L.02015 Sirkulasi Spontan

Definisi : Kemampuan untuk mempertahankan sirkulasi yang adekuat untuk menunjang kehidupan

Ekspektasi :

Meningkat

Kriteria Hasil :

Skor : Menurun 1, Cukup Menurun 2, Sedang 3, Cukup Meningkat 4, Meningkat 5

  1. Tingkat kesadaran (……..)
  2. Saturasi oksigen (……..)

Skor : Meningkat 1, Cukup Meningkat 2, Sedang 3, Cukup Menurun 4, Menurun 5

  1. Frekuensi nadi (……..)
  2. Tekanan darah (……..)
  3. Frekuensi napas (……..)
  4. Suhu tubuh (……..)
  5. Gambaran EKG aritmia (……..)
  6. ETCO2 (……..)
  7. Produksi urina (……..)

NOTE : Jika menggunakan metode pendokumentasian manual atau tulisan, maka setiap kriteria hasil perlu dituliskan angka atau nilai yang diharapkan untuk dicapai, sedangkan jika menggunakan metode pendokumentasian berbasis komputer maka setiap kriteria hasil ditetapkan dalam bentuk skor dengan skala 1 s.d 5.

Daftar Pustaka

PPNI (2019). Standar Luaran Keperawatan Indonesia.

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