalemia (I.03107)
  16. Manajemen Elektrolit: Hipokalsemia (I.03108)
  17. Manajemen Elektrolit: Hipomagnesemia (I.03109)
  18. Manajemen Jalan Napas (I.01011)
  19. Manajemen Jalan Napas Buatan (I.01012)
  20. Manajemen Medikasi (I.14517)
  21. Manajemen Overdosis (I.14518)
  22. Manajemen Penyalahgunaan Zat (I.09291)
  23. Manajemen Spesimen Darah (I.02047)
  24. Pemantauan Cairan (I.03121)
  25. Pemantauan Hasil Laboratorium (I.02057)
  26. Pemantauan Hemodinamik Invasif (I.02058)
  27. Pemantauan Tanda Vital (I.02060)
  28. Pemberian Obat (I.02062)
  29. Pemberian Obat Intramuskular (I.02063)
  30. Pemberian Obat Intraoseous (I.02064)
  31. Pemberian Obat Intravena (I.02065)
  32. Pemeliharaan Kelengkapan Set Emergensi (I.14534)
  33. Pencegahan Aspirasi (I.01018)
  34. Pengambilan Sampel Darah Arteri (I.0206)

Daftar Pustaka

PPNI (2017). Standar Diagnosis Keperawatan Indonesia.
PPNI (2018). Standar Intervensi Keperawatan Indonesia.
PPNI (2019). Standar Luaran Keperawatan Indonesia.

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