Makalah Asuhan Keperawatan Kritis Pada Pasien Acute Respiratory Distress Syndrome

 

DN@NFNI N_[ING @KQKSNUN]NG @SB]B_ QNMN QN_BKG NO[]K SK_QBSN]JSR MB_]SK__ _RGMSJDK/NSM_

MB_[_[G JFKI< @kfjdpj` < 3

>. Dnrb Dnrbs` s`nn Ske Skebg bgnn 3. @ntr @ntrbg bgnn _usb _usbfn fnwn wntb tb ?. Gjhr Gjhrbm bmy y Ingm Ingmny nyng ngbb =. Kvkg Kvkgbo boin in _bg _bgur urny nynn ;. Lugb Lugb Rngt Rngtbb ]nd ]ndpu pucj cjfj fjg g 8. Dnrt Dnrtin in Lug Lugbt btnn _btu _btudj djrn rnge ge 5. Nsgb Nsgb @in @inrb rbsd sdnn \kcu \kcunn 9. Dkro Dkroy y Gbh Gbhnt nty y Euf Eufj j 2. _kdbr kdbrng ngbb Unru Unruwu wu

Gkrs ]ninp N`nmkdb`  _]B@ks _ngtn Kfbsnckti Dkmng ].N 31>9/31>2

 

@N]N QKGENG]NS 

Qulb mng syu`ur `ndb pnglnt`ng `kinmbrnt ]uing Rnge Dnin Ksn ntns rnidnt mng `nrugbn ynge mbckrb`ng-Gyn pnmn `ndb, skibgeen `ndb mnpnt dkgykfksnb`ng dn`nfni bgb tkpnt wn`tu. Mnfnd pkgyusugng dn`nfni bgb `ndb tbmn` fupn ugtu` dkgeuonp`ng cngyn`  tkrbdn`nsbi tkrbdn `nsbi `kpnmn pbin` ynge tkfni dkdcngtu dkdcngtu `ndb mnfnd dkgyusug dkgyusug dn`nfni dn`nfni bgb. Mnfnd `kskdpntng bgb `ndb dkgeuonp`ng tkrbdn`nsbi `kpnmn Bcu Fbgmnwntb ]ndpucjfjg, _.@kp.,  Gs, D.@kp skfn`u mjskg pkdcbdcbge `ndb ynge tkfni tk fni dkdckrb`ng `kskdpntng, snrng skrtn dnsu`ng ugtu` `ndb mnfnd dkgeb`utb mng dkgykfksnb`ng tuens nsuing `kpkrnwntng bgb. @ndb dkgynmnrb dkgynmnrb mnfnd pkgyusugng pkgyusugng dn`nfni bgb dnsbi lnui mnrb skdpurgn skdpurgn cnb` mnrb tk`gb` pkgufbsng dnupug dntkrb.Jfki `nrkgn btu `ndb dkgeinrnp`ng snrng mng `rbtb` ynge dkdcngeug nenr `ndb mnpnt dkdpkrcnb`bgyn. N`ibr `ntn, `ndb dkgeuonp`ng cngyn` tkrbdn`nsbi mng skdjen dn`nfni `kpkrnwntng `rbtbs bgb ckrdnghnnt cneb `btn skdun.

Dkmng, 1> J`tjckr 31>9 Qkgufbs

@kfjdpj` BB

 

CNC > Qkgmniufung >.> Fntnr Fntnr Ckfn`ng Ckfn`nge e

_br`ufnsb j`sbekg ynge tkrntur mnrb umnrn jfki pnru-pnru sngent vbtnf cneb `kibmupng.  Gndug pnmn snnt bgb dufnb ckrdugoufng hn`tn-hn`tn cniwn hugesb vbtnf tkrskcut sumni tbmn`  mnpnt ckrlnfng fneb mkgeng skdkstbgyn pnmn skludfni dngusbn n`bcnt mnrb pkgyn`bt ynge mbmkrbtngyn.  Nmuft Skspbrntjry Mbstrkss _ygmrjdk (NSM_) nmnfni suntu sbgmrjd enwnt gnhns n`ut ynge dkrupn`ng pkgyn`bt pkrgnhnsng skrbus ynge cbnsn tkrlnmb mng mnpnt tbdcuf pnmn pnsbkg mkgeng trnudn ntnu pkgyn`bt ckrnt. _bgmrjd bgb dkdpugynb obrb `ins skonrn `fbgb` ckrupn  pkrlnfngng ynge okpnt mng ckrnt mnrb bgsuhbsbkgsb pkrgnhnsng ynge dkgengond lbwn (rkspbr (rks pbrntj ntjry ry mbstrks mbstrkss), s), sbn sbngjs gjsbs, bs, ibpj`s ibpj`skdb kdbnn nrtkrbn nrtkrbnff ckrnt ckrnt ynge ynge rkhrn` rkhrn`tkr tkr tkrinm tkrinmnp np tkrnpb tkrnpb j`sbekg mng mnpnt ckrfnglut pnmn `kenenfng sbstkd jreng k`strnpufdjgnf (Ojtrng, @udnr, Ojffbgs,>222). Mbtkfnni Mbtkfn ni sklnrni sklnrnigyn gyn mnrb mnrb pnrn pnrn prnlur prnlurbt bt `jrcng `jrcng Qkrnge Qkrnge Xbktgn Xbktgnd d ynge ynge tkrfu` tkrfu`n, n, ynge ynge `kdumbng tktnp dkgbgeenf mnfnd ckckrnpn inrb n`bcnt enenf gnhns wnfnupug tkfni mbfn`u`ng  pkrnwntng tkrinmnp fu`ngyn. _kln` >285 endcnrng `fbgbs tkrskcut mb`ktniub skcnenb suntu sbgmrjd sbgmr jd `fbgb` pkgyn`bt pkgyn`bt tkrtkgtu ynge `kdumbng `kdumbng mb`kgnf skcnenb  Nmuft Skspbrntjry Mbstrkss _ygmrjdk (\uf`bhfb Ndbg, Syng Sngbtyn mnfnd Notn Dkmbon Bgmjgksbngn 3113). _kckfudgyn  pkgyn`bt bgb mb`kgnf mkgeng ckrcnenb dnond gndn mng dkdbfb`b indpbr skludfni =1 cuni sbgjgbd (Onmk bg Dkmbobgk Bgtkrgntbjgnf >298). Mbngtnrn skfurui hn`tjr pkgykcnc NSM_, skpsbs nmnfni snfni sntu ynge tkrskrbge. ]krontnt fkcbi mnrb ;1 % `nsus NSM_ tkr`nbt mkgeng skpsbs (Ojtrng, @udnr, Ojffbgs, >222). _bgmrjd bgb dkfngmn >;1.111 jrnge pkr tniuggyn mb Ndkrb`n _krb`nt mkgeng nge`n `kdntbng ynge dkgonpnb fkcbi mnrb 81 % (N Ojgrnm, 311?). Qkru Qkrucn cnin ing g pn pntj tjfj fjeb ebss pn pnmn mn sbgmr sbgmrjd jd bg bgbb lkfns lkfns,, yn ynbt btu u nm nmng ngyn yn `k `kru rusn` sn`ng ng kg kgmj mjtk tkf, f, tk tktn tnpb pb dk`ngbsdk ynge mnpnt dkgkrnge`ng `krusn`ng kgmjtkf pnmn ckckrnpn hn`tjr rksb`j ckfud mb`ktniub skpkguigyn. _bgmrjd enwnt gnhns pnmn skpsbs tbdcuf dkgmnmn`, mkgeng ktbjfjeb k`strnpufdjgnf tktnpb dkdckrb`ng eklnfn ynge ckrnrtb pnmn pnru-pnru.

>.3 ]ulung

  >.3.> ]ulung[dud Nenr dnin Nenr dninsb sbsw swnn dndp dndpu u dkge dkgekt ktni niub ub mng mng dkdn dkdnin indb db mn mng g dkdc dkdcun untt Nsui Nsuing ng @kpkrnwntng @rbtbs pnmn pnsbkg Noutk Skspbrntjry Mbstrkss _ygmrjdk/NSM_

 

>.3.3 ]ulung @iusus Nenrr dninsbs Nen dninsbswn wn dndpu dndpu dkdnin dkdnindb db mng dkgenp dkgenpfb` fb`nsb` nsb`ng ng Nsuing Nsuing @kpkrnwn @kpkrnwntng tng  ckrupn < n. Nenr Nenr dninsbsw dninsbswn/B n/B dndpu dndpu dkdnin dkdnindb db mkhkgbs mkhkgbsbb mnrb NSM_ NSM_  c. Nenr dninsbswn/B dndpu dkdnindb ktbjfjeb mnrb NSM_ o. Nenr dninsbswn/B dninsbswn/B dndpu dkdnindb dkdnindb dngbhkst dngbhkstnsb nsb `fbgbs `fbgbs mnrb NSM_ m. Nenr dninsbswn/B dninsbswn/B dndpu dkdnindb dkdnindb `jdpfb `jdpfb`nsb `nsb mnrb NSM_ NSM_ k. Nenr dninsbsw dninsbswn/B n/B dndpu dndpu dkdnind dkdnindbb pkdkrb`snng pkdkrb`snng mbnegjstb` mbnegjstb` mnrb NSM_ NSM_