LAPORAN PENDAHULUAN

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1. DEFINISI
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2. ETIOLOGI
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3. PATOFIOLOGI (PATHWAYS)
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4. MANIFESTASI KLINIS
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5. KLASIFIKASI
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6. PENGKAJIAN
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7. PEMERIKSAAN FISIK
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8. PEMERIKSAAN DIAGNOSTIK
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9. PENATALAKSANAAN KLINIS
A. MEDIS
Nama Obat INDIKASI Efek Samping
Nama Generik:

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Nama Dagang : ___________________ ______________________________
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Dosis Sediaan: ___________________ ______________________________
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Rute : ___________________ ______________________________
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Dosis Aman ___________________ ______________________________
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Nama Obat INDIKASI Efek Samping

Nama Generik:

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Nama Dagang : ___________________ ______________________________
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Dosis Sediaan: ___________________ ______________________________
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Rute : ___________________ ______________________________
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Dosis Aman ___________________ ______________________________

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Nama Obat INDIKASI Efek Samping

Nama Generik:

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Nama Dagang : ___________________ ______________________________
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Dosis Sediaan:
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Rute :
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Dosis Aman
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Nama Obat INDIKASI Efek Samping

Nama Generik:

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Nama Dagang : ___________________ ______________________________
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Dosis Sediaan: ___________________ ______________________________
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Rute : ___________________ ______________________________
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Dosis Aman ___________________ ______________________________

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B. KEPERAWATAN
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10. ANALISA DATA

PRE OPERATIF
N Data Etiologi Masalah
O Keperawatan
POST OPERATIF
N Masalah
Data Etiologi
O Keperawatan
11. DIAGNOSA KEPERAWATAN PRIORITAS
PRE OPERATIF
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POST OPERATIF
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 12. RENCANA ASUHAN KEPERAWATAN
PRE OPERATIF

DIAGNOSA TUJUAN DAN KRITERIA

NO INTERVENSI RASIONAL
KEPERAWATAN HASIL
 POST OPERATIF

DIAGNOSA TUJUAN DAN KRITERIA

NO INTERVENSI RASIONAL
KEPERAWATAN HASIL
13. DAFTAR PUSTAKA