ENGLISH TASK IN NURSING 2

Supporting lecturer :
1. THERESIA IVANA, S.Kep., Ns.MSN
2. MARIA SILVANA DHAWO, Nurse., MHPEd

By :
YULI SULISTIYO
NIM. 113063C218075

NURSING SCIENCE STUDY PROGRAM

INSTITUTE OF HEALTH SCIENCE SUAKA INSAN
BANJARMASIN
2019
 I. Making Nursing Diagnosis according to NANDA by searching for
Cardiovascular Classes and Lung Response:

No Risk Factors for Domain of

Definition Limitation of Characteristics
Activity and Rest
1. Acute Pain • Diaphoresis
Is unpleasant sensory and emotional arising from actual • Pupillary dilation
or potential tissue damage or that is described as damage • Changes in appetite
(International Association for the Study of Pain); sudden • Attitude to protect the area of
or slow onset from mild to severe intensity with an pain
anticipated or predictable end. • Focus on yourself
• Focus narrows (time perception,
thought process)
• Changes in physiological
parameters
•Hopeless
• Restless, whining, crying,
• Changes in position to avoid pain
• Painful facial expressions (less
luminous eyes)
Chronic Pain • Anorexia
Chronic Pain is defined as an unpleasant sensory and • Reports on pain behavior /
emotional experience arising from actual or potential changes in activity
tissue damage or which is described as damage, a sudden • Painful facial expressions
or slow onset of mild to severe intensity, occurring (grimacing)
constant or repetitive without end that can be anticipated • Changes in sleep patterns
or predicted and lasting more than 3 months. • Barriers to continu
ing previous activities.  Focus on yourself
The risk of impaired cardiovascular function is • Pharmaceutical agents
defined as susceptible to internal or external causes that • Diabetes mellitus
damage one or more vital organs and their circulatory • Dyslipidemia
system. • A sedentary lifestyle
• Hypertension
• Lack of knowledge about
preventable risk factors
• Smoking
• Obesity
• Family history of cardiovascular
disease
• History of cardiovascular disease
• Age> 65 years

The risk of decreasing cardiac tissue perfusion is • Pharmaceutical agents

susceptible to decreased cardiac (coronary) circulation, • Diabetes mellitus
which can interfere with health. • Hyperlipidemia
• Hypertension
• Hypoxemia
• Hypovolemia
• Heart surgery
• Substance abuse
• Family history of cardiovascular
disease
• Coronary artery spasm
• Cardiac tamponade
The risk of ineffective brain tissue perfusion is • Pharmaceutical agents
susceptible to decreased brain tissue circulation which • Aortic atherosclerotic
can interfere with health. • Myocardial infarction has just
occurred
• Arterial dissection
• Embolism
• Infective endocarditis
• Atrial fibrillation
• Hypercholesterolemia
• Hypertension
• Dilated cardiomyopathy
• Mechanical prosthetic valve
• Intravascular coagulation
• Atrial myxoma
• Neoplasm of the brain
• sick sinus syndrome
• Carotid stenosis
• Mitral stenosis
• Thrombolytic therapy
•Brain tumor

“THANK YOU FOR THE ATTENTION AND ACCEPTANCE “