I.02036 Manajemen Asam Basa

Definisi : Mengidentifikasi, mengelola dan mencegah komplikasi akibat ketidakseimbangan asam-basa

Tindakan

Observasi

  1. Identifikasi penyebab ketidakseimbangan asam-basa
  2. Monitor frekuensi dan kedalaman napas
  3. Monitor status neurologis (mis. tingkat kesadaran, status mental)
  4. Monitor irama dan frekuensi jantung
  5. Monitor perubahan pH, PaCO2, dan HCO3

Terapeutik

  1. Ambil spesimen darah arteri untuk pemeriksaan AGD
  2. Berikan oksigen, sesuai indikasi

Edukasi

  1. Jelaskan penyebab dan mekanisme terjadinya gangguan asam basa

Kolaborasi

  1. Kolaborasi pemberian ventilasi mekanik, Jika perlu

Daftar Pustaka

PPNI (2018). Standar Intervensi Keperawatan Indonesia.

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