SEKOLAH TINGGI ILMU KESEHATAN (STIKES)

MUHAMMADIYAH MANADO
PROGRAM STUDI SI KEPERAWATAN
Alamat : Jl. Sasuit Tubun No. 9. Kel. Istiqlal Kec. Wenang – Manado
Telp : 0431 – 850372 HP : 085240134436 / Fax : 0431 – 870358
E-mail : stikesmuhammadiyahmdo@yahoo.com

ASUHAN KEPERAWATAN GAWAT DARURAT

(GADAR)
Nama mahasiswa : Tanggal:
NIM : Tempat :
I. Identitas Pasien
Nama :
Umur :
Jenis kelamin :
Pekerjaan :
Pendidikan :
Status Perkawinan :
Alamat :
Diagnosa medis :
1. Keadaan Umum
Keluhan Utama :..................................................................................................................................
Riwayat Keluhan Utama
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Lama Keluhan :....................................................................................................................................
Faktor yang memperberat :.................................................................................................................
Riwayat pengobatan sebelumnya/kesehatan yang lalu :
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 Genogram :

Keterangan :

2. Pengkajian Kondisi Mental

A :....................................................................................................................................................
V :....................................................................................................................................................
P :....................................................................................................................................................
U :.....................................................................................................................................................
3. Primary Survey
Airway :..........................................................................................................................................
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Breathing :..........................................................................................................................................
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Sirculation :..........................................................................................................................................
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4. Secondary Survey
KU :…………………………...............................................................................................
Kesadaran :...................................................................................................................................
TTV :...................................................................................................................................
Kepala :…………………………..............................................................................................
Mata :..................................................................................................................................
 Hidung :..................................................................................................................................
Mulut :..................................................................................................................................
Leher :..................................................................................................................................
Dada :..................................................................................................................................
Perut :..................................................................................................................................
Kelamin :..................................................................................................................................
Lengan atas :..................................................................................................................................
Lengan bawah :..................................................................................................................................
Anus :..................................................................................................................................
Kulit :..................................................................................................................................
Psikososial :..................................................................................................................................
Px Penunjang
a. Laboratorium :

b. Radiologi :

c. Therapi :

5. Diagnosa Keperawatan
Ndx 1 :..............................................................................................
Ndx 2 :..............................................................................................
 Ndx 3
6. Intervensi
Ndx 1
Ndx 2
Ndx 3
7. Implentasi
Tanggal
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Implementasi
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8. Evaluasi
Ndx 1
Ndx 2
Ndx 3
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