D.0130
Hipertermia
Kategori : Lingkungan
Subkategori : Keamanan dan Proteksi
Definisi
Penyebab
1. Dehidrasi
2. Terpapar lingkungan panas
3. Proses penyakit (mis. infeksi,
kanker)
4. Ketidaksesuaian pakaian
dengan suhu lingkungan
5. Peningkatan laju metabolisme
6. Respon trauma
7. Aktivitas berlebihan
8. Penggunaan inkubator
Gejala dan Tanda
Mayor
Subjektif
(Tidak tersedia)
Objektif
1. Suhu tubuh diatas nilai normal
Gejala dan Tanda Minor
Subjektif
(tidak tersedia)
Objektif
1. Kulit merah
2. Kejang
3. Takikardi
4. Takipnea
5. Kulit terasa hangat
Kondisi Klinis Terkait
1. Proses infeksi
2. Hipertiroid
3. Stroke
4. Dehidrasi
5. Trauma
6. Prematuritas
Referensi
Ackley, B. J ., Ladwig, G. B ., & Makic, M. B. F. (2017). Nursing
Diagnosis Handbook, An Evidence-Based Guide to Planning
Care. 11" Ed. St. Louis: Elsevier.
Carperito-Moyet, L. J. (2013). Nursing Diagnosis Application to
Clinical Practice. 14" Ed. Philadelphia:
Lippincott Williams &
Wilkins.
Doenges, M. E ., Moorhouse, M. F ., & Murr. A. C. (2013). Nursing
Diagnosis Manual Planning, Individualizing and Documenting Client Care. 4" Ed. Philadelphia: F. A. Davis
Company.
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 Company.
