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
(Terkait anamnesa : Keluhan utama, riwayat kesehatan sekarang, riwayat kesehatan
dahulu, riwayat kesehatan keluarga, dan riwayat psikososial)
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7. PEMERIKSAAN FISIK (Per Sistem: kondisi abnormal yang terjadi pada kasus yang
dikelola)
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8. PEMERIKSAAN DIAGNOSTIK (Gambaran hasil dari pemeriksaan diagnostic pada
kasus)
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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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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 (Monitoring hemodinamik yang harus dilakukan pada kasus)

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10. ANALISA DATA
Masalah
NO Data Etiologi
Keperawatan
11. DIAGNOSA KEPERAWATAN PRIORITAS
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 12. RENCANA ASUHAN KEPERAWATAN

DIAGNOSA
NO TUJUAN DAN KRITERIA HASIL INTERVENSI RASIONAL
KEPERAWATAN
13. DAFTAR PUSTAKA