https://www.askep3s.org/e2dcec6913/pathway/A03.2

ICD-10: A03.2 30 Node 29 Relasi

Clinical Pathway: A03.2 Shigellosis due to Shigella boydii

Clinical Pathway interaktif: Etiologi → Patofisiologi → Tanda & Gejala → Dx Keperawatan

Etiologi1

Infeksi Shigella boydii (A03.2)

Patofisiologi4

Invasi & destruksi epitel mukosa kolon
Kehilangan cairan & elektrolit akibat diare
Respon inflamasi sistemik & toksinemia
Penurunan intake & malabsorpsi

Tanda & Gejala10

BAB cair >3x/hari dengan darah/mukus
Nyeri abdomen kram & tenesmus
Dehidrasi & mulut kering
Takikardia & hipotensi ortostatik
Gangguan elektrolit (hiponatremia/hipernatremia)
Demam >38°C
Malaise & kelemahan
Anoreksia & mual
Kecemasan & ketakutan terhadap prognosis
Tanda sepsis (demam tinggi, takikardia, takipnea)

Diagnosis Keperawatan11

Diare (D.0001)
Nyeri akut (D.0076)
Gangguan eliminasi feses (D.0012)
Defisit volume cairan (D.0005)
Risiko syok (D.0027)
Ketidakseimbangan elektrolit (D.0015)
Hyperthermia (D.0058)
Kelelahan (D.0059)
Ketidakseimbangan nutrisi kurang dari kebutuhan tubuh (D.0019)
Ansietas (D.0080)
Risiko infeksi (D.0010)

Referensi & Sumber

SDKI (Standar Diagnosis Keperawatan Indonesia) DPP & DPK
ICD-10 WHO Version 2019
Bennett JE, Dolin R, Blaser MJ. Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. 9th ed. Elsevier; 2020.
Kotloff KL, et al. Global burden of Shigella infections. Lancet Infect Dis. 2017.

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