RESUME ASUHAN KEPERAWATAN HEMODIALISA

DENGAN GANGGUAN CKD DENGAN FAKTOR RESIKO HIPERTENSI

DI RUANG HEMODIALISA
RSUP Dr. SARDJITO

Disusun Oleh :
NOPALUSTIYAWATI
NIM : PN.17.0117

PROGRAM STUDI ILMU KEPERAWATAN DAN NERS

SEKOLAH TINGGI ILMU KESEHATAN WIRA HUSADA
YOGYAKARTA
2017
 RESUME ASUHAN KEPERAWATAN HEMODIALISA
DENGAN GANGGUAN CKD DENGAN FAKTOR RESIKO HIPERTENSI
DI RUANG HEMODIALISA
RSUP Dr. SARDJITO

Resume Asuhan Keperawatan ini telah dibaca dan diperiksa pada

Hari/tanggal: ......................................................

Pembimbing Klinik Mahasiswa Praktikan

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Mengetahui,
Pembimbing Akademik

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 RESUME ASUHAN KEPERAWATAN HEMODIALISA
DENGAN GANGGUAN CKD DENGAN FAKTOR RESIKO HIPERTENSI
DI RUANG HEMODIALISA RSUP Dr. SARDJITO

Hari/Tgl Pengkajian : Jam :

Nama Mahasiswa :
NIM :
Rumah Sakit / Ruang :
Sumber Data :
Metode Pengumpulan Data :

I. IDENTITAS KLIEN
Nama : .........................................................................................................
Tempat Tanggal Lahir : .........................................................................................................
Umur : .........................................................................................................
Jenis Kelamin : .........................................................................................................
Agama : .........................................................................................................
Pekerjaan : .........................................................................................................
Pendidikan : .........................................................................................................
Alamat : .........................................................................................................
No. RM : .........................................................................................................
Diagnosa Medis : .........................................................................................................
Nama Penanggung Jawab : .........................................................................................................
Hubungan dengan Pasien : .........................................................................................................

II. RIWAYAT PENYAKIT SEKARANG

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III. RIWAYAT PENYAKIT DAHULU

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IV. DATA FOKUS
DS
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DO
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V. DATA PENUNJANG
A. Laboratorium

Hari/
tanggal/ Jenis Pemeriksaan Hasil Nilai Normal Interpretasi
jam
 B. Rontgen dll
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VI. TERAPI MEDIS

No Nama Obat Dosis Fungsi Rute

VII. ANALISA DATA

No. Data Fokus Masalah Penyebab

VIII. DIAGNOSA KEPERAWATAN

1. .............................................................................................................................................
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2. .............................................................................................................................................
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3. .............................................................................................................................................
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IX. PLANNING

Perencanaan
No Hari/Tgl/Jam Dx. Keperawatan
Tujuan dan Kriteria Hasil Intervensi
X. IMPLEMENTASI DAN EVALUASI
Ttd dan
No Hari/Tgl/Jam Implementasi Evaluasi (SOAP) lakukan diakhir shift jaga saat ujian nama
perawat

Pembimbing Akademik Mahasiswa Pembimbing Klinik

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