D.0009 Perfusi Perifer Tidak Efektif

Kategori : Fisiologis

Subkategori : Sirkulasi

Definisi

Penurunan sirkulasi darah pada level kapiler yang dapat mengganggu metabolisme tubuh.

Penyebab
  1. Hiperglikemia
  2. Penurunan konsentrasi hemoglobin
  3. Peningkatan tekanan darah
  4. Kekurangan volume cairan
  5. Penurunan aliran arteri dan atau vena
  6. Kurang terpapar informasi tentang faktor pemberat (mis. merokok, gaya hidup monoton, trauma, obesitas, asupan garam, imobilitas)
  7. Kurang terpapar informasi tentang proses penyakit (mis. diabetes melitus, hiperlipidemia)
  8. Kurang aktifitas fisik
Gejala & Tanda Mayor
Gejala & Tanda Minor
Kondisi Klinis Terkait
  1. Tromboflebitis
  2. Diabetes melitus
  3. Anemia
  4. Gagal jantung kongestif
  5. Kelainan jantung kongestif
  6. Trombosis arteri
  7. Varises
  8. Trombosis vena dalam
  9. Sindrom kompartemen
Luaran (Outcome)

Luaran Utama :

  1. Perfusi Perifer (L.02011)

Luaran Tambahan :

  1. Fungsi Sensori (L.06048)
  2. Mobilitas Fisik (L.05042)
  3. Penyembuhan Luka (L.14130)
  4. Status Sirkulasi (L.02016)
  5. Tingkat Cedera (L.14136)
  6. Tingkat Perdarahan (L.02017)
Intervensi

Intervensi Utama :

  1. Perawatan Sirkulasi (I.14570)
  2. Manajemen Sensasi Perifer (I.06195)

Intervensi Pendukung :

  1. Dukungan Berhenti Merokok. (I.01001)
  2. Dukungan Kepatuhan Program Pengobatan (I.12361)
  3. Edukasi Berat Badan Efektif (I.12365)
  4. Edukasi Berhenti Merokok (I.12366)
  5. Edukasi Diet (I.12369)
  6. Edukasi Latihan Fisik (I.12389)
  7. Edukasi Pengukuran Nadi Radialis (I.12412)
  8. Edukasi Proses Penyakit (I.12444)
  9. Edukasi Teknik Ambulasi (I.12450)
  10. Insersi Intravena (I.02030)
  11. Manajemen Asam Basa (I.02036)
  12. Manajemen Cairan (I.03098)
  13. Manajemen Hipovolemia (I.03116)
  14. Manajemen Medikasi (I.14517)
  15. Manajemen Spesimen Darah (I.02047)
  16. Manajemen Syok (I.02048)
  17. Manajemen Syok Anafilaktif (I.02049)
  18. Manajemen Syok Hipovolemik (I.02050)
  19. Manajemen Syok Kardiogenik (I.02051)
  20. Manajemen Syok Neurogenik (I.02052)
  21. Manajemen Syok Obstruktif (I.02053)
  22. Manajemen Syok Septik (I.02054)
  23. Pemantauan Cairan (I.03121)
  24. Pemantauan Hasil Laboratorium (I.02057)
  25. Pemantauan Hemodinamik Invasif (I.02058)
  26. Pemantauan Tanda Vital (I.02060)
  27. Pemasangan Stocking Elastis (I.02061)
  28. Pemberian Obat (I.02062)
  29. Pemberian Obat Intravena (I.02065)
  30. Pemberian Obat Oral (I.03128)
  31. Pemberian produk darah
  32. Pencegahan Luka Tekan (I.14543)
  33. Pengambilan Sampel Darah Arteri (I.02069)
  34. Pengambilan Sampel Darah Vena (I.02070)
  35. Pengaturan Posisi (I.01019)
  36. Perawatan Emboli Perifer (I.02074)
  37. Perawatan Kaki (I.11354)
  38. Perawatan Neurovaskuler (I.06204)
  39. Promosi Latihan Fisik (I.05183)
  40. Surveilans (I.14582)
  41. Terapi Bekam (I.02085)
  42. Terapi Intravena (I.02086)
  43. Terapi Oksigen (I.01026)
  44. Terapi Pneumatik (I.02088)
  45. Uji Laboratorium Di Tempat Tidur (I.02090)

Daftar Pustaka

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

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