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BAHASA INGGRIS

DIAGNOSE NURSING ANGINA

1. Werly Eka Saputri (21115060)


2. Hesti Novarinda (21115080)
3. Defri HS (21115098)

PROGRAM STUDI ILMU KEPERAWATAN


STIKes MUHAMMADIYAH PALEMBANG
TAHUN AJARAN 2017-2018
Nursing Clants Plants

No Diagnose NOC NIC


.
1. Cardiac output After a nursing ection for - Heart Care
a. Routinely checking
decreased associated 2x24 hours is expected
patients phsically
with changes in nursing problems can be
and psicologically
contractility. resolved, with the result
in accordance with
Subjective Data: criteria :
the policies of each
1. The patient - Ineffectveness of
service provider.
complains of heart pump
b. Ensure patient
a. Heart Index
dizziness
b. Heart size activity levels that
2. The patient
c. central venous
do not endanger
complains of
pressure
cardiac output or
nausea d. Abnormal heart
cause heart attacks.
Objective Data: sound
c. Evaluation of
e. Pallor
1. The patient
f. Dyspnea at rest episodes of chest
has a pallor
and mild activity pain.
2. The patient
g. cyanosis d. Monitor vital signs
has a
regulaly.
dypsnea - Status Circulation : e. Monitor shortness
3. The patient a. Pulse pressure
b. Saturnation of breath, fatigue,
has a
oxigen tachypnoea, and
hypertension
c. Additional breath orthopnea.
4. The patient
sound f. Do relaxation
has a
d. Pale face therapy, as
palpitations e. Pallor
5. The patient appropriate.

has a
tachycardia

2. Pain acute associated After a nursing ection for - Administration Of


with agents of 2x24 hours is expected Analgesics
a. Determine the
biological nursing problems can be
(Ischemia) resolved, with the result location,
Subjective Data : criteria : characteristics,
1. Chest feels - Pain Control : quality and
heavy a. Recognizes pain
severity of pain
2. Chest pain onset
before treating the
such as stabbing b. Monitor
patient.
or feeling hot, symptoms over
b. Check the history
spread to the time
of drug allergy.
c. Use preventive
back, neck, left c. Assure patient
measure
shoulder attentive analgesic
d. Use analgesics
Objective Data : e. Reporting of care.
1. The patient d. Select analgesic or
controlled pain
has a looks an appropriate

grimacing. analgesic
- Pain Level
2. The patient a. Reported pain combination when
has a sweats b. Length of pain
more than one is
excessively episodes
given.
c. Facial
e. Use the theurapetic
expressions of
communication
pain
strategy to know
the experience of
pain.
- Pain Management
a. Do a
comprehensive
pain assessment.
b. Determine the
consequences of
the pain
experience on the
quality of life of
the patient.
c. Explore with
patients the
factors that can
decrease or
aggravate the
pain.
d. Reduce or
eliminate factors
that can trigger or
improve pain.
e. Teach the use of
non-
pharmacological
and
pharmacological
techniques.
3. activity intolerance After a nursing ection for - Heart Treatment:
with imbalance 2x24 hours is expected Reahabilitatif
between supply and nursing problems can be a. Monitor the
oxygen demand resolved, with the result patient's tolerance
Subjective Data : criteria : of activity.
1. The patient - Tolerance To Activity b. Keep the
complains of a. Saturation of ambulation
dizziness oxygen while on schedule, as per
2. The patient the move the patient's
complains of b. Frequency of
tolerance.
pulse when on the
nausea c. Instruct patients
3. The patients move
and families about
complains of c. Ease of breathing
modification of
pain when on the move
cardiac risk

Objective Data : factors.

1. The patient
d. Instruct patients
on self-care when
has a pallor
2. The patient experiencing chest
has a pain.
dypsnea e. Instruct patients
and families about
special
considerations
related to daily
activities.

DAFTAR PUSTAKA

Internasional, NANDA. 2015.Diagnosis keperawatan definisi dan klasifikasi


2015-2017 edisi 10. Jakarta : EGC.

Johnson, M., et all. 2000. Nursing Outcomes Classification (NOC) Second


Edition. New Jersey: Upper Saddle River
Mc Closkey, C.J., et all. 1996. Nursing Interventions Classification (NIC) Second
Edition. New Jersey: Upper Saddle River

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