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Askep Abdominal Pain
Askep Abdominal Pain
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ASUHAN KEPERAWATANPADA PASIEN DENGAN ABDOMINAL PAINA.PENGKAJIAN1.Pasien
mengeluh nyeri perut.2.Nadi meningkat3.Tekanan darah meningkat4.RR
meningkat5.Pasien tampak meringis.
6.
Pasien mengatakan nyeri ringan sedang
7.Pasien mengatakan nyerinya bersifat tumpul, pegal, dan berbatas tak
jelas serta sulitdilokalisasi8.
Pasien hanya minum < 8 gelas sehari
9.
Pasien muntah-muntah
10.
Pasien tampak lemah.11.Lidah dan mukosa bibir pasien kering.
12.
Turgor kulit tidak elastis.13.Urine sedikit dan pekat.14.Pasien
mengatakan mual dan tidak nafsu makan.15.Pasien hanya makan sedikit dari
porsi yang diberikan.

16.
Berat badan pasien turun17.Pasien tampak lemah dan kelelahan
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18.
Kekuatan otot4444 44444444 444419.Pasien tidak bisa melakukan
aktivitas.Diagnosa Keperawatan :
1.
Nyeri akut berhubungan dengan spasme abdomen ditandai dengan Pasien
mengeluhnyeri perut, nadi meningkat, tekanan darah meningkat, RR
meningkat, Pasien tampak meringis dan pasien mengatakan slaka nyeri
ringan - sedang.
2.
KekuranganKekuranganvolume cairan berhubungan dengan muntahvolume cairan
berhubungan dengan muntahditandai denganditandai dengan pasientampak
lemah, lidah dan mukosa bibir pasien kering, turgor kulit tidak elastis,
urinesedikit dan pekat, minum < 8 gelas.
3.
Intoleransi Aktivitas berhubungan dengan kelemahan akibat nyeri ditandai
denganIntoleransi Aktivitas berhubungan dengan kelemahan akibat nyeri
ditandai dengan pasien lemah, tampak kelelahan.
4.
Resiko p perubahan nutrisi kurang dari kebutuhan tubuh berhubungan
denganerubahan nutrisi kurang dari kebutuhan tubuh berhubungan
dengananoreksiaanoreksia ditandai denganditandai dengan Pasien
mengatakan mual dan tidak nafsu makan, pasien hanya makansedikit dari
porsi yang diberikan, dan berat badan pasien turun
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B.INTERVENSIC.IMPLEMENTASIAdalah pengelolaan dan perwujudan dari rencana
keperawatan yang telah disusun pada tahap perencanaan (Effendi,
1995).D.EVALUASI
1.
Nyeri pasien berkurang atau hilang setelah dilakukan tindakan keperawatan.
2.
Volume cairan seimbang.3.Pasien dapat melakukan aktivitasnya kembali
setelah dilakukan tindakan keperawatan
4.
Tidak terjadi kekurangan nutrisi.
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