ASKEP MIOKARDITIS PDF

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WOC MIOKARDITIS. woc miokarditis jantung Askep Miokarditis Dan Perikarditis · Asuhan Keperawatan Pada Pasien Dengan Miokarditis. Miokarditis. Dalam: A.W. Sudoyo, dkk, ed. Buku Ajar Ilmu Penyakit Dalam Jilid 3 edisi IV. Jakarta: Pusat Penerbitan Dep. IPD FKUI. pp. – 3. Baarakett. Penyakit paru-paru obstruktif kronis (chronic obstructive pulmonary disease/ COPD) dan gagal jantung kongestif (congestive heart failure/CHF) dapat membuat.

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Konsep Dasar Teori A. Pengertian Gangguan irama jantung atau aritmia merupakan komplikasi yang sering terjadi pada infark miokardium. Aritmia atau disritmia adalah perubahan pada frekuensi dan irama jantung yang disebabkan oleh konduksi elektrolit abnormal atau otomatis Doenges, Aritmia timbul akibat perubahan elektrofisiologi selsel miokardium.

Perubahan elektrofisiologi ini bermanifestasi sebagai perubahan bentuk potensial aksi miokaeditis rekaman grafik aktivitas listrik sel Price, Gangguan irama jantung tidak hanya terbatas pada iregularitas denyut jantung tapi juga termasuk gangguan kecepatan denyut dan konduksi Hanafi, askeep Etiologi Etiologi aritmia jantung dalam garis besarnya dapat disebabkan oleh: Peradangan jantung, misalnya demam reumatik, peradangan miokard miokarditis karena infeksi b.

,iokarditis sirkulasi koroner aterosklerosis koroner atau spasme arteri koronermisalnya miokadditis miokard, infark miokard. Karena obat intoksikasi antara lain oleh digitalis, quinidin dan obat-obat anti aritmia lainnya d. Gangguan keseimbangan elektrolit hiperkalemia, hipokalemia e.

Gangguan pada pengaturan susunan saraf autonom yang mempengaruhi kerja dan irama jantung f. Ganggguan psikoneurotik dan susunan saraf pusat.

Gangguan metabolik asidosis, alkalosis h. Miokareitis endokrin hipertiroidisme, hipotiroidisme i. Gangguan irama jantung karena kardiomiopati atau tumor jantung j. Gangguan irama jantung karena penyakit degenerasi fibrosis sistem konduksi jantung. Perubahan TD hipertensi atau hipotensi ; nadi mungkin tidak teratur; defisit nadi; bunyi jantung irama tak teratur, bunyi ekstra, denyut menurun; kulit pucat, sianosis, berkeringat; edema; haluaran urin menurun bila curah jantung menurun berat.

Sinkop, pusing, berdenyut, sakit kepala, disorientasi, bingung, letargi, perubahan pupil. Nyeri dada ringan sampai berat, dapat hilang atau tidak dengan obat antiangina, gelisah d.

Dapat menunjukkanpembesaran bayangan jantung sehubungan dengan disfungsi ventrikel atau katup miokarditie. Peningkatan atau penurunan kalium, kalsium dan magnesium dapat mnenyebabkan disritmia.

Dapat menyatakan toksisitas miokadditis jantung, adanya obat jalanan atau dugaan interaksi obat contoh digitalis, quinidin. Penignggian dapat menunukkan proses inflamasi akut contoh endokarditis sebagai faktor pencetus disritmia.

Terapi medis Obat-obat antiaritmia dibagi 4 kelas yaitu: Konsep Dasar Asuhan Keperawatan A. Pengkajian – Riwayat penyakit 1 Faktor resiko keluarga contoh penyakit jantung, stroke, hipertensi 2 Riwayat IM sebelumnya disritmiakardiomiopati, GJK, penyakit katup jantung, hipertensi 3 Penggunaan obat digitalis, quinidin dan obat anti aritmia miokafditis kemungkinan untuk terjadinya intoksikasi 4 Kondisi psikososial – Pengkajian fisik 1 Aktivitas: Diagnosa keperawatan dan Intervensi a.

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Resiko tinggi penurunan curah jantung berhubungan dengan gangguan konduksi elektrikal, penurunan kontraktilitas miokardia. Berpartisipasi dalam aktivitas yang menurunkan kerja miokardia. Raba nadi radial, femoral, dorsalis pedis catat frekuensi, keteraturan, amplitudo dan simetris.

Auskultasi bunyi jantung, catat frekuensi, irama. Catat adanya denyut jantung ekstra, penurunan nadi.

Tentukan tipe disritmia dan catat irama: Kaji alasan untuk membatasi aktivitas selama fase akut. Catat petunjuk nyeri non-verbal contoh wajah mengkerut, menangis, perubahan TD 8. Menyatakan tindakan yang diperlukan dan kemungkinan efek samping obat Intervensi: Termasuk mengapa obat diperlukan; bagaimana dan kapan minum obat; apa yang dilakukan bila dosis terlupakan 5.

Dorong pengembangan latihan rutin, menghindari latihan berlebihan 6. Kaji ulang kebutuhan diet contoh kalium dan kafein 7. Memberikan informasi dalam bentuk tulisan bagi pasien untuk dibawa pulang 8. Anjurkan psien melakukan pengukuran nadi dengan tepat 9.

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