D.0004
Gangguan Ventilasi Spontan
Kategori : Fisiologis
Subkategori :
Respirasi
Definisi
Penurunan cadangan energi yang
mengakibatkan individu tidak mampu bernapas secara adekuat
Penyebab
1. Gangguan metabolisme
2. Kelelahan otot pernapasan
Gejala dan Tanda Mayor
Subjektif
1. Dispnea
Objektif
1. Penggunaan otot bantu napas meningkat
2 Volume tidal menurun
3. PCO2 meningkat
4. PO2 menurun
5 SaO2 menurun
Gejala dan Tanda Minor
Subjektif
(tidak tersedia)
Objektif
1. Gelisah
2. Takikardia
Kondisi Klinis Terkait
1. Penyakit paru obstruktif kronis (PPOK)
2 Asma
3. Cedera kepala
4. Gagal napas
5 Bedah jantung 6 Adult respiratory distress
syndrome (ARDS) 7. Persistent pulmonary hypertension of newborn (PPHN)
8 Prematuritas
9. Infeksi saluran napas
Referensi
Coucher, B. (2014). The challenge of diagnosing dyspnea, AACN Advanced Critical Care, 25(3), 284-290. Do Canto, D. F., & Almeida, M. A. (2013). Nursing outcomes for ineffective breathing patterns and impaired spontaneous ventilation in intensive care. Revista Gaúcha De Enfermagem/EENFUFRGS, 34(4), 137-145.
Herdman T. H., & Kamitsuru, S. (2014). Nursing Diagnosis Definitions and Classification 2015-2017. 10" Ed. Oxford: Wiley Blackwell.
Newfield, S. A., Hinz, M. D., Tiley, D. S., Sridaromont, K. L., Maramba, P. J. (2012). Cox's Clinical Applications of Nursing Diagnosis Adult, Child, Women's, Mental Health, Gerontic, and Home Health Considerations. 6" Ed.Philadelphia: F.A. Davis Companny.
Parshall, M. B., Schwartzstein, R. M., Adams, L., et al. (2011). An offcial American thoracic society statement: update on the mechanisms, assessment, and management of dyspnea. American Journal of Respiratory & Critical Care Medicine, 185(4), 435-452
Zeitoun, S. S., de Barros, A. L., Michel, J. M., & de Bettencourt, A. C. (2007). Clinical validation of the signs and symptoms and the nature of the respiratory nursing diagnoses in patients under invasive mechanical ventilation. Journal Of Clinical Nursing, 16(8), 1417-1426.
