Dx nyeri

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  • 8/18/2019 Dx nyeri

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    Dxnyeri

    Diagnose: nyeri berhubungan dengan agen cidera fsik ditandai dengan Nyeri

    didaerah punggung bawah, pernapasan 23x/menit, nadi 150x/menit.

    Tujuan: setelah dilauan asuhan eperawatan 1x2! jam nyeri pasien dapat berurang.

    N"#: pain le$el

    1. %ep&rted pain2. 'a(ial expressi&n &) pain3. %espirat&ry rate!. *ulse rate5. +ength &) pain epis&de

    N"#: pain (&ntr&l

    1. ses analgesi( as re(&mmended2. ses pre$enti$e measures

    N-#: pain management

    1. *er)&rm a (&mprehensi$e ssessment &) pain t& in(lude l&(ati&n, (hara(teristi(,

    &nset/durati&n, )reuen(y, dll2. "bser$e n&n $erbal (ues &) dis(&m)&rt3. ssure patient attenti$e analgesi( (are

    !. #&ntr&l en$ir&nment )a(t&r in(rease dis(&m)&rt5. Tea(h prin(iple &) pain management. $aluate the e))e(ti$eness pain (&ntr&l &ng&ing assessment

    $aluasi

    S4 pasienmengataannyerinyasudahberurang

    O: pulse rate pasiendalambatas n&rmal

      %espirat&ry rate pasiendalambatas n&rmal

    A: pasientidaterlihatmeringisesaitandantidagelisah

    P: 1. "bser$e n&n $erbal (ues &) dis(&m)&rt

    2. ssure patient attenti$e analgesi( (are

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    3. #&ntr&l en$ir&nment )a(t&r in(rease dis(&m)&rt

    !. Tea(h prin(iple &) pain management

    5. $aluate the e))e(ti$eness pain (&ntr&l &ng&ing assessment