DAFTAR ISI1. Bersihan jalan napas tidak efektif ................................................................................................................................................. 2. Pola napas tidak efektif ................................................................................................................................................................ 3. Mual ............................................................................................................................................................................................. 4. Risiko aspirasi .............................................................................................................................................................................. 5. Gangguan menelan...................................................................................................................................................................... 6. Konstipasi .................................................................................................................................................................................... 7. Diare ............................................................................................................................................................................................ 8. Retensi urin.................................................................................................................................................................................. 9. Kelebihan volume cairan .............................................................................................................................................................. 10. Defisit volume cairan .................................................................................................................................................................... 11. Risiko ketidakseimbangan elektrolit ............................................................................................................................................. 12. Risiko kadar glukosa darah tidak stabil ........................................................................................................................................ 13. Risiko kerusakan fungsi hepar ..................................................................................................................................................... 14. Risiko perfusi gastrointestinal inefektif.......................................................................................................................................... 15. Risiko perfusi renal inefektif ......................................................................................................................................................... 16. Penurunan curah jantung ............................................................................................................................................................. 17. Risiko shock ................................................................................................................................................................................. 18. Risiko perdarahan ........................................................................................................................................................................ 19. Risiko sindrom disuse .................................................................................................................................................................. 20. Risiko jatuh .................................................................................................................................................................................. 21. Risiko trauma ............................................................................................................................................................................... 22. Risiko injuri................................................................................................................................................................................... 23. Intoleransi aktivitas....................................................................................................................................................................... 1 2 3 5 7 8 10 11 12 14 15 16 17 19 21 22 24 25 26 27 28 29 31

24. Ansietas ....................................................................................................................................................................................... 25. Insomnia ...................................................................................................................................................................................... 26. Gangguan pola tidur..................................................................................................................................................................... 27. Hipertermi .................................................................................................................................................................................... 28. Hipotermi ..................................................................................................................................................................................... 29. Risiko infeksi ................................................................................................................................................................................ 30. Risiko penyebaran infeksi ............................................................................................................................................................ 31. Nyeri akut ..................................................................................................................................................................................... 32. Nyeri kronis .................................................................................................................................................................................. 33. Kelelahan ..................................................................................................................................................................................... 34. Kerusakan mobilitas fisik .............................................................................................................................................................. 35. Perubahan perfusi jaringan perifer ............................................................................................................................................... 36. Risiko perubahan perfusi jaringan cerebral .................................................................................................................................. 37. Risiko defisit volume cairan .......................................................................................................................................................... 38. Risiko ketidakseimbangan cairan ................................................................................................................................................. 39. Risiko ketidakseimbangan elektrolitt............................................................................................................................................. 40. Gangguan pertukaran gas............................................................................................................................................................ 41. Gangguan eliminasi urin............................................................................................................................................................... 42. Kerusakan integritas kulit ............................................................................................................................................................. 43. Risiko kerusakan integritas kulit ................................................................................................................................................... 44. Risiko cedera ............................................................................................................................................................................... 45. Defisit perawatan diri .................................................................................................................................................................... 46. Gangguan keseimbangan cairan dan elektrolit............................................................................................................................. 47. Kurang pengetahuan....................................................................................................................................................................

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