RESUME ASUHAN KEPERAWATAN

DI INSTALASI HEMODIALISA RSUP SANGLAH DENPASAR

Nama Mahasiswa

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Tanggal Praktek

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Nama klien

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Umur/Jenis Kelamin : ...................../...........................

A. PENGKAJIAN KEPERAWATAN
1. Identitas pasien

2.

Nama

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No. RM

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Umur

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Jenis Kelamin : ..

Pendidikan

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Pekerjaan

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Dx Medis

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Mula inisiasi HD:

Keluhan Utama
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3.

Riwayat Penyakit Sekarang

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4. Riwayat Penyakit Dahulu
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5. Riwayat Keluarga
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6. Pemeriksaan Fisik (Data Fokus Keperawatan HD)
Keadaan Umum
Sistem Kardiovaskuler

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Sistem Respirasi
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Sistem Neurologis
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Sistem Gastrointestinal
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Sistem Urinaria

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Sistem Muskuloskeletal
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7. Data Hemodialisa
BB kering

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BB pra HD

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Tipe akses vaskuler: ..........................................................................................

Frekuensi HD

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Lama HD

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Jenis cairan dialisat: ...........................................................................................

Metode heparinisasi: ..........................................................................................
Dosis heparin

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Jenis dializer/vol priming: ..................................................................................

Nilai konduktivity/Temp: ...........................................................................
8. Data Laboratorium
No

Indikator yang
Diukur

Hasil Pemeriksaan

Rentang
Normal

Interpretasi

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B. DIAGNOSA KEPERAWATAN
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