REFERENSI
NIC: Fever treatment, temperature
NOC: Thermoregulation Nurarif, Amin Huda & Hardhi
regulation, vital sign monitoring
Kusuma. 2016. Asuhan
Keperawatan Praktis.
Yogyakarta: Mediaction Jogja.
Invasi & multiplikasi Febris
Hipertermi
Peradangan pada jaringan Kerusakan kontrol suhu
APPENDICITIS
terhadap inflamasi
Operasi NIC: anxiety reduction, NOC: anxiety
relaxation therapy level, social Secresi mucus berlebih pada
anxiety level lumen apendik
Luka incisi Ansietas
NOC: immune status,
Kerusakan jaringan NIC: infection control knowledge: infection Apendic teregang
Pintu masuk kuman
contro, ris kontrol
Ujung saraf terputus Resiko infeksi
NIC: pressure NOC: tissue integriti:
ulcer prevebtion skin and mucous, wound
wound care healing: primary and
Pelepasan prostaglandin Kerusakan integritas
secondary intention
jaringan
Stimulasi dihantarkan NIC: pain management,
analgesic administration Tekanan intraluminal lebih
Spasme dinding apendik dari tekanan vena
Spinal cord Nyeri
Hipoxia jaringan
NOC: pain level, apendic
Cortex celebri Nyeri di persepsikan pain control,
comfort level Ulcerasi
Perforasi
Anestesi Reflek batuk menurun
Akumulasi sekret
Depresi sistem respirasi
Menurunya Peristaltik Resiko ketidakefektifan
usus perfusi gastrointestinal
Ketidakefektifan
bersihan jalan nafas
Distensi abdomen Anorexia
NOC : Ventilation ,
Gangguan rasa nyaman Mual & muntah Airway patency
NIC : Airway NIC: tube care
suction gastrointestinal, bledding
reduction gastrointestinal
NIC: anxiety reduction
(penurunan kecemasan)
Ketidakseimbangan
nutrisi kurang dari
NOC: anxiety, fear leavel,
kebutuhan tubuh NOC: nutrision
sleep deprivation, comfort,
status, fluid intake,
readines for, anchanced
weight control
Risiko kekurangan volume
cairan
NIC: nutrision NOC: bowel elimination,
NOC : NIC : management, circulation status, electroite
Fluid management nutrision mentoring and aciid base balance,
Electrolit and acid fluid balance, hidration,
balance, Fluid Fluid monitoring tissue perfusion: abdominal
balance, Hydration organs
