Daftar Isi :
1. Definisi
Kondisi volume cairan intravaskuler, interstisiel, dan/atau intraseluler.
2. Ekspektasi
Membaik
3. Kriteria Hasil
Indikator | Menurun | Cukup Menurun | Sedang | Cukup Meningkat | Meningkat |
|---|---|---|---|---|---|
Kekuatan nadi | 1 | 2 | 3 | 4 | 5 |
Turgor kulit | 1 | 2 | 3 | 4 | 5 |
Output urine | 1 | 2 | 3 | 4 | 5 |
Pengisian vena | 1 | 2 | 3 | 4 | 5 |
Indikator | Meningkat | Cukup Meningkat | Sedang | Cukup Menurun | Menurun |
|---|---|---|---|---|---|
Ortopnea | 1 | 2 | 3 | 4 | 5 |
Dispnea | 1 | 2 | 3 | 4 | 5 |
Paroxysmal nocturnal dyspnea (PND) | 1 | 2 | 3 | 4 | 5 |
Edema anasarka | 1 | 2 | 3 | 4 | 5 |
Edema perifer | 1 | 2 | 3 | 4 | 5 |
Berat badan | 1 | 2 | 3 | 4 | 5 |
Distensi vena jugularis | 1 | 2 | 3 | 4 | 5 |
Suara napas tambahan | 1 | 2 | 3 | 4 | 5 |
Kongesti paru | 1 | 2 | 3 | 4 | 5 |
Perasaan lemah | 1 | 2 | 3 | 4 | 5 |
Keluhan haus | 1 | 2 | 3 | 4 | 5 |
Konsentrasi urine | 1 | 2 | 3 | 4 | 5 |
Indikator | Memburuk | Cukup Memburuk | Sedang | Cukup Membaik | Membaik |
|---|---|---|---|---|---|
Frekuensi nadi | 1 | 2 | 3 | 4 | 5 |
Tekanan darah | 1 | 2 | 3 | 4 | 5 |
Tekanan nadi | 1 | 2 | 3 | 4 | 5 |
Membran mukosa | 1 | 2 | 3 | 4 | 5 |
Jugular Venous Pressure (JVP) | 1 | 2 | 3 | 4 | 5 |
Kadar Hb | 1 | 2 | 3 | 4 | 5 |
Kadar Ht | 1 | 2 | 3 | 4 | 5 |
Cental Venous Pressure | 1 | 2 | 3 | 4 | 5 |
Refluks hepatojugular | 1 | 2 | 3 | 4 | 5 |
Berat badan | 1 | 2 | 3 | 4 | 5 |
Hepatomegali | 1 | 2 | 3 | 4 | 5 |
Oliguria | 1 | 2 | 3 | 4 | 5 |
Intake cairan | 1 | 2 | 3 | 4 | 5 |
Status mental | 1 | 2 | 3 | 4 | 5 |
Suhu tubuh | 1 | 2 | 3 | 4 | 5 |
