[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-detail-45782-id":3,"doc-seo-45782-113":31,"detail-sidebar-cat-0-id-113":93},{"code":4,"msg":5,"data":6},0,"success",{"doc_id":7,"user_id":8,"nickname":9,"user_avatar":10,"doc_module":4,"category_id":11,"category_name":12,"doc_title":13,"doc_description":14,"doc_content":15,"file_id":16,"file_url":17,"file_type":18,"file_size":19,"view_count":20,"is_deleted":4,"is_public":21,"is_downloadable":21,"audit_status":21,"page_count":22,"language":23,"language_code":24,"site_id":25,"html_lang":24,"table_of_contents":26,"faqs":27,"seo_title":28,"seo_description":14,"update_tm":29,"read_time":30},45782,2336464648322,"Aria","https://ap-avatar.wpscdn.com/avatar/2200025388227c56fec?_k=1778556882303663488",53,"Layanan Kesehatan","Format Pengkajian Keperawatan Medikal Bedah Pasien 2 Fix","Dokumen berisi format pengkajian keperawatan medikal bedah untuk pasien, lengkap dengan data identitas, jadwal pengkajian, serta tanggal dan hari rawat. Bagian keluhan utama menyoroti sesak napas dan nyeri dada disertai keringat dingin. Riwayat penyakit sekarang mencantumkan kondisi awal di IGD, tanda-tanda vital, terapi yang terpasang (O2 nasal kanul, infus Nacl 0,9%, alat pacu jantung), dan data pemeriksaan lanjutan. Format juga memuat riwayat penyakit dahulu, perilaku, serta pola aktivitas, seksual, koping, kognitif, dan pemeriksaan fisik sistem pernapasan serta kardiovaskuler dengan masalah keperawatan seperti gangguan pertukaran gas dan penurunan curah jantung.","FORMAT PENGKAJIAN KEPERAWATAN MEDIKAL BEDAH\nNama Mahasiswa\t: Kelompok 6\nNIM\t:\nTanggal Praktek\t:\nRuangan\t:\nTanggal MRS\t: 11 Maret 2018\nTanggal Pengkajian\t: 14 Maret 2018\nJam Pengkajian\t: 07.00 WIB\nHari rawat ke\t: 4\nJam Masuk\t: 01.01 WIB\nNo. RM\t: 00005767\nDiagnosa Masuk\t:\nDiagnosa Kerja\t:\nIDENTITAS\nNama Pasien\t: Tn. J\nUmur\t: 52 Tahun\nSuku/ Bangsa: Jawa\nAgama\t: Islam\nPendidikan\t: Sarjana\nPekerjaan\t: PNS\nAlamat\t: Bandarbuat No.5 Lubuk Kilangan Padang\nSumber Biaya :\nKELUHAN UTAMA\nKeluhan Utama :\nSesak Napas\nRIWAYAT PENYAKIT SEKARANG\nTn. J masuk RSUP Dr. M. Djamil melalui IGD pada tanggal 11 Maret 2018 jam 01.01 wib dating sendiri, dengan keluhan sesak nafas sejak 3 jam yang lalu di sertai dengan nyeri dada yang tidak menjalar dan keringat dingin, yang dirasakan saat istirahat. Tampak lemah dan wajah pucat.TD: 133/91 mmHg, Nadi: 108x/i, Pernafasan: 32x/i, suhu: 37 °C.\nPada saat dilakukan pengkajian pada tanggal 14 Maret 2018 pasien sudah hari rawatan ke-4. Keluarga mengatakan nafas masih sesak, posisi semi fowler, tampak lemah, pasien terpasang alat pacu jantung (PTCA). Pasien terpasang IVFD Nacl 0,9% 16 tts/i. Terpasang O2 nasal kanul 5lt/menit. Hasil pemeriksaan tanda-tanda vital pada tekanan darah 140/90 mmhg, nadi 96 x/i, pernafasan 38 x/i, suhu 370C.\nRIWAYAT PENYAKIT DAHULU\nPernah dirawat\t: ya\ttidak\tkapan : 3 tahun yang lalu \tdiagnosa : Diabetes Miletus dan Hipertensi\nRiwayat penyakit kronik dan menular\t  ya    \ttidak\tjenis..........\nRiwayat kontrol : -\nRiwayat penggunaan obat : -\nRiwayat alergi\n:\nObat\tya\nMakanan\tya\nLain- lain\tya\nRiwayat operasi\n-\tKapan : -\n\u000etidak tidak tidak\n\u000ejenis........................\njenis........................\njenis........................\nya\ttidak\n-\tJenis operasi : -\n5. Lain- lain:............................................................................................................................................\nRIWAYAT PENYAKIT KELUARGA\nYa\ttidak\nJenis\t: -\nGenogram : -\nMasalah Keperawatan :\nPERILAKU YANG MEMPENGARUHI KESEHATAN\nPerilaku sebelum sakit yang mempengaruhi kesehatan:\nMasalah Keperawatan :\nPOLA AKTIVITAS KERJA DAN LATIHAN\nSebelum:\nKegiatan pasien jalan-jalan pagi seminggu sekali\nSaat sakit:\nSemua aktivitas pasien Ketika sakit dibantu oleh keluarga dan perawat\nInterpretasi:\n..........................................................................................................................................\n............................................................................................................................. .............\n.................................\nMasalah Keperawatan :\n.........................................................................................................\n....................................................................................\nPOLA SEKSUALITAS/ REPRODUKSI\nSebelum:\nPasien memiliki 3 anak\nSaat sakit:\nPasien memiliki 3 anak, pasien tidak melakukan hubungan seksual\nInterpretasi:\n..................................................................................................................................................................\nPOLA KOPING (PENANGANAN STRESS)\nSebelum:\nPasien tidak pernah stress sebelumnya\nSaat sakit:\nPasien tidak stress terhadap penyakit yang di deritanya\nInterpretasi:\n...................................................................................................................................................................................................................................................................................................................................\nPOLA KOGNITIF DAN PERSEPTUAL\nSebelum:\nPasien mampu menjalankan aktivitas sehari-hari secara normal\nSaat sakit:\nPasien tidak mampu menjalankan aktivitas sehari-hari tetapi Pasien mampu mengambil keputusan, berfikir, mampu mematuhi peraturan yang ada\nInterpretasi:\n.............................................................................................................................................................","cbCaiqpql00TnQmL","https://ap.wps.com/l/cbCaiqpql00TnQmL","docx",293981,12,1,19,"Indonesian","id",113,"# Identitas dan Data Pengkajian\n## Keluhan Utama dan Riwayat Penyakit Sekarang\n## Riwayat Penyakit Dahulu dan Riwayat Keluarga\n## Perilaku dan Masalah Keperawatan\n## Pola Aktivitas, Seksualitas, Koping, Kognitif\n## Keadaan Umum dan Observasi Tanda Vital\n## Pemeriksaan Fisik Sistem Pernafasan\n## Pemeriksaan Fisik Sistem Kardiovaskuler","[{\"question\":\"Apa keluhan utama pasien pada pengkajian ini?\",\"answer\":\"Keluhan utama adalah sesak napas. Sesak disertai nyeri dada yang tidak menjalar dan keringat dingin.\"},{\"question\":\"Terapi dan alat bantu apa yang terpasang pada pasien saat pengkajian?\",\"answer\":\"Pasien terpasang alat pacu jantung, infus Nacl 0,9%, serta O2 nasal kanul 5 liter/menit.\"},{\"question\":\"Masalah keperawatan apa yang dicantumkan berdasarkan pemeriksaan sistem pernapasan dan kardiovaskuler?\",\"answer\":\"Dicantumkan Gangguan Pertukaran Gas pada sistem pernapasan dan Penurunan Curah Jantung pada sistem kardiovaskuler.\"}]","Format Pengkajian Keperawatan Medikal Bedah Pasien 2 Fix | DOCX",1783465818,29,{"code":4,"msg":32,"data":33},"ok",{"site_id":25,"language":24,"slug":34,"title":13,"keywords":35,"description":14,"schema_data":36,"social_meta":88,"head_meta":90,"extra_data":92,"updated_unix":29},"medical-surgical-nursing-assessment-format-for-patient-2-fix","",{"@graph":37,"@context":87},[38,55,70],{"@type":39,"itemListElement":40},"BreadcrumbList",[41,45,49,52],{"item":42,"name":43,"@type":44,"position":21},"https://docshare.wps.com","Home","ListItem",{"item":46,"name":47,"@type":44,"position":48},"https://docshare.wps.com/id/document/","Document",2,{"item":50,"name":12,"@type":44,"position":51},"https://docshare.wps.com/id/document/layanan-kesehatan/",3,{"item":53,"name":13,"@type":44,"position":54},"https://docshare.wps.com/id/document/medical-surgical-nursing-assessment-format-for-patient-2-fix/45782/",4,{"url":53,"name":13,"@type":56,"author":57,"headline":13,"publisher":59,"fileFormat":62,"inLanguage":24,"description":14,"dateModified":63,"datePublished":64,"encodingFormat":62,"isAccessibleForFree":65,"interactionStatistic":66},"DigitalDocument",{"name":9,"@type":58},"Person",{"url":42,"name":60,"@type":61},"DocShare","Organization","application/vnd.openxmlformats-officedocument.wordprocessingml.document","2026-08-18","2026-07-07",true,{"@type":67,"interactionType":68,"userInteractionCount":20},"InteractionCounter",{"@type":69},"ViewAction",{"@type":71,"mainEntity":72},"FAQPage",[73,79,83],{"name":74,"@type":75,"acceptedAnswer":76},"Apa keluhan utama pasien pada pengkajian ini?","Question",{"text":77,"@type":78},"Keluhan utama adalah sesak napas. Sesak disertai nyeri dada yang tidak menjalar dan keringat dingin.","Answer",{"name":80,"@type":75,"acceptedAnswer":81},"Terapi dan alat bantu apa yang terpasang pada pasien saat pengkajian?",{"text":82,"@type":78},"Pasien terpasang alat pacu jantung, infus Nacl 0,9%, serta O2 nasal kanul 5 liter/menit.",{"name":84,"@type":75,"acceptedAnswer":85},"Masalah keperawatan apa yang dicantumkan berdasarkan pemeriksaan sistem pernapasan dan kardiovaskuler?",{"text":86,"@type":78},"Dicantumkan Gangguan Pertukaran Gas pada sistem pernapasan dan Penurunan Curah Jantung pada sistem kardiovaskuler.","https://schema.org",{"og:url":53,"og:type":89,"og:title":13,"og:site_name":60,"og:description":14},"article",{"robots":91,"canonical":53},"index,follow",{"doc_id":7,"site_id":25},{"code":4,"msg":5,"data":94},[95,100,104,108,112,114,118,122,126,130,134],{"id":96,"doc_module":4,"doc_module_name":47,"category_name":97,"show_sort_weight":98,"slug":99},55,"Agama & Spiritualitas",60,"religion-spirituality",{"id":101,"doc_module":4,"doc_module_name":47,"category_name":102,"show_sort_weight":98,"slug":103},48,"Cerita & Novel","story-novel",{"id":105,"doc_module":4,"doc_module_name":47,"category_name":106,"show_sort_weight":98,"slug":107},56,"Gaya Hidup","lifestyle",{"id":109,"doc_module":4,"doc_module_name":47,"category_name":110,"show_sort_weight":98,"slug":111},51,"Komik","comic",{"id":11,"doc_module":4,"doc_module_name":47,"category_name":12,"show_sort_weight":98,"slug":113},"healthcare",{"id":115,"doc_module":4,"doc_module_name":47,"category_name":116,"show_sort_weight":98,"slug":117},54,"Penelitian & Laporan","research-report",{"id":119,"doc_module":4,"doc_module_name":47,"category_name":120,"show_sort_weight":98,"slug":121},49,"Sastra","literature",{"id":123,"doc_module":4,"doc_module_name":47,"category_name":124,"show_sort_weight":98,"slug":125},52,"Teknologi","technology",{"id":127,"doc_module":4,"doc_module_name":47,"category_name":128,"show_sort_weight":98,"slug":129},50,"Ujian","exam",{"id":131,"doc_module":4,"doc_module_name":47,"category_name":132,"show_sort_weight":98,"slug":133},57,"Umum","general",{"id":135,"doc_module":4,"doc_module_name":47,"category_name":136,"show_sort_weight":4,"slug":137},181,"Formulir","formulir"]