D.0039
Risiko
Syok
Kategori : Fisiologis
Subkategori : Nutrisi/Cairan
Definisi
Berisiko
menagalami ketidakcukupan aliran darah ke jaringan tubuh, yang dapat
mengakibatkan disfungsi seluler yang mengancam jiwa.
Faktor
Risiko
1.
Hipoksemia
2.
Hipoksia
3.
Hipotensi
4.
Kekurangan volume cairan
5
Sepsis
6.
Sindrom respons inflamasi sistemik (systemic inflamatory response syndrome
[SIRS))
Kondisi
Klinis Terkait
1.
Perdarahan
2
Trauma multipel
3.
Prieumothoraks
4.
Infark miokard
5.
Kardiomiopati
6.
Cedera medula spinalis
7.
Anafilaksis
8.
Sepsis
9.
Koagulasi intravaskuler diseminata
10.
Sindrom respons inflamasi sistemik (systemic inflamatory response syndrome
(SIRS))
Keterangan
Diagnosis
ini ditegakkan pada kondisi gawat darurat yang dapat mengancam jiwa dan intervensi
diarahkan untuk penyelamatan jiwa
Referensi
Ackley
BJ Ladwig G B & Makic MB F (2017) Nursing Diagnosis Handbook An
Evidence-Based Guide to Planning Care 11 Ed St. Louis Elsevier.
Carperito-Moyel
L J (2013) Nursing Diagnosis Application to Clinical Practice 14 Ed
Philadelphia Lippincott Williams & Wilkins.
Doanges
ME Moorhouse M F & Murr. A. C (2013) Nursing Diagnosis Manual Individualizing
and Documenting Chant Care 4 Ed. Philadelphia FA Davis Company.
Herdman
TH & Kamitsuru S (2014) Nursing Diagnosis Definitions and Classification
2015-2017 10 Ed Oxford Wiley Blackwell.
International
Council of Nurses (2015) Internasional Classification of Nursing Practice
Nursing Diagnosis and Outcomes Statement. Geneva, Switzerland International
Council of Nurses.
Newfaid,
S A. Hinz M D, Tiley DS, Sndaromont K L Maramba PJ (2012) Cox's Clinical
Applications of Nursing Diagnosis Adult Child Women's Mental Health Gerontic
and Home Health Considerations 6" Ed Philadelphia FA Davis Company