“GASTROENTERITIS” Disusun untuk Memenuhi Tugas Mata Kuliah Bahasa Inggris Keperawatan I
Dosen :
Hj. Evi Risa Mariana, S.Pd, M.Pd
Disusun Oleh : Nor Mahdiyah NIM 7120117069
Norvansyah Al Fahrizi NIM 7120117071
Nurrany Fitriani NIM 7120117072
Ulfah NIM 7120117084
KEMENTERIAN KESEHATAN REPUBLIK INDONESIA
POLITEKNIK KESEHATAN BANJARMASIN JURUSAN DIII KEPERAWATAN 2018/2019 1. Biographic Data Name : Mrs. T Age : 19th Sex : Female Race : Java Address : Jl. Ahmad Yani Marital status : Single Occupation : Indonesian Religious orientation : Islam Diagnose : Gastroenteritis (GE) 2. Chief Complaint or Reaseon for Visit a. On arrival in the hospital : patient complain of his stomach feeling heartburn, fever, diarrhea, accompanied by vomiting. b. During the assesment patients said his stomach was heartburn and felt weak. 3. History of Present Illness Mrs.T said his body was hot two days ago, defecated five times a day. His feces is yellow-green and accompanied by mucus, and accompanied by vomiting twice a day, and then taken yo the nearest hospital. 4. Past History Mrs. T has never suffered from this illness before. She had previously never been hospitalized. She said previously not the same disease as experience now, she also said there is no history of gastroenteritis disease. She only experience disease such as cough and colds. 5. Family History of Illness Mrs. T said there are also families who suffer from the same disease. 6. Life-Style Which became a personal habits of Mrs. T is likes to eat spicy food everyday and she often drink cola. It’s the habit that makes it diarrhea. If she doesn’t eat spicy and often drink cola, then chances are she will not become diarrhea. 7. Social Data Mrs. T is a student living alone and away from his family. when she is sick ,she will contact his parent.or tell her collage friends. 8. Psychologic Data General conditions appear weak, composmentis kesadran to coma, high body temperature, pulse fast and weak, breathing rather quickly. 9. Patterns of Health Care The pattern of care performed on the patient is the first to know. The fluid volume and electrolyte deficit is less than the body's needs associated with excessive fluid output by observing vital signs, observing the signs of dehydration, measuring fluid input and output, giving and suggesting family to give a drink of approximately 2000-2500 cc per day, collaborating with the doctor in administering the theraphy of the electrolyte lab examination fluid and collaborating with the nutrition team in administering low-sodium liquids. Then the second one should examine the nutritional deficiencies less than the body needs associated with nausea and vomiting such as assessing the client's nutritional pattern and changes that occur, weighing the client's weight, assessing the causes of nutritional obstacles, performing the physical examination of the abdomen (palpation, percussion, and auscultation), giving the diet in warm conditions and small portions but often. Furthermore, we should also examine the discomfort of pain relating to abdominal distension. which we can examine, among others, is to assess the level of pain, set a comfortable position for the client, give warm compresses to the abdominal area, and collaborate with the doctor in giving analgesic therafi as indicated.