tag:blogger.com,1999:blog-14290015565946762242024-03-13T14:16:50.126-07:00KesehatanReferensi Kesehatan berkaitan dengan penyakitRATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.comBlogger88125truetag:blogger.com,1999:blog-1429001556594676224.post-38759860121328214932012-04-20T00:36:00.000-07:002012-04-20T00:36:59.877-07:00Askep TB paru<div dir="ltr" style="text-align: left;" trbidi="on">
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">BAB I</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">KONSEP PENYAKIT KOCH PULMONAL</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">(TUBERKULOSIS PARU)</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN"><span>A.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengertian</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<span lang="IN">Tuberculosis
paru adalah penyakit infeksi yang disebabkan oleh mycobacterium tuberculosis
dengan gejala bervariasi (Mansjoer,1999)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<span lang="IN">Tuberculosis
paru adalah merupakan infeksi kronik yang disebabkan oleh pembentukan granuloma
pada jaringan yang terinfeksi (isselbacker,1999).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN"><span> </span>Jadi tubercolusis paru atau koch pulmonal
adalah penyakit infeksi kronik yang disebabkan mycobacterium tuberculosis dan
pembentukan granuloma pada daerah yang terinfeksi dengan gejala yang
bervariasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN"><span>B.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Etiologi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN">Mycobacterium tuberculosis
yang berbentuk batang dan mempunyai sifat asam (Price.1995).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN"><span>C.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Patofisiologi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<span lang="IN">Basil
tuberculosa mula-mula memasuki paru atau tempat lain pada individu yang sehat
kemudian menimbulkan respon peradangan non spesifik dengan sedikit atau sama
sekali tanpa gejala.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<span lang="IN">Basil yang
menyebabkan peradangan tersebut kemudian berada dalam ruang alveolus dan dapat
juga meningkatkan metabolisme tubuh sehingga akan terjadi peningkatan kebutuhan
terhadap energi. Setelah itu klien akan mengalami gejala batuk, malaise, anoreksia
dan mual. Di samping basil tuberculosis membengkitkan peradangan, basil
tersebut dapat menjadi aktif dalam bentuk droplet muda yang tersebar diudara
saat klien batuk maupun bicara.</span></div>
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<span lang="IN">Alveoli
yang terserang akan mengalami atau timbul gejala pneumonia. Kemudian bakteri
terus difagosit atau berkembang biak di dalam sel basil menjadi infeksi lesi
primer kemudian difagosit oleh makrofag. Nekrosis bagian sentral dibawah
kelenjar limfe regional. Lesi mamberikan gambaran yang relatif padat dan
seperti kayu/perkejuan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<span lang="IN">Hal ini
akan menyebabkan penumpukan sekresi dalam paru, lesi primer dan kelenjar limfe mengalami
fibrosis lalu menjadi jaringan parut dan mengalami pengapuran. Fibrosis pada
paru tersebut menjadikan berkurangnya jumlah jaringan paru fungsional, pengembangan
paru kurang maksimal dan jumlah oksigen yang masuk berkurang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN"><span> </span>Apabila daya tahan tubuh kuat maka komplek primer dapat sembuh
dengan sendirinya, namun bila daya tahan tubuh lemah maka akan timbul fokus
reinfeksi endogen yang menyebabkan kembalinya efektifitas lesi. Basil dalam
lesi kembali di fagosit oleh makrofag dibawa kekelenjar limfe dan saluran darah
menimbulkan penyebaran yang luas yang bisa menyebabkan tuberculosis milien
(Price,1999).</span></div>
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<br /></div>
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<b><span lang="IN"><span>D.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Manifestasi klinik</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN">Gejala umum TB paru adalah:</span></div>
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<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Batuk lebihdari 4
minggu</span></div>
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<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Malaise</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Gejala flu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Demam derajat rendah</span></div>
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<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Batuk darah (<i>haemomtu</i>) </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<span lang="IN">(Mansjoer,
1999).</span></div>
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<span lang="IN">Banyak
asimtomatis dan baru terdeteksi dengan adanya kelainan radiologi dada pada
pemeriksaan rutin atau adanya tes Tuberculin/mantouk tes positif
(waspadji,1995).</span></div>
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<span lang="IN">Gejala terbanyak adalah:</span></div>
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<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Demam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Menyerupai demam influensa, tapi kadang
mencapai 40 <sup>0</sup>C di pengaruhi oleh upaya daya tahan tubuh dan berat
ringannya infeksi kuman.</span></div>
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<br /></div>
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<br /></div>
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<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Batuk</span></div>
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<span lang="IN">Terjadi karena adanya iritasi pada
bronkus, tetapi mungkin terjadi setelah penyakit berkembang dalam jaringan. </span></div>
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<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Sesak napas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Di temukan pada penyakit yang sudah
lanjut, inflamasi sudah 1/2 bagian paru.</span></div>
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<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Malaise</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Yang sering terjadi adalah: Anoreksia,
badan makin kurus, sakit kapala, berkeringat pada malam hari tanpa ada
kegiatan.</span></div>
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<br /></div>
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<b><span lang="IN"><span>E.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengkajian fokus dan
pemeriksaan penunjang</span></b></div>
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<span lang="IN">Untuk menegakkan diagnosa pada
penyakit paru dilaksanakan pemeriksaan penunjang sebagai berikut.</span></div>
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<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Laboratorium ;
biasanya ditemukan</span></div>
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<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Anemia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Inkositasis ringan dengan predominasi limpositosis</span></div>
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<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">LED meningkat terutama pada masa akut, dapat
kembali normal pada tahap penyembuhan</span></div>
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<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Foto thorax<span> </span>PA dengan atau tanpa lateral</span></div>
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<span lang="IN">Karakteristiknya</span></div>
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<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Bayangan lesi terletak pada lapang paru atas
segmen apikal lobus bawah</span></div>
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<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Bayangan berawan (patchy) atau bercak (noduler)</span></div>
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<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Adanya kavitas tunggal atau ganda</span></div>
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<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kelainan bilateral terutama dilapangan atas paru</span></div>
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<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Adanya kalsifikasi</span></div>
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<span lang="IN"><span>f.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Bayangan milier</span></div>
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<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pemeriksaan sputum
BTA (Bakteri Tahan Asam)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Pada anak sering tidak dijumpai adanya
basil TBC pada pemeriksaan BTA</span></div>
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<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tes mantouk/Tuberculin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Sangat penting untuk mendiagnosisTuberculosis pada
anak. </span></div>
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<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Hasil positif pada orang dewasa kurang bermakna.</span></div>
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<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Positif menunjukkan reaksi immunitas selluler yang
timbul setelah 4-6 minggu infeksi pertama</span></div>
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<br /></div>
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<b><span lang="IN"><span>F.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><span style="height: 40px; left: 0px; margin-left: 200px; margin-top: 22px; position: absolute; width: 100px; z-index: 251617280;">
<table cellpadding="0" cellspacing="0">
<tbody>
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<div class="shape" style="padding: 3.6pt 7.2pt;">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="IN" style="font-size: 10pt;">Basil tuberkel</span></div>
</div>
</td>
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</span> </td>
</tr>
</tbody></table>
</span><b><span lang="IN">Patways keperawatan</span></b></div>
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<br /></div>
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</span><span lang="IN"> </span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<br clear="ALL" />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">BAB II</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">KONSEP KEBUTUHAN DASAR</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">OKSIGENASI</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN"><span>A.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengertian</span></b></div>
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<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Oksigenasi adalah
salah satu komponen gas dan unsur vital dalam proses metabolisme untuk mempertahankan
kelangsungan hidup sel-sel tubuh.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Oksigenasi adalah
pembuatan suplemen oksigen melalui kanule atau sungkup oksigen biasanya dipakai
bila PO<sub>2 </sub>kurang dari 60 mmHg diberikan untuk memenuhi kebutuhan O<sub>2</sub>
tubuh yang tak bisa dicapai dengan respirasi normal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Respirasi adalah
proses keluar masuknya udara keparu-paru dan terjadi pertukaran gas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN">Yang berperan dalam proses
respirasi adalah paru-paru dan dinding dada (rangka, otot, pernapasan,
diagfragma, isi abdomen dan dinding abdomen).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN"><span>B.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Review Anatomi dan fisiologi
sistem pernapasan.</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<b><span lang="IN"><img height="383" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image004.jpg" width="497" /></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<span lang="IN">Tujuan
utama respirasi adalah untuk menyediakan oksigen bagi sel-sel tubuh membawa
karbondioksida darinya. Agar respirasi dapat berlangsung harus ada satu jalan
untuk membawa oksigen tubuh dan sistem serkulasi yang mengantarkannya pada
sel-sel tubuh serta mengeluarkan CO<sub>2</sub> dari sel-sel tersebut. Transpor
O<sub>2</sub> berlangsung melalui sistem pernapasan atas dan bawah. Saluran
pernapasan atas terdiri dari:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hidung dan nasofaring</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mulut dan urofaring</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Laring</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN">Saluran pernapsan bawah
dibentuk oleh:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Trakhea</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Saluran utama broncus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bronchiolus duktus
alveolus yang kemudian berakhir dialveoli</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<span lang="IN">Paru-paru
sendiri terdiri dari beberapa lobus, paru-paru kanan terdiri dari tiga lobus
yaitu atas, tengah dan bawah. Paru-paru kiri terdiri dari dua lobus yaitu atas
dan bawah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN">Ada 3 macam proses yang terjadi
saat respirasi yaitu:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ventilasi meliputi
pergerakan keluar masuknya udara melalui cabang-cabang Trakheobronkial
sehinggga oksigen sampai pada alveoli dan O<sub>2</sub> dibuang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perfusi adalah
istilah untuk aliran darah pada kapiler paru-paru disebut juga sebagai transpor
O<sub>2</sub></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Difusi adalah
pergerakan gas CO<sub>2 </sub>dan O<sub>2</sub> melentasi membaran alveolar
kapiler yang alirannya dimulai dari daerah dengan konsentrasi yang lebih besar
ke daerah dengan konsentrasi yang lebih kecil, menimbulkan keseimbangan
alveolar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<span lang="IN">Udara yang
dihirup dibersihkan dari semua partikel yang berdiameter lebih dari 2 nm
sebelum mencapai alveoli. Pembersihan terdapat partikel-partikel, seperti debu
dan bakteri memungkinkan sterilisasi pada alveolus. Benda-banda asing disaring
melalui mekanisme sel-sel globet pada lapisan epitel saluran pernapasan yang
menghasilkan sejumlah substansi mukepolisakarida yang tebal yakni mukus yang
menyelimuti saluran pernaasan dan menyaring partikel-partikel tersebut. Silia yang
ditemukan sepanjang percabangan saluran pernapasan seperti bronki akan
mendorong mukus dan benda-benda asing menuju faring yang kemudian akan
dikeluarkan dengan batuk dan bersin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN"><span>C.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Faktor-faktor yang
mempengaruhi kebutuhan oksigen antara lain</span></b><span lang="IN">:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Faktor fisiologi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Menurunnya kemampuan mengikat O<sub>2</sub>
seperti pada anemi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Menurunnya konsentrasi O<sub>2</sub> yang di inspirasikan
seperti pada obstruksi saluran pernapsan bagian atas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Hipovolemi sehingga TD menurun yang menyebabkan
terganggunya O<sub>2</sub> </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Mengingkatnya metabolisme seperti adanya infeksi,
demam, ibu hamil, luka dan lain-lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kondisi yang mempengaruhi pergerakan dinding dada
seperti pada kehamilan, obesitas, muskulus skeletal yang abnormal, penyakit
kronis seerti TBC.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Faktor perkembangan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Bayi prematur disebabkan kurang pembentukan
surfaktan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Bayi dan todler adanya resiko saluran pernapasan
akut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Anak usia sekolah resiko ispa dan merokok</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Faktor perilaku,
Nutrisi, exercise, merokok, substanse abuse(alkohol dan obat-obatan),
kecemasan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Lingkungan : tempat kerja
(polusi), suhu lingkungan, ketinggian tempat dari permukaan laut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN">Perubahan perubahan fungsi
jantung yang mempengaruhi kebutuhan oksigen:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Gangguan konduksi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Gangguan konduksi seperti disritmia
(takikardi/bradicardi)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perubahan cardiac
output</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Menurunnya cardiac output seperti pada
pasien decom menimbulkan hipoksia jaringan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kerusakan fungsi katub
seperti pada stenosis, obstrusi, regurgitasi darah yang mengakibatkan ventrikel
bekerja lebih keras.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Myocardial
iskhemia/infark mengakibatkan insufisiansi suplai darah dari arteri koroner ke
miocardium.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<span lang="IN">Untuk kasus
penyakit obstruksi paru pemberian oksigen atau oksigenasi harus diperhatikan
dan pemberiannya tak boleh lebih dari 2 l/mnt, karena dapat menekan stimulus
pernapasan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN">Perubahan-perubahan fungsi
pernapasan yang mempengaruhi kebutuhan oksigenasi:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hiperventilasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Merupakan upaya tubuh dalam meningkatkan jumlah CO<sub>2</sub>
dalam paru-paru agar pernapasan lebih cepat dan dalam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Dapat disebabkan karena ; kecemasan,
infeksi/sepsis, keracunan obat-obatan dan ketidakseimbangan asam basa seperti
pada asidosis metabolik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Tanda dan gejala ; takikardi, napas pendek, nyeri
dada, menurunnya konsentrasi, disorientasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hipoventilasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Terjadi ketika ventilasi alveolar tidak
adekuat untuk memenuhi kebutuhan O<sub>2</sub> atau mengeluarkan CO<sub>2</sub>
dengan cukup. Biasanya terjadi pada keadaan atelektasis (kolap paru), tanda dan
gejalanya adalah nyeri kepala, penurunan kesadaran, disorientasi, kardiak
disritmia, ketidak seimbangan elektrolit, kejang dan kardiak ares.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hipoksia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Tidak adekuatnya kebutuhan O<sub>2 </sub>seluler
akibat defisiensi O<sub>2</sub> yang di inspirasi atau meningkatnya penggunaan
O<sub>2</sub> pada tingkat seluler. Dapat disebabkan oleh : Menurunnya
hemoglobin, berkurangnya konsentrasi O<sub>2</sub> (dipuncak gunung) ketidak
mampuan jaringan mengikat O<sub>2</sub>, menurunnya disfungsi O<sub>2</sub>
dari alveoli kedalam darah. Sepertti pada pneumonia, menurunnya perfusi
jaringan dan kurangnya atau gangguan ventilasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Tanda-tanda hipoksia adalah: kelelahan,
kecemasan, menurunnya kemampuan konsentrasi, nadi meningkat, pernapasan cepat
dan dalam, sianosis, sesak napas dan clubbing.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN" style="text-transform: uppercase;"><span>D.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengkajian <span style="text-transform: uppercase;"></span></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Riwayat keperawatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Masalah pernapasan yang pernah dialami</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pernah mengalami
perubahan pola pernapasan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pernah mengalami
batuk</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pernah mengalami
nyeri dada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Aktivitas apa saja
yang menyebabkan terjadinya gejala-gejala diatas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Riwayat penyakit pernapasan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;">
<span lang="IN">Apakah sering mengalami ISPA,
alergi, batuk, asma, TBC, dan lain-lain</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Riwayat kardiovaskuler</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;">
<span lang="IN">Pernah mengalami pemyakit
jantung atau peredaran darah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Gaya hidup</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;">
<span lang="IN">Merokok, keluarga perokok,
lingkungan kerja dengan perokok</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pemeriksaan fisik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Mata</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Konjungtiva pucat
(karena anemi)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Konjungtiva sianosis
(karena hipoksia)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Konjungtiva terdapat
pethechia (karena emboli lemak/endokarditis)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kulit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Sianosis periver
(vasokonstriksi dan menurunnya aliran periver)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Sianosis secara umum
(hipoksemia)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Penurunan turgor
(dehidrasi)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Edema</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>5).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Edema periorbital</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Jari dan kuku</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Sianosis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Clubbing finger</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Mulut dan bibir</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Membran mukosa
sianosis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bernapas menggunakan
mulut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Hidung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;">
<span lang="IN">Pernapasan dengan cubing
hidung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>f.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Vena leher</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;">
<span lang="IN">Adanya distensi/bendungan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>g.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Dada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Retraksi otot bantu
pernapasan (karena peningkatan aktivitas pernapasan, dispnea/obstruksi jalan
pernapasan)</span></div>
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<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pergerakan tidak simetris
antara dada kiri dan dada kanan)</span></div>
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<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tachil premitus
(getaran pada dada karena udara/suara melewati saluran/rongga pernapasan)</span></div>
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<span lang="IN"><span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Suara napas normal
(vesikuler, bronkovesikuler,bronkhial)</span></div>
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<span lang="IN"><span>5).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Suara napas tidak
normal (crecherlrales, ronchi, wheezing, friction rubepleural friction)</span></div>
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<span lang="IN"><span>6).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bunyi perkusi
(resonan, hyperesonan, dullness)</span></div>
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<span lang="IN"><span>h.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pola pernapasan</span></div>
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<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Eupnea (pernapasan
normal)</span></div>
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<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tacypnea (pernapasan
cepat)</span></div>
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<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bradypnea (pernapasan
lambat)</span></div>
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<span lang="IN" style="text-transform: uppercase;"><span>3.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pemeriksaaan penunjang<span style="text-transform: uppercase;"></span></span></div>
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<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Tes untuk menentukan keadekuatan sistem konduksi
jantung.</span></div>
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<span lang="IN">EKG dan Exerise stress tes</span></div>
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<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Tes untuk menentukan kontraksi miokardium aliran
darah.</span></div>
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<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Echocardiographi</span></div>
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<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Angiografi</span></div>
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<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Tes untuk mengukur ventilasi dan oksigenasi.</span></div>
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<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tes fungsi paru
dengan spirometer</span></div>
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<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tes astrup</span></div>
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<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Oksimetri</span></div>
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<span lang="IN"><span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pemeriksaan darah
lengkap</span></div>
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<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Melihat struktur sistem pernapasan</span></div>
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<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">X-ray Thoraks</span></div>
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<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bronkhoskopi</span></div>
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<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">CT Scan paru</span></div>
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<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Menentukan sel abnormal/infeksi sistem pernapasan.</span></div>
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<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kultur apus
tenggorokan</span></div>
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<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Sitologi</span></div>
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<span lang="IN" style="text-transform: uppercase;"><span>3).<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Spesimen Sputum (BTA)<span style="text-transform: uppercase;"></span></span></div>
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<br /></div>
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<b><span lang="IN" style="text-transform: uppercase;"><span>E.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Diagnosa keperawatan<span style="text-transform: uppercase;"></span></span></b></div>
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<span lang="IN">Diagnosa keperawatan yang
mungkin timbul berkaitan dengan konsep kebutuhan dasar oksigenasi.</span></div>
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<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tak efektifnya
bersihan jalan napas</span></div>
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<span lang="IN">Yaitu keadaan dimana klien tidak mampu
membersihkan sekret/slem sehingga menimbulkan obstruksi saluran pernapasan.</span></div>
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<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kemungkinan berhubungan dengan</span></div>
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<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menurunnya energi dan
kelelahan</span></div>
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<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Infeksi
trakheobronkial</span></div>
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<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Gangguan kognitif dan
persepsi</span></div>
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<span lang="IN"><span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Trauma</span></div>
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<span lang="IN"><span>5).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bedah thorak</span></div>
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<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kemungkinan data yang ada</span></div>
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<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Suara napas tidak
normal</span></div>
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<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perubahan jumlah
pernapasan</span></div>
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<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Batuk produktif</span></div>
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<span lang="IN"><span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Sianosis </span></div>
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<span lang="IN"><span>5).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Demam</span></div>
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<span lang="IN"><span>6).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kesulitan bernapas
(dispnea)</span></div>
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<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kemungkinan masalah klinik</span></div>
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<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">ARDS, cystic febrosis</span></div>
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<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pneumonia, injuri
dada</span></div>
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<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ca paru, Gangguan
neuromuskuler</span></div>
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<span lang="IN"><span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">COPD</span></div>
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<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Tujuan yang di harapkan</span></div>
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<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Saluran pernapasan
pasien menjadi bersih</span></div>
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<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pasien dapat
mengeluarkan sekret</span></div>
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<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Suara napas dan
keadaan kulit menjadi normal</span></div>
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<span lang="IN" style="text-transform: uppercase;"><span>2.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Tak efektifnya pola napas.<span style="text-transform: uppercase;"></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Adalah keadaan dimana pola inhalasi dan ekshalasi
pasien tidak mampu karena adanya gangguan fungsi paru.</span></div>
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<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kemungkinan berhubungan dengan </span></div>
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<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Obstruksi trakhel</span></div>
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<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perdarahan aktif</span></div>
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<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menurunnya ekspansi
paru</span></div>
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<span lang="IN"><span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Infeksi paru</span></div>
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<span lang="IN"><span>5).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Depresi pusat
pernapasan</span></div>
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<span lang="IN"><span>6).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kelemahan otot
pernapasan</span></div>
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<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kemungkinan data </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perubahan irama
pernapasan dan jumlah pernapasan</span></div>
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<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Dispnea</span></div>
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<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Penggunaan otot bantu
pernapasan</span></div>
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<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Suara pernapasan
tidak normal</span></div>
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<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>5).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Batuk disertai dahak</span></div>
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<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>6).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menurunnya kapasitas
vital</span></div>
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<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>7).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kecemasan</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kondisi klinik berhubungan dengan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Penyakit kanker,
infeksi pada dada</span></div>
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<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Penggunaan otot dan
keracunan alkohol</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Trauma dada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Myasthenia gravis,
guillianbarre syndrome</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Tujuan yang diharapkan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pasien dapat
mendemonstrasikan pola pernapasan yang efektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Data obyektif
menunjukkan pola pernapasan yang efektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pasien merasa lebih
nyaman dalam bernapas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Gangguan pertukaran
gas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify;">
<span lang="IN">Yaitu suatu kondisi dimana
klien mengalami penurunan pengiriman oksigen dan kerbondioksida diantara
alveoli peru dan sistem vaskuler.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kemungkinan penyebab</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Penumpikan cairan
dalam paru</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Gangguan suplai
oksigen</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Obstruksi saluran
pernapasan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bronko spasme</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>5).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Atelektasis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>6).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Edema paru</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -79.4pt;">
<span lang="IN"><span><span style="font: 7pt "Times New Roman";">
</span>7).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pembedahan paru</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kemungkinan data ditemukan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Sesak napas </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Penurunan kesadaran</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Nilai AGD tidak
normal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perubahan tanda vital</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>5).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Sianosis/takhikardi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kondisi klinik berhubungan dengan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">COPD</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">CHF</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Asma</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pneumonia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>f.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Tujuan yang diharapkan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Dapat menurunkan
tanda dan gejala gangguan pertukaran gas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN" style="text-transform: uppercase;"><span>2).<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pasien dapat menunjukkan peningkatan perubahan
pertukaran gas seperti tanda vital, nilai AGD, dan ekspresi wajah rileks<span style="text-transform: uppercase;"></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN" style="text-transform: uppercase;"><span>F.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Intervensi dan rasional<span style="text-transform: uppercase;"></span></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN">Dx 1. Tidak efektifnya
bersihan jalan napas</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 198.4pt;" valign="top" width="265">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="text-transform: uppercase;">Intervensi</span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 203.85pt;" valign="top" width="272">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="text-transform: uppercase;">Rasional</span></b></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 198.4pt;" valign="top" width="265">
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Sediakan alat
suction dalam kondisi baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor jumlah,
bunyi napas, AGD, efek pengobatan bronkhodilator</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pertahankan intake
cairan 3000ml/hari jika tidak ada kontra indikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Terapi inhalasi dan
latihan pernapasan dalam dan batuk efektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bantu oral hygine
setiap 4 jam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mobilisasi pasien
setiap 3 jam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan pendidikan
kesehatan: efek merokok, alkohol menghindari alergen, latihan bernapas.</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Peralatan dalam
keadaan siap</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Indikasi dasar
kepatenan/gangguan saluran pernapasan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Membantu
mengencerkan sekret</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mengeluarkan sekret</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan rasa
nyaman</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mempertahankan
sirkulasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mencegah komplikasi
paru</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN">Dx 2. Pola pernapasan</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 198.4pt;" valign="top" width="265">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="text-transform: uppercase;">Intervensi</span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 203.85pt;" valign="top" width="272">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="text-transform: uppercase;">Rasional</span></b></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 198.4pt;" valign="top" width="265">
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan oksigen
sesuai program</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor jumlah
pernapasan, penggunaan otot bantu pernapasan, batuk, bunyi paru, tanda vital,
warna kulit, AGD.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Laksanakan program
pengobatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Posisi pasien
fowler</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bantu dalam terapi
inhalasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Alat-alat emergensi
disiapkan dalam koneksi baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pendidikan
kesehatan: perubahan gaya hidup, menghindari alergen, tehnik bernapasdan
tehnik relaksasi</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mempertahankan
oksigen arteri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mengetahui status
pernapasan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Meningkatkan
pernapasan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Meningkatkan
perkembangan paru</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Membantu mengeluarkan
sekret</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kemungkinan terjadi
kesulitan bernapas yang akut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perlu adaptasi baru
dengan kondisi sekarang</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN">Dx 3. Pertukaran gas</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 198.4pt;" valign="top" width="265">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">Intervensi</span></b></div>
</td>
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<b><span lang="IN">Rasional</span></b></div>
</td>
</tr>
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<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor/kaji, catat
tanda vital,nyeri kesulitan bernapas, hasil laboratorium, reaksi sternal,
penggunaan otot bantu pernapasan, penggunaan oksigen, X ray.</span></div>
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<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Jaga alat emergenci
dan pengobatan tetap terhadap tersedia seperti ambu bag, ET, tube, suction,
oksegen.</span></div>
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<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Suction jika ada
indikasi</span></div>
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<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor intake dan
out put cairan</span></div>
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<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan terapi inhalasi</span></div>
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<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan posisi fowler/semi
fowler</span></div>
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<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Batasi pengunjung</span></div>
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<span lang="IN"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan nutrisi
tinggi protein, rendah lemak</span></div>
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<span lang="IN"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pendidikan
kesehatan tentang: napas dalam, latihan bernapas, mobilisasi, kebutuhan
istirahat, efek merokok dan alkohol</span></div>
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<span lang="IN"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Jelaskan tentang
teknik suction pada keluarga </span></div>
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<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Data dasar untuk
pengkajian lebih lanjut</span></div>
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<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Persiapan emergensi
terjadinya masalah akut pernapasan</span></div>
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<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Meningkatkan
pertukaran gas</span></div>
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<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menjaga
keseimbangan cairan</span></div>
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<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Melonggarkan
saluran pernapasan</span></div>
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<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mengurangi
kesulitan bernapas</span></div>
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<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mengurangi tingkat
kecemasan</span></div>
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<span lang="IN"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menurunkan kebutuhan
energi pencernaan</span></div>
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<span lang="IN"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Membantumenghemat
energi</span></div>
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<br /></div>
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<br /></div>
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<span lang="IN"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Dapat mengerjakan
sendiri di rumah jika memungkinkan</span></div>
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</tbody></table>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">BAB III</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">ASUHAN KEPERAWATAN PEMENUHAN KEBUTUHAN KDM</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">OKSIGENASI PADA Tn.J DENGAN KP (<i>Koch
Pulmonal</i>)</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">DI RUANG MAWAR RSUD TUGUREJO.</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN" style="text-transform: uppercase;"><span>A.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengkajian<span style="text-transform: uppercase;"></span></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN" style="text-transform: uppercase;"><span>1.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Data personal<span style="text-transform: uppercase;"></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Nama<span> </span>:<span> </span>Tn.Johan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">No RM<span> </span>:<span> </span>113235</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Jenis
kelamin<span> </span>:<span> </span>Laki-laki</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Umur<span> </span>:<span> </span>49 tahun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Alamat<span> </span>:<span> </span>Gringsing, Batang, jl.Galar X/20</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Status
perkawinan<span> </span>:<span> </span>Kawin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Agama<span> </span>:<span> </span>Islam</span></div>
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<span lang="IN">Pekerjaan<span> </span>:<span> </span>Buruh</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Diagnosa
medik<span> </span>:<span> </span>Koch pulmonal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Tindakan
medik<span> </span>:<span> </span>Oksigenasi</span></div>
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<span lang="IN" style="text-transform: uppercase;"><span>2.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Riwayat kebutuhan oksigen dan karbondioksida<span style="text-transform: uppercase;"></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Keluhan utama: mengatakan sesak napas, nyeri pada
ulu hati, batuk berdahak, pusing dan dada sakit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Penjelasan tentang keluhan utama: Kurang lebih
satu hari sesak napas, batuk tak berhenti-henti, sebelumnya pernah sakit
seperti ini kurang lebih 1 tahun yang lalu, dada dan ulu hati sakit karena sering
batuk.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Apakah anda pernah mengalami masalah pernapasan
dan perubahan bunyi: ya, bunyi whizing dan ronchi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pernah mengalami sakit pernapasan. TBC kurang
lebih 1 bulan, sembuh kurang lebih 1 tahun yang lalu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Obat yang digunakan saat sesak napas dan batuk
pilek: lupa karena sudah lama</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>f.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Batuk berdahak paling sering malam dan pagi hari
dengan dahak warna kehijauan kental</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>g.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Apakah anda merokok: ya, kurang lebih 1 bungkus 1
hari sebelum sakit, setelah sakit mencoba untuk berhenti dan sekarang tidak
merokok.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>h.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Dalam keluarga hanya saya yang dulunya merokok dan
sekarang tidak lagi</span></div>
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<span lang="IN"><span>i.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Nyeri dirasakan saat batuk dan bernapas seperti
diremas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>j.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pernah mendapat pengobatan pernapasan kurang lebih
1 tahun yang lalu .</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>k.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Berapa dosis yang anda dapatkan. Minum obat 1 hari
sekali ada 4 macam selama 1 bulan tetapi tak tuntas dan sering tak diminum
karena setelah diminum terasa mual</span></div>
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<span lang="IN" style="text-transform: uppercase;"><span>3.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kajian fisik<span style="text-transform: uppercase;"></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Penampilan fisik : tampak sakit berat, tampak
lemah dan tak berdaya dan terpasang O<sub>2 </sub>2 lt/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Tingkat kesadaran : Compos mentis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">TB: 165 cm, BB: 50 kg</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Status gizi cukup</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">TTV: TD; 130/90mmHg, N;100x/mnt, S; 38<sup>0</sup>C,
RR; 30x/mnt</span></div>
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<span lang="IN" style="text-transform: uppercase;"><span>4.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kondisi sistem<span style="text-transform: uppercase;"></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Sistem pernapasan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hidung normal
berlendir</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pharing/laring:
normal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Trachea: simetris</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Rongga dada/paru-paru</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;">
<span lang="IN"><span>a).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Inspeksi bentuk
normal, keadaan napas clubing</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;">
<span lang="IN"><span>b).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Palpasi : fokal
fremitus dada kiri, kanan depan kurang bergerak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;">
<span lang="IN"><span>c).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perkusi : Suara yang
ditimbulkan hipersonor</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;">
<span lang="IN"><span>d).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Auskultasi: Suara
napas bronkial, suara tambahan whezing, ronkhi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Sistem integumen</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kebersihan kulit:
cukup</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kelainan yang tampak:
cianosis ringan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Palpasi: kelembaban:
demam teraba hangat dan turgor tak terdetksi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Penunjang laboratorium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Sputum tes (-)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Haematologi:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66.95pt; text-align: justify; text-indent: 12.45pt;">
<span lang="IN">a)
Hb;14,4gr/dl,<span> </span>c) Leukosit:<span> </span>9,540<span> </span>e)
LED: 50m/j</span></div>
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<span lang="IN"><span> </span>b) Ht; 45,3%<span> </span>d)
Eritrosit: 5,8300/mm<sup>3</sup></span></div>
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<span lang="IN" style="text-transform: uppercase;"><span>5.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Tes diagnostik<span style="text-transform: uppercase;"></span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Ro thorax</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Jantung tak membesar < 50%</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pulmo: gerakan vaskuler kanan, bercak
kesuraman(+), kedua lobus atas fibrosis (+).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Diafragma kanan letak rendah sinus tumpul</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN" style="text-transform: uppercase;"><span>B.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengelompokan data<span style="text-transform: uppercase;"></span></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="text-transform: uppercase;">D</span><span lang="IN">ata Subyektif: </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pasien mengatakan sesak napas,</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pasien mengatakan kepalanya pusing</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pasien mengatakan nyeri ulu hati dan dada sakit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Data Obyektif: </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Batuk berdahak (+)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Terpasang O<sub>2</sub> 2 lt/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Nadi100x/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Sianosis ringan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Suara napas tambahan whezing dan ronchi<span> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN"><span> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN" style="text-transform: uppercase;"><span>C.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Analisa data<span style="text-transform: uppercase;"></span></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 1in;" valign="top" width="96">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="text-transform: uppercase;">No/tgl/Jam</span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 126.4pt;" valign="top" width="169">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="text-transform: uppercase;">data</span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 101.9pt;" valign="top" width="136">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="text-transform: uppercase;">problem</span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 101.95pt;" valign="top" width="136">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN" style="text-transform: uppercase;">etiologi</span></b></div>
</td>
</tr>
<tr style="height: 57.2pt;">
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 57.2pt; padding: 0in 5.4pt; width: 1in;" valign="top" width="96">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">DX 1 </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">14 juni 2006</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">08.00</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">DX 2</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">14 juni 2006</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">08.30</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 57.2pt; padding: 0in 5.4pt; width: 126.4pt;" valign="top" width="169">
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.6pt; text-align: justify; text-indent: -24.6pt;">
<span lang="IN">DS: </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">mengatakan sesak napas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.6pt; text-align: justify; text-indent: -24.6pt;">
<span lang="IN">DO:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.6pt; text-align: justify; text-indent: -0.6pt;">
<span lang="IN">batuk
berdahak, dispnea, penggunaan otot pernapasan, RR 30 x/mnt, suara napas
tambahan ronchi dan whezing</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.6pt; text-align: justify; text-indent: -0.6pt;">
<span lang="IN">DS:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.6pt; text-align: justify; text-indent: -0.6pt;">
<span lang="IN">Pasien
mengatakan sesak napas dan dada sakit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.6pt; text-align: justify; text-indent: -0.6pt;">
<span lang="IN">DO:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.6pt; text-align: justify; text-indent: -0.6pt;">
<span lang="IN">Sianosis
ringan, TD; 130/90mmHg, N; 100x/mnt, S; 38<sup>0</sup>C, thorak bercak
kesuraman kedua lobus atas parenkim</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 57.2pt; padding: 0in 5.4pt; width: 101.9pt;" valign="top" width="136">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Pola napas tidak efektif</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Gangguan pertukaran gas</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 57.2pt; padding: 0in 5.4pt; width: 101.95pt;" valign="top" width="136">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Obstruksi jalan napas adanya penumpukan sekret</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Kerusakan perenkim paru</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN" style="text-transform: uppercase;"><span>D.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Diagnosa keperawatan<span style="text-transform: uppercase;"></span></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tidak efektifnya pola
napas berhubungan dengan obstruksi jalan napas adanya penumpukan sekret yang
ditandai dengan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">DS: Pasien mengatakan sesak napas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">DO: Batuk berdahak, pernapasan 30x/mnt,
dipsnea, penggunaan otot bantu pernapasan positif dan adanya suara napas
tambahan whezing dan ronchi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Gangguan pertukaran
gas berhubungan dengan kerusakan parenkim paru yang di tandai dengan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">DS: Pasien mengatakan sesak napas dan
dadanya sakit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">DO: Sianosis ringan, Ro thorak bercak
kesuraman pada kedua lobus atas dan parenkim paru</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN" style="text-transform: uppercase;"><span>E.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Intervensi dan rasional<span style="text-transform: uppercase;"></span></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="text-transform: uppercase;">T</span><span lang="IN">ujuan: Setelah dilakukan
perawatan kurang lebih 2 x 24 jam pola napas kembali efektif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kriteria hasil:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pasien mendemonstrasikan pola napas efektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pasien merasa lebih nyaman dalam bernapas </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Data obyektif: klien menunjukkna pola pernapasan
yang efektif.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN">Dx 1. Pola pernapasan</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 198.4pt;" valign="top" width="265">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">Intervensi</span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 203.85pt;" valign="top" width="272">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">Rasional</span></b></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 198.4pt;" valign="top" width="265">
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan oksigen
sesuai program</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor jumlah
pernapasan, penggunaan otot bantu pernapasan, batuk, bunyi paru, tanda vital,
warna kulit, AGD.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Laksanakan program
pengobatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Posisi pasien
fowler</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bantu dalam terapi
inhalasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Alat-alat emergensi
disiapkan dalam koneksi baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pendidikan
kesehatan: perubahan gaya hidup,menghindari alergen, tehnik bernapas dan
tehnik relaksasi</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mempertahankan
oksigen arteri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mengetahui status
pernapasan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Meningkatkan
pernapasan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Meningkatkan
perkembangan paru</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Membantu
mengeluarkan sekret</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kemungkinan terjadi
kesulitan bernapas yang akut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perlu adaptasi baru
dengan kondisi sekarang</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tujuan: Setelah
dilakukan tindakan keperawtan kurang lebih 2 x 2 jam gangguan pertukaran gas
dapat teratasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kriteria hasil</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Sesak napas berkurang atau hilang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Dada sakit berkurang/ hilang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Tanda vital dalam batas normal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<span lang="IN">Dx 2. Pertukaran gas</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 198.4pt;" valign="top" width="265">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">Intervensi</span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 203.85pt;" valign="top" width="272">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">Rasional</span></b></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 198.4pt;" valign="top" width="265">
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor/kaji, catat
tanda vital,nyeri kesulitan bernapas, hasil laboratorium, reaksi sternal,
penggunaan otot bantu pernapasan, penggunaan oksigen, X ray.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Jaga alat emergenci
dan pengobatan tetap terhadap tersedia seperti ambu bag, ET, tube, suction,
oksegen.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Suction jika ada
indikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor intake dan
out put cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan terapi
inghalasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan posisi
fowler/semi fowler</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Batasi pengunjung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan nutrisi
tinggi protein, rendah lemak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pendidikan
kesehatan tentang: napas dalam, latihan bernapas, mobilisasi, kebutuhan
istirahat, efek merokok dan alkohol</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Jelaskan tentang
teknik suction pada keluarga </span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 203.85pt;" valign="top" width="272">
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Data dasar untuk
pengkajian lebih lanjut</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Persiapan emergensi
terjadinya masalah akut pernapasan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Meningkatkan
pertukaran gas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menjaga
keseimbangan cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Melonggarkan
saluran pernapasan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mengurangi
kesulitan bernapas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mengurangi tingkat
kecemasan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menurunkan
kebutuhan energi pencernaan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Membantu menghemat
energi</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Dapat mengerjakan
sendiri di rumah jika memungkinkan</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN" style="text-transform: uppercase;"><span>F.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Implementasi dan evaluasi<span style="text-transform: uppercase;"></span></span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 48pt;" valign="top" width="64">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="IN" style="text-transform: uppercase;">no/dx</span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 150pt;" valign="top" width="200">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="IN" style="text-transform: uppercase;">Implementasi</span></b></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 2.75in;" valign="top" width="264">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b><span lang="IN" style="text-transform: uppercase;">evaluasi</span></b></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 48pt;" valign="top" width="64">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Dx 1.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Jam 08.30</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 150pt;" valign="top" width="200">
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan oksigen
sesuai program</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memonitor jumlah
pernapasan, penggunaan otot bantu pernapasan, batuk, bunyi paru, tanda vital,
warna kulit, AGD.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Melaksanakan
program pengobatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan posisi
fowler</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menyiapkan
alat-alat emergensi dalam koneksi baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan pendidikan
kesehatan: perubahan gaya hidup, menghindari alergen, tehnik bernapasdan
tehnik relaksasi</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 2.75in;" valign="top" width="264">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">S: Pasien mengtakan sesak napas berkurang</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">O: Pernapasan 24 x/mnt, O<sub>2 </sub>2 lt/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">A: Masalah teratasi sebagian</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">P: Lanjutkan intevensi</span></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 48pt;" valign="top" width="64">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Dx 2</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Jam 09.00</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 150pt;" valign="top" width="200">
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memonitor/kaji,
catat tanda vital, nyeri kesulitan bernapas, hasil laboratorium, reaksi
sternal, penggunaan otot bantu pernapasan, penggunaan oksigen, X ray.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menjaga alat
emergensi dan pengobatan tetap terhadap tersedia seperti ambu bag, ET, tube,
suction, oksegen.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan posisi
fowler/semi fowler</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Membatasi
pengunjung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan nutrisi
tinggi protein, rendah lemak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan
pendidikan kesehatan tentang: napas dalam, latihan bernapas, mobilisasi,
kebutuhan istirahat, efek merokok dan alkohol</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 2.75in;" valign="top" width="264">
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.6pt; text-align: justify; text-indent: -24.6pt;">
<span lang="IN" style="text-transform: uppercase;">S</span><span lang="IN">: Pasien
mengeluh sesak napas berkurang</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">O: TD:120/80, N; 80x/mnt</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">A: Masalah teratasi sebagian</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">P: Lanjutkan intervensi<span style="text-transform: uppercase;"></span></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: center;">
<b><span lang="IN">BAB IV</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: center;">
<b><span lang="IN">PEMBAHASAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN"><span>A.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengertian diagnosa yang
ditegakkan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tidak efektifnya pola
napas </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Kondisi dimana pola inhalasi dan ekshalasi
pasien tidak mampu karena adanya gangguan fungsi paru</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Gangguan pertukaran
gas </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Suatu kondisi dimana pasien mengalami
penurunan pengiriman oksigen dan karbondioksida diantara alveoli paru dan
sistem vaskuler.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN"><span>B.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Proses terjadinya diagnosa</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -37pt;">
<span lang="IN">Dx 1.
Tidak efektifnya pola napas mula-mula basil tuberculosis masuk paru menimbulkan
respon peradangan dan lesi primer pada alveoli yang mengakibatkan sekresi paru
meningkat selanjutnya terjadi penumpukan sekret pada jalan napas yang
mengakibatkan obstruksi jalan napas terjadi sesak napas yang menimbulkan pola
napas tidak efektif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -37pt;">
<span lang="IN">Dx 2.
Gangguan pertukaran gas berawal dari pemasukan O<sub>2</sub> ke paru yang
berlebihan juga karena adanya kerusakan parenkim pada paru menyebabkan proses
difusi pada alveoli terganggu yang menimbulkan kerusakan atau ganguan
pertukaran gas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -37pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<b><span lang="IN"><span>C.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Alasan mengapa diagnosa
tersebut ditegakkan atau di prioritaskan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<span lang="IN">Karena pada
klien TBC basil tuberculosis menyerang sistem pernapasan dengan produksi sekret
yang berlebihan, yang menimbulkan bersihan napas tidak efektif yang selanjutnya
mengganggu pola pernapasan dan pertukaran gas dialveoli dengan mengatasi
masalah pada sistem pernapasan kemungkinan terjadi gangguan pada sistem lain
dapat diminimalkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>D.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Rencana apa yang
ditetapkan untuk mengatasi masalah dan tindakan yang sudah dilakukan, apa
alasannya.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 48.8pt;" valign="top" width="65">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="IN">NO/DX</span></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 161.6pt;" valign="top" width="215">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="IN">IMPLEMENTASI</span></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 197.25pt;" valign="top" width="263">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="IN">ALASAN</span></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 48.8pt;" valign="top" width="65">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Dx 1.</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 161.6pt;" valign="top" width="215">
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan oksigen
sesuai program</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor jumlah
pernapasan, penggunaan otot bantu pernapasan,batuk, bunyi paru, tanda vital,
warna kulit, AGD tidak dilakukan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Melaksanakan
program pengobatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">memposisikan pasien
fowler</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Saksion dan terapi
inhalasi tak dilakukan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menjaga alat-alat
emergensi disiapkan dalam koneksi baik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan pendidikan
kesehatan: perubahan gaya hidup,menghindari alergen, tehnik bernapasdan
tehnik relaksasi</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 197.25pt;" valign="top" width="263">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 11.6pt; text-align: justify; text-indent: -11.6pt;">
<span lang="IN">2.Keterbatasan
sarana dan reagen laboratorium rumah sakit</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.6pt; text-align: justify; text-indent: -17.6pt;">
<span lang="IN">5. Keterbatasan
alat dan dimodifikasi dengan latihan pernapasan dan batuk efektif dan minum
hangat</span></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 48.8pt;" valign="top" width="65">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Dx 2.</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 161.6pt;" valign="top" width="215">
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memonitor/kaji,
catat tanda vital,nyeri kesulitan bernapas, hasil laboratorium, reaksi
sternal, penggunaan otot bantu pernapasan, penggunaan oksigen, X ray.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memonitor tanda
dehidrasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menjaga alat
emergenci dan pengobatan tetap terhadap tersedia seperti ambu bag, ET, tube,
suction, oksegen.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan posisi
fowler/semi fowler</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Membatasi
pengunjung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan nutrisi
tinggi protein, rendah lemak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan pendidikan
kesehatan tentang: napas dalam, latihan bernapas, mobilisasi, kebutuhan
istirahat, efek merokok dan alkohol</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 197.25pt;" valign="top" width="263">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 11.6pt; text-align: justify; text-indent: -11.6pt;">
<span lang="IN">2.Dapat
dimodifikasi dengan melihat tanda dehidrasi (turgor kuli)</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: 19pt;">
<span lang="IN">Perawat
tidak menuliskan apa yang dilakukan dan tidak juga membubuhi tanda tangan dan
nama terang, seharusnya tidak begitu. Semua itu bisa dilakukan untuk mengatasi
komplain dan tanggung gugat dari klien.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 17pt;">
<span lang="IN">Masalah kebutuhan dasar
manusia yang seharusnya muncul</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kebutuhan nutrisi:
Resiko nutrisi kurang dari kebutuhan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kebutuhan istirahat
dan tisur: Gangguan pola tidur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kebutuhan aktivitas:
Intoleransi aktivitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kebutuhan personal
hygiene: Resiko kurang perawatan diri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kebutuhan nutrisi: Resiko nutrisi kurang
darikebutuhan tubuh tidak ditegakkan karena biasanya pasien <span style="text-transform: uppercase;">kp</span> anoreksia disebabkan adanya sekret di
tenggorokan dan mengakibatkan mual dan dengan sendirinya bila sekret sudah
berkurang atau hilang maka anoreksia tidak terjadi. Dampak bila kebutuhan
nutrisi tidak ditegakkan menjadi diagnosa keperawatan maka dari resiko nutrisi
kurang dari kebutuhan akan menjadi nutrisi kurang dari kebutuhan dan akan
mengakibatkan masalah lain, Misal: intoleransi aktivitas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kebutuhan istirahat dan tidur tidak ditegakkan
karena dengan penanganan kebersihan jalan napas, pola napas kembali normal dan
kebutuhan istirahat tidur takterjadi gangguan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Kebutuhan aktivitas tidak ditegakkan karena saat
sakit klien tak terlalu banyak beraktivitas kalau hanya perawatan diri klien
masih dapat melakukannya sendiri karena pola napas sudah kembali normal.</span></div>
</div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-70123998097157263012012-04-20T00:33:00.001-07:002012-04-20T00:33:36.312-07:00Ovarian Induced bleeding<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">BAB I</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">PENDAHULUAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>A.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Latar Belakang</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;">
<span lang="IN">Ketika seorang wanita mengalami perdarahan
yang abnormal atau tidak terjadi perdarahan, masalah yang ada berhubungan
dengan fungsi yang abnormal dan hipothalamus-hipofisis yang menyebabkan supresi
produk gonadotropin, <i>ovarian-induced bleeding </i>oleh karena anovulasi,
kegagalan menyamakan produk gonadotropin dan estrogen yang menyebabkan
kegagalan ovulasi. Perdarahan uterus disfungsional (PUD) adalah perdarahan
uterus abnormal baik dari segi jumlah, frekuensi dan lamanya terjadi baik di
dalam maupun di luar siklus haid dan merupakan gejala klinis yang semata-mata
karena suatu gangguan fungsional mekanisme kerja poros
hipothalamus-hipofisisovarium-endometrium tanpa adanya kelainan organik alat
reproduksi. Angka kejadian PUD cukup tinggi karena hampir selalu terjadi pada
setiap wanita di mana PUD sering terjadi pada usia perimenars dan perimenopause
meskipun usia reproduksi pun tidak jarang mengalami PUD.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>B.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Tujuan Penulisan Makalah</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<span lang="IN">Adapun tujuan dari penulisan
makalah ini yaitu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><span lang="IN">Mahasiswa mengetahui
etiologi dari PUD.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><span lang="IN">Mahasiswa mengetahui diagnosis
dari PUD.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><span lang="IN">Mahasiswa mengetahui penanganan
PUD.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><span lang="IN">Mahasiswa mengetahui
kebutuhan dasar yang dibutuhkan oleh pasien yang mengalami PUD.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><span lang="IN">Mahasiswa mampu
memberikan asuhan kebutuhan dasarnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span></b>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">BAB II</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">KONSEP PENYAKIT</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-indent: -0.25in;">
<b><span lang="IN"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengertian</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 27pt;">
<span lang="IN">Perdarahan
bukan haid yaitu perdarahan yang terjadi dalam masa antara 2 haid. Perdarahan
ini tampak terpisah dan dapat dibedakan dari haid atau 2 jenis perdarahan ini
menjadi satu yang pertama dinamakan metroragia, yang kedua dinamakan
menometroragia. Keduanya dapat disebabkan oleh kelainan genital atau oleh
kelinan fungsional.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 27pt;">
<span lang="IN">Perdarahan
disfungsional yaitu perdarahan dari uterus yang tidak ada hubungannya dengan
sebab organic atau juga disebut disfungsional uteri bleeding (DUB)
(Wiknjosastro, H. 1999 ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 27pt;">
<span lang="IN">Perdarahan uterus disfungsional (PUD)
adalah perdarahan uterus abnormal baik dari segi jumlah, frekuensi, dan lamanya
yang terjadi baik di dalam maupun di luar siklus haid dan merupakan
gejala-gejala klinis yang semata-mata karena suatu gangguan fungsional
mekanisme kerja poros hipotalamus-hipofisis ovariumendometrium tanpa adanya kelainan
organik alat reproduksi (Alaydrus, 2006).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-indent: -0.25in;">
<b><span lang="IN"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Penyebab dan Faktor Predisposisi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 27pt;">
<span lang="IN">Penyebab
dari DUB yaitu selain dari sebab-sebab organik antara lain, adanya kelinan pada
:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Serviks uteri seperti
polipus servisis uteri, ulkus pada porsoi uteri, karsinoma servisis uteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Korpus uteri seperti
polip endometrium, abortus imminens, sarcoma uteri, karsinoma korpus uteri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tuba fallopi seperti
KET, radang tuba, tumor tuba.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ovarium seperti
radang ovarium, tumor ovarium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 27pt;">
<span lang="IN">Perdarahan
disfungsional dapat terjadi pada setiap umur antara menarche dan menopause.
Tetapi, kelainan ini lebih sering dijumpai sewaktu masa permulaan dan masa
akhir fungsi ovarium.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-indent: -0.25in;">
<b><span lang="IN"><span>C.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Patofisiologi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 27pt;">
<span lang="IN">Perdarahan uterus disfungsional dapat
terjadi pada siklus ovulatorik, anovulatorik maupun pada keadaan dengan folikel
persisten. Pada siklus ovulatorik, perdarahan dapat dibedakan menjadi:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Perdarahan pada pertengahan siklus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Perdarahan yang terjadi sedikit dan singkat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Penyebabnya karena rendahnya kadar estrogen.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Perdarahan akibat gangguan pelepasan endometrium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Biasanya terjadi banyak, memanjang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Penyebabnya adanya korpus luteum persisten, kadar
estrogen rendah sedang progesteron terus terbentuk.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Perdarahan bercak, pra haid dan pasca haid</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Hal ini disebabkan insufisiensi korpus luteum sedangkan pasca haid
disebabkan oleh karena defisiensi estrogen sehingga regenerasi endometrium
terganggu. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 27pt;">
<span lang="IN">Pada siklus
anovulatorik, dasar perdarahan pada keadaan ini adalah tidak adanya ovulasi
karena tidak terbentuk korpus luteum yang disebabkan oleh defisiensi
progesteron dan kelebihan estrogen. Pada perdarahan disfungsional yang
ovulatorik gangguan dianggap berasal dari faktor-faktor neuromuskuler,
vasomotorik, atau hematologik yang mekanismenya belum seberapa dimengerti
sedangkan perdarahan anovulatorik biasanya bersumber dari gangguan endokrin. Perdarahan
yang terjadi dapat normal, sedikit atau banyak dengan siklus yang teratur atau
tidak teratur. Perdarahan uterus disfungsional pada keadaan folikel persisten
sering dijumpai pada masa perimenopause dimana terjadi hiperplasi endometrium
oleh karena pengaruh estrogen baik jenis adenomatosa maupun atipik. Mula-mula
haid biasa kemudian terjadi perdarahan bercak yang selanjutnya dan diikuti
perdarahan yang makin banyak terus-menerus dan disertai gumpalan.</span><span lang="IN" style="font-size: 10pt; line-height: 150%;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 9pt;">
<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-indent: -0.25in;">
<b><span lang="IN"><span>D.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Manifestasi Klinik</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in;">
<span lang="IN">Manifestasi klinik dapat dilihat dari jenis
perdarahannya antara lain :</span></div>
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<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Perdarahan Ovulatorik </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Poligomenorea atau
oligomenorea.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kurve suhu badan
basal yang mengalami perubahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Apabila perdarahan
berasal dari endometrium tipe sekresi tanpa sebab organik maka dilihat
etiologinya : korpus luteum persistens, insufisiensi korpus luteum, apopleksia
uteri, kelainan darah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Perdarahan Anovulatorik </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perdarahan bersifat
siklik, kadang tidak teratur sama sekali.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Endometrium bersifat
hyperplasia kistik karena pengaruh estrogen.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 9pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-indent: -0.25in;">
<b><span lang="IN"><span>E.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pemeriksaan Penunjang</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-indent: -0.25in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">USG.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pemeriksaan sediaan endometrium dengan kerokan
atau swab.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-indent: -0.25in;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Tes darah.</span></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.15in;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.15in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.15in;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-indent: -0.25in;">
<b><span lang="IN"><span>F.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><span style="height: 605px; left: 0px; margin-left: 24px; margin-top: 24px; position: absolute; width: 509px; z-index: 251658240;"><img height="605" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="509" /></span><b><span lang="IN">Pathways</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="margin-left: 51.3pt; text-align: justify;">
<span> </span><span> </span></div>
<div class="MsoNormal" style="margin-left: 51.3pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 51.3pt; text-align: justify;">
<br /></div>
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<span> </span><span> </span><span> </span></div>
<div class="MsoNormal" style="margin-left: 51.3pt; text-align: justify;">
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<span> </span><span>
</span><span> </span></div>
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<div class="MsoNormal" style="margin-left: 51.3pt; text-align: justify;">
<span> </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
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<br /></div>
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span></b>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">BAB III</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">KONSEP KEBUTUHAN DASAR</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">CAIRAN DAN ELEKTROLIT</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>A.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengertian</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 27pt;">
<span lang="IN">Kebutuhan
cairan dan elektrolit adalah suatu proses dinamik karena metabolisme tubuh
membutuhkan perubahan yang tetap dalam berespons terhadap stressor fisiologis
dan lingkungan. Cairan dan elektrolit saling berhubungan, ketidakseimbangan
yang berdiri sendiri jarang terjadi dalam bentuk kelebihan atau kekurangan
(Tarwoto, 2003).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>B.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Anatomi dan Fisiologi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN">1. </span></b><span lang="IN">Anatomi dari jaringan kulit dan elektrolit dalam tubuh</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in;">
<b><span lang="IN"><img height="285" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image003.jpg" width="259" /><img height="286" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image005.jpg" width="229" /></span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.4in; text-align: justify; text-indent: -0.15in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Fisiologi Cairan dan
Elektrolit dalam tubuh</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.4in; text-align: justify;">
<span lang="IN">Rata-rata masukan air memasuki traktus
gastrointestinal sebagai air liur, getah lambung, empedu, getah pankreas dan
getah intestinal. Air berpindah menyeberangi dinding usus dengan cara osmosis
bila yang aktif secara osmotif misal Na<sup>+</sup> dan Cl <sup>–</sup>
diabsorbsi, air mengikuti dibelakangnya dan bila subtansi diekskresi ke dalam
lumen atau bila zat yang tidak dapat dapat diabsorbsi terdapat dalam makanan,
air mengalir dari sel atau antar sel dalam lumen. Aliran cairan dari usus
sebagian besar dirangsang oleh Na<sup>+</sup> dan Cl <sup>– </sup>tetapi pada
setiap kasus<span> </span>“pompa” Na<sup>+</sup> dan
K<sup>+</sup> (Na<sup>+</sup> -K-ATPase) yang terletak pada basolateral membran
sel merupakan peristiwa aktif menjaga konsentrasi Na<sup>+</sup> dalam sel
rendah dan potensial sel tinggi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.4in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>C.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Konsep Dasar</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Faktor-faktor yang
mempengaruhi keseimbangan cairan dan elektrolit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Usia; usia berkaitan
dengan luas permukaan tubuh, metabolisme yang diperlukan dan berat badan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Temperatur
lingkungan; dalam lingkungan dengan panas berlebihan, seseorang dapat
kehilangan NaCl melalui keringat sebanyak 15-30 gram/ hari.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Diet; pada saat tubuh
kekurangan nutrisi maka akan memecah cadangan energi, proses ini menimbulkan
pergerakan cairan dari intersisial ke intra selular.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Stress; stress dapat
menimbulkan peningkatan metabolisme sel, konsentrasi darah dan glikolisis otot,
mekanisme ini dapat menimbulkan retensi sodium dan air.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Sakit; pembedahan,
trauma jaringan, kelainan ginjal dan jantung, gangguan hormon, akan mengganggu
keseimbangan cairan dan elektrolit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pergerakan Cairan
Tubuh</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Mekanisme pergerakan cairan tubuh melalui
tiga proses yaitu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Difusi adalah proses
dimana partikel yang terdapat dalam cairan bergerak dari konsentrasi tinggi ke
konsentrasi rendah sampai terjadi keseimbangan. Cairan dan elektrolit didifusikan
menembus membran sel. Kecepatan difusi dipengaruhi oleh ukuran molekul,
konsentrasi larutan dan temperatur.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Osmosis adalah
bergeraknya pelarut bersih seperti air, melalui membran semi permeabel dari
larutan yang berkonsentrasi lebih rendah ke konsentrasi yang lebih tinggi yang
sifatnya menarik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Transport aktif
adalah bergeraknya bahan dari konsentrasi rendah ke konsentrasi tinggi karena
adanya daya aktif dari tubuh seperti pompa jantung.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pengaturan
Keseimbangan Cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Rasa dahaga.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">ADH (Anti Diuretik
Hormon).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Aldosteron</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Prostaglandin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Glukokortikoid</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Cara Pengeluaran
Cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Pengeluaran cairan terjadi melalui
organ-organ antara lain : ginjal, kulit, paru, gastrointestinal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pengaturan Elektrolit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Natrium (sodium)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Merupakan kation
paling banyak yang terdapat pada cairan ekstrasel.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Na<sup>+</sup>
mempengarui keseimbangan air, hantaran impuls saraf dan kontraksi otot.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Sodium diatur oleh
intake garam, aldosteron dan pengeluaran urin. Normalnya antara 35-45 mEq/ lt.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kalium (potasium)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Merupakan kation
utama cairan intrasel.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berfungsi sebagai
exitability neuromuskuler dan kontraksi otot.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Diperlukan untuk
pembentukan glikogen, sintesa protein, pengaturan keseimbangan cairan asam
basa, karena ion K<sup>+</sup> dapat diubah menjadi ion hidrogen (H<sup>+</sup>).
Nilai normalnya 3,5-5,5 mEq/lt.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kalsium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berguna untuk
integritas kulit dan struktur sel, konduksi jantung, pembekuan darah, dan
pembentukan tulang dan gigi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kalsium dalam cairan
ekstrasel diatur oleh kelenjar paratiroid dan tiroid.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hormon paratiroid
mengabsorpsi kalsium melalui gastrointestinal, sekresi melalui ginjal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hormon
thirocalsitonin menghambat penyerapan Ca<sup>++</sup> tulang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Magnesium nilai
normalnya 1,5-2,5 mEq/ lt.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Chlorida terdapat
pada cairan ekstrasel dan intrasel, nilai normalnya 95-105 mEq/ lt.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bikarbonat adalah
buffer kimia utama dalam tubuh.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Fosfat merupakan
anion buffer dalam cairan intrasel dan ekstrasel.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Masalah Keseimbangan
Cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hipovolemik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 27pt;">
<span lang="IN">Adalah
suatu kondisi akibat kekurangan volume cairan ekstra seluler (CES) dan dapat
terjadi karena kehilangan melalui kulit, ginjal, gastrointestinal, perdarahan
sehingga menimbulkan syok hipovolemik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 27pt;">
<span lang="IN">Mekanisme
kompensasinya adalah peningkatan rangsangan saraf simpatik ( peningkatan
frekuensi jantung, kontraksi jantung, dan tekanan vaskuler), rasa haus,
pelepasan hormon ADH dan aldosteron.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hipervolemik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="IN">Adalah penambahan/ kelebihan
volume CES dapat terjadi pada saat :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Stimulasi kronis
ginjal untuk menahan natrium dan air.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Fungsi ginjal
abnormal, dengan penurunan ekskresi natrium dan air.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kelebihan pemberian
cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perpindahan cairan
intersisiel ke plasma.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ketidakseimbangan
Asam Basa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Asidosis respiratorik
karena PCO3 berlebih dalam sistem pernafasan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Alkalosis
respiratorik karena PCO3 kurang dari 35 mmHg di dalam arteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Alkalosis metabolik,
kehilangan ion hidrogen atau penambahan basa pada cairan tubuh.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Asidosis metabolik,
kehilangan basa atau HCO3 turun di bawah 22 mmHg.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="IN">Perbandingan antara
bikarbonat, pH, dan PaCO3 pada gangguan asam basa :</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 41.4pt;">
<tbody>
<tr style="height: 21.7pt;">
<td style="border: 1pt solid windowtext; height: 21.7pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN">Gangguan asam
basa</span></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 21.7pt; padding: 0in 5.4pt; width: 90.85pt;" valign="top" width="121">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN">HCO3 plasma</span></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 21.7pt; padding: 0in 5.4pt; width: 73.1pt;" valign="top" width="97">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN">pH plasma</span></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 21.7pt; padding: 0in 5.4pt; width: 102.1pt;" valign="top" width="136">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN">PaCO3 plasma</span></div>
</td>
</tr>
<tr style="height: 22.5pt;">
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 22.5pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: justify;">
<span lang="IN">Asidosis metabolik</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 22.5pt; padding: 0in 5.4pt; width: 90.85pt;" valign="top" width="121">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN" style="font-family: Symbol;"><span>¯</span></span><span lang="IN"></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 22.5pt; padding: 0in 5.4pt; width: 73.1pt;" valign="top" width="97">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN" style="font-family: Symbol;"><span>¯</span></span><span lang="IN"></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 22.5pt; padding: 0in 5.4pt; width: 102.1pt;" valign="top" width="136">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN" style="font-family: Symbol;"><span>¯</span></span><span lang="IN"></span></div>
</td>
</tr>
<tr style="height: 21.7pt;">
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 21.7pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: justify;">
<span lang="IN">Alkalosis metabolik</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 21.7pt; padding: 0in 5.4pt; width: 90.85pt;" valign="top" width="121">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN" style="font-family: Symbol;"><span></span></span><span lang="IN"></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 21.7pt; padding: 0in 5.4pt; width: 73.1pt;" valign="top" width="97">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN" style="font-family: Symbol;"><span></span></span><span lang="IN"></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 21.7pt; padding: 0in 5.4pt; width: 102.1pt;" valign="top" width="136">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN" style="font-family: Symbol;"><span></span></span><span lang="IN"></span></div>
</td>
</tr>
<tr style="height: 21.7pt;">
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 21.7pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: justify;">
<span lang="IN">Asidosis respiratorik</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 21.7pt; padding: 0in 5.4pt; width: 90.85pt;" valign="top" width="121">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN" style="font-family: Symbol;"><span></span></span><span lang="IN"></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 21.7pt; padding: 0in 5.4pt; width: 73.1pt;" valign="top" width="97">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN" style="font-family: Symbol;"><span>¯</span></span><span lang="IN"></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 21.7pt; padding: 0in 5.4pt; width: 102.1pt;" valign="top" width="136">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN" style="font-family: Symbol;"><span></span></span><span lang="IN"></span></div>
</td>
</tr>
<tr style="height: 22.5pt;">
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 22.5pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168">
<div class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: justify;">
<span lang="IN">Alkalosis respiratorik</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 22.5pt; padding: 0in 5.4pt; width: 90.85pt;" valign="top" width="121">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN" style="font-family: Symbol;"><span>¯</span></span><span lang="IN"></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 22.5pt; padding: 0in 5.4pt; width: 73.1pt;" valign="top" width="97">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN" style="font-family: Symbol;"><span></span></span><span lang="IN"></span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 22.5pt; padding: 0in 5.4pt; width: 102.1pt;" valign="top" width="136">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN" style="font-family: Symbol;"><span>¯</span></span><span lang="IN"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin: 6pt 0in 0.0001pt 0.75in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<br /></div>
<b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span></b>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: center;">
<b><span lang="IN">BAB III</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: center;">
<b><span lang="IN">KONSEP ASUHAN KEPERAWATAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: center;">
<b><span lang="IN">KEBUTUHAN DASAR</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: center;">
<b><span lang="IN">CAIRAN DAN ELEKTROLIT</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>A.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengkajian</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Riwayat Keperawatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pemasukan dan
pengeluaran cairan dan makanan (oral, parenteral).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanda umum masalah
elektrolit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanda kekurangan dan
kelebihan cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Proses penyakit yang
menyebabkan gangguan homeostatis cairan dan elektrolit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pengobatan tertentu
yang sedang dijalani dapat mengganggu status cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Status perkembangan
seperti usia atau situasi sosial.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Faktor psikologis
seperti perilaku emosional yang mengganggu pengobatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pengukuran Klinik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berat badan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="IN">Kehilangan atau bertambahnya
berat badan menunjukkan adanya masalah keseimbangan cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><u><span lang="IN">+</span></u><span lang="IN"> 2 % termasuk kategori ringan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><u><span lang="IN">+</span></u><span lang="IN"> 5 % termasuk kategori sedang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><u><span lang="IN">+</span></u><span lang="IN"> 10 % termasuk kategori berat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="IN">Pengukuran dilakukan setiap
hari pada waktu yang sama.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Keadaan umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="IN">Pengukuran tanda vital seperti
suhu, tekanan darah, nadi dan pernafasan serta tingkat kesadaran.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pengukuran masukan
cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Cairan oral : NGT dan
oral.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Cairan parenteral
termasuk obat-obatan IV.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Makanan yang
cenderung mengandung air.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Irigasi kateter atau
NGT.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pengukuran keluaran
cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Urin : volune,
kejernihan atau kepekatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Feses : jumlah dan
konsistensinya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Muntah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tube drainase dan IWL
</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ukur keseimbangan cairan
dengan akurat, normalnya sekitar <u>+ </u>200 cc.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pemeriksaan Fisik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Pemeriksaan fisik pada kebutuhan cairan
dan elektrolit difokuskan pada :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Integumen : keadaan
turgor kulit, edema, kelelahan, kelemahan otot, tetanii dan sensasi rasa.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kardiovaskuler : distensi
vena jugularis, tekanan darah, hemoglobin, dan bunyi jantung.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mata : cekung, air
mata kering.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Neurologi : refleks,
gangguan motorik dan sensorik, tingkat kesadaran.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Gastrointestinal :
keadaan mukosa mulut, mulut dan lidah, muntah-muntah, dan bising usus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pemeriksaan Penunjang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Pemeriksaan elektrolit, darah lengkap, pH,
berat jenis urin, dan analisa gas darah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>B.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Diagnosa Keperawatan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<span lang="IN">Defisit volume cairan
berhubungan dengan perdarahan disfungsional pada uteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>C.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Fokus Intervensi dan
Rasional</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<span lang="IN">Tujuan yang diharapkan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mempertahankan
keseimbangan cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menunjukkan adanya
keseimbangan cairan seperti output urin adekuat, tekanan darah stabil, membran
mukosa mulut lembab, turgor kulit baik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Secara verbal pasien
mengatakan penyebab kekurangan cairan dapat teratasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<span lang="IN">Intervensi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ukur dan catat setiap
4 jam :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Intake dan output
cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor turgor kulit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanda-tanda vital.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor IV infus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Elektrolit, BUN,
hematokrit, dan hemoglobin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berat badan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Status mental.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : menentukan kehilangan dan
kebutuhan cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan makanan dan
minuman.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : memenuhi kebutuhan makan dan
minum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan pengobatan
untuk anti muntah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : menurunkan pergerakan usus
dan muntah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan support
verbal dalam pemberian cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : meningkatkan konsumsi yang
lebih.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Lakukan kebersihan
mulut sebelum makan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : meningkatkan nafsu makan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ubah posisi pasien
setiap 4 jam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : meningkatkan sirkulasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan pendidikan
kesehatan tentang :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Intake dan output
cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanda dan gejala
dehidrasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Terapi yang
diberikan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : meningkatkan informasi
kepada pasien dan kerja samanya.</span></div>
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">BAB IV</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">ASUHAN KEPERAWATAN </span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">PADA Ny. S DENGAN DISFUNGSIONAL UTERUS BLEEDING </span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">DI RUANG BOUGENVILLE RSUD TUGUREJO </span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">SEMARANG</span></b><span lang="IN"></span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>A.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">PENGKAJIAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Biodata </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Identitas pasien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Nama pasien<span> </span><span> </span>:
Ny. Suparmi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Umur<span> </span><span> </span>: 37 tahun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Jenis kelamin<span> </span><span> </span>:
Perempuan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Suku bangsa<span> </span><span> </span>:
Jawa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Agama<span> </span><span> </span>: Islam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>6)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Status perkawinan<span> </span><span> </span>:
Menikah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>7)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pendidikan<span> </span><span> </span>: SLTP</span></div>
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<span lang="IN"><span>8)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pekerjaan<span> </span><span> </span>: Ibu rumah tangga</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 225pt; text-align: justify; text-indent: -171pt;">
<span lang="IN"><span>9)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Alamat<span> </span>: Jl. Sri Yatno
Rt. 04/IV Kel. Purwoyoso kec. Ngaliyan</span></div>
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<span lang="IN"><span>10)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanggal masuk<span> </span><span> </span>:
17 Juni 2006</span></div>
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<span lang="IN"><span>11)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">No. Register<span> </span><span> </span>:
0606170001</span></div>
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<span lang="IN"><span>12)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Diagnosa medik<span> </span>:<span> </span>Disfungsional Uterus Bleeding (DUB)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Penanggung jawab</span></div>
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<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Nama<span> </span><span> </span>: Tn. Purnomo </span></div>
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<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Umur<span> </span><span> </span>: 33 tahun</span></div>
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<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Jenis kelamin<span> </span><span> </span>:
laki-laki</span></div>
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<span lang="IN"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pendidikan<span> </span><span> </span>: SLTP</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pekerjaan<span> </span><span> </span>: Swasta</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>6)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hubungan dengan pasien<span> </span>: Suami</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Riwayat kesehatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Keluhan utama<span> </span>:</span></div>
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<span lang="IN">Perdarahan pada jalan lahir.</span></div>
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<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Riwayat penyakit
sekarang<span> </span>:</span></div>
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<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Alasan dirawat di
rumah sakit<span> </span>: </span></div>
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<span lang="IN">Pasien dirawat di Rumah Sakit
karena adanya perdarahan hebat dari jalan lahir.</span></div>
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<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Faktor pencetus <span> </span>:</span></div>
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<span lang="IN">Adanya uterus miomatosus.</span></div>
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<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Lamanya keluhan<span> </span>:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;">
<span lang="IN">Pasien mengatakan sudah
mengalami perdarahan selama ± 1 bulan.</span></div>
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<span lang="IN"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Timbulnya keluhan<span> </span>:</span></div>
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<span lang="IN">Perdarahan muncul sejak 1
bulan yang lalu.</span></div>
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<span lang="IN"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Upaya yang dilakukan<span> </span>:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;">
<span lang="IN">Memeriksakan diri ke Puskesmas
setempat, mencari tahu informasi tentang perdarahan yang dialaminya pada tenaga
kesehatan di lingkungan tempat tinggalnya.</span></div>
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<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Riwayat perawatan dan
kesehatan dahulu :</span></div>
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<span lang="IN">Pernah memeriksakan ke dokter
spesialis kandungan (SpOG), pernah operasi appendisitis di RSUD TUGUREJO.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Riwayat kesehatan
keluarga <span> </span>:</span></div>
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<span lang="IN">Keluarga tidak ada yang
mempunyai penyakit kronis atau penyakit keturunan, seperti: Diabetes Mellitus,
kelainan sel darah, dan lain-lain.</span></div>
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<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pengkajian fisik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Penampilan atau
keadaan umum</span></div>
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<span lang="IN">Pada tanggal 17 Juni 2006 keadaan
umum lemah.</span></div>
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<span lang="IN">Pada tanggal 18 Juni sampai
dengan tanggal 23 Juni 2006 keadaan umum baik.</span></div>
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<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tingkat kesadaran<span> </span>: Composmentis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanda-tanda vital<span> </span>:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.75in; text-align: justify; text-indent: -2in;">
<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanggal 19 Juni 2006<span> </span>: TD 115/ 70 mmHg; Nadi 80 x/menit; RR
20 x/menit; Suhu 37<sup>0</sup>C.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.75in; text-align: justify; text-indent: -2in;">
<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanggal 20 Juni 2006<span> </span>: TD 120/ 70 mmHg; Nadi 112 x/menit; RR
58 x/menit; Suhu 37,5<sup>0</sup>C.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.75in; text-align: justify; text-indent: -2in;">
<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanggal 21 Juni 2006<span> </span>: TD 140/80 mmHg; Nadi 114 x/menit, RR
58 x/menit; Suhu 37,5<sup>0</sup>C.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.75in; text-align: justify; text-indent: -2in;">
<span lang="IN"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanggal 22 Juni 2006 <span> </span>: TD 120/70 mmHg; Nadi 112 x/menit; RR57
x/menit; Suhu 39<sup>0</sup>C.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.75in; text-align: justify; text-indent: -2in;">
<span lang="IN"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanggal 23 Juni 2006 <span> </span>: TD 120/80 mmHg; Nadi 110 x/menit; RR 56
x/menit; Suhu 37,5<sup>0</sup>C.</span></div>
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<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pengukuran
Antropometri<span> </span>: TB
155 cm; BB 41 Kg</span></div>
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<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kepala<span> </span>:
bentuk simetris dan tidak ada luka.</span></div>
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<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Rambut<span> </span>: hitam bergelombang, ketebalan cukup
dan bersih.</span></div>
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<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mata<span> </span>: konjungtiva mata tidak anemis,
masih mampu melihat dengan baik, tidak memakai alat bantu kacamata, dan tidak
ada sekret.</span></div>
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<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hidung<span> </span>: kebersihan hidung baik, tidak ada
nafas cuping hidung, pemakaian oksigen pada tanggal 22 Juni 2006.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Telinga<span> </span>: pendengaran baik tidak ada nyeri
ataupun sekret serta tidak ada pembengkakan dan tidak menggunakan alat bantu
dengar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mulut<span> </span>: keadaan bibir kering atau tidak
lembab, mukosa mulut agak kering, tidak ada bau mulut, kebersihan gigi dan gusi
baik.</span></div>
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<span lang="IN"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Genital</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.25in;">
<span lang="IN">Kebersihan daerah
genital dilakukan bidan/ perawat wanita</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ekstremitas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kuku bersih, kulit
cerah dan turfor kulit cukup, tidak ada edema.</span></div>
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<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Capilarry refill
kurang.</span></div>
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<span lang="IN"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Terpasang infus;
tidak ada tanda-tanda infeksi pada daerah tusukan infus, tidak ada nyeri pada
daerah tusukan infus.</span></div>
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<span lang="IN"><span>h.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kulit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Data Penunjang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hasil pemeriksaan
penunjang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pemeriksaan laborat </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Lab klinik rutin :
phisis : warna putih, kekeruhan : jernih; pH : 5,0; kimia : protein negatif,
reduksi negatif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pemeriksaan kadar Hb
dalam darah : tanggal 21 Juni 2006 kadar Hb 7,9 g/dl; pada tanggal 22 Juni 2006
kadar Hb 9,1 g/dl sampai sekarang (tanggal 23 Juni 2003).</span></div>
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<span lang="IN"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pemeriksaan Radiologi
tidak ada</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Diit yang diperoleh :
tidak ada pantangan makanan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Therapy : Ampicilin,
OBH sirup diminum 3 x sehari, NaCl diberikan 20 tts/ menit, Natabion diberikan
2x1 hari, cipro diberikan 3x1 hari, kalnex 3x1 hari, terpasang PRC (Packed Red
Cell)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>B.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengelompokan Data</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Data Subyektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pasien mengatakan
badan terasa lemas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pasien mengatakan
merasa haus dan ingin minum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pasien mengatakan
sesak nafas sulit untuk batuk (pada tanggal 22 Juni 2006).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pasien mengatakan
berat badannya turun.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Data Obyektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pasien tampak lemah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pasien turgor
kulitnya tampak kurang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN"><span> </span>Berat badan turun atau kurang.</span></div>
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>C.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Analisa Data</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt; width: 504px;">
<tbody>
<tr>
<td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36">
<div align="center" class="MsoNormal" style="line-height: 150%; margin: 6pt 0in 0.0001pt 0.25in; text-align: center; text-indent: -0.25in;">
<span lang="IN">No</span></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 135pt;" valign="top" width="180">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN">DATA FOKUS</span></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN">MASALAH
KEPERAWATAN</span></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN">ETIOLOGI</span></div>
</td>
<td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48">
<div align="center" class="MsoNormal" style="line-height: 150%; margin-top: 6pt; text-align: center;">
<span lang="IN">TT</span></div>
</td>
</tr>
<tr>
<td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">1</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 135pt;" valign="top" width="180">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">DS : pasien mengatakan lemas, pasien mengatakan
ingin minum, pasien mengatakan berat badannya turun.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">DO : pasien tampak lemah, turgor kulit kurang
baik, Hb rendah < normal, berat badan kurang.</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Gangguan pemenuhan kebutuhan cairan dan
elektrolit</span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="IN">Perdarahan </span></div>
</td>
<td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>D.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Diagnosa Keperawatan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<span lang="IN">Defisit volume cairan dan
elektrolit berhubungan dengan perdarahan disfungsional pada uterus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>E.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Rencana Keperawatan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<span lang="IN">Tujuan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.65in; text-align: justify; text-indent: -0.4in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Mempertahankan keseimbangan cairan dan elektrolit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.65in; text-align: justify; text-indent: -0.4in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Menunjukkan adanya keseimbangan cairan den
elektrolit yang adekuat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.65in; text-align: justify; text-indent: -0.4in;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Secara verbal pasien mengatakan kekurangan cairan
dapat teratasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<span lang="IN">Intervensi dan Rasionalnya :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ukur dan catat setiap
4 jam : intake dan output cairan, monitor turgor kulit, tanda-tanda vital,
monitor IV infus, berat badan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : menentukan kehilangan dan
kebutuhan cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan atau pasang
infus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : untuk keseimbangan cairan
dan elektrolit serta memudahkan dalam memberikan obat injeksi IV.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan makanan dan
minuman</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : memenuhi kebutuhan makan dan
minum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan pengobatan
untuk anti muntah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : menurunkan pergerakan usus
dan muntah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan support
verbal dalam pemberian cairan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : meningkatkan konsumsi yang
lebih.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Lakukan kebersihan
mulut sebelum makan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : maningkatkan nafsu makan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ubah posisi pasien
setiap 4 jam</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : meningkatkan sirkulasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan pendidikan
kesehatan tentang :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Intake dan Output
cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanda dan gejala
dehidrasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Terapi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : meningkatkan informasi dan
kerja sama.</span></div>
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">BAB V</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">PEMBAHASAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">(ANALISA SINTESA)</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>A.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Data Fokus</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Data Subyektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Pasien mengatakan lemas, pasien mengatakan
ingin minum, pasien mengatakan berat badannya turun.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Data Obyektif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Pasien tampak lemah, turgor kulit kurang
baik, Hb rendah < normal, berat badan pasien kurang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>B.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Masalah Keperawatan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<span lang="IN">Gangguan pemenuhan kebutuhan
cairan dan elektrolit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>C.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Rencana Tindakan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<span lang="IN">Pemberian cairan dan elektrolit
melalui infus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>D.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Prosedur Tindakan dan
Rasionalnya</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Cuci tangan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Raionalnya : mengurangai transmisi
mikroorganisme.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Atur peralatan disamping yang bebas di atas meja
tempat tidur.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionelnya : mengurangi resiko
kontaminasi dan kecelakaan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Buka kemasan steril dengan teknik aseptik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : mencegah kontaminasi pada
objek steril.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Untuk pemberian cairan IV :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Periksa larutan
menggunakan lima benar pemberian obat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="IN">Rasionalnya : pemberian obat
harus hati-hati dan harus diperiksa dengan benar untuk mengurangi resiko
kesalahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bila menggunakan
larutan IV dalam botol, lepaskan penutup logam dan lempeng karet dan logam di
bawah penutup, untuk kantong larutan IV plastik lepaskan lapisan plastik di
atas port selang IV.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="IN">Rasionalnya : memungkinkan
masuknya selang infus ke dalam larutan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Buka set infus,
mempertahankan sterilitas pada kedua ujung.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="IN">Rasionalnya : mencegah bakteri
memasuki peralatan infus dan aliran darah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pasang klem rol
sekitar 2-4 cm di bawah bilik drip dan pindahkan klem rol pada posisi off.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="IN">Rasionalnya : jarak terdekat
klem rol ke bilik drip memungkinkan pengaturan kecepatan aliran lebih akurat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tusukkan set infus ke
dalam kantong atau botol cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="IN">Rasionalnya : untuk memasukkan
selang infus ke dalam botol atau kantong cairan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Isi selang infus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">
<span lang="IN">Rasionalnya : untuk mencegah
udara masuk ke dalam selang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pilih jarum IV yang tepat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : perlu untuk pungsi vena dan
memasukkan cairan IV.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Pilih tempat distal vena yang digunakan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : bila terjadi sklerosis atau
kerusakan vena, tempat proksimal dari vena yang sama masih dapat digunakan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Bila terdapat banyak rambut pada tempat penusukan
perlu dihilangkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : mengurangi resiko
kontaminasi dari bakteri pada rambut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<span lang="IN"><span>8.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">bila mungkin letakkan ekstremitas pada posisi
dependen.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : memungkinkan dilatasi vena
dan visibilitas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.5in;">
<span lang="IN"><span>9.<span style="font: 7pt "Times New Roman";">
</span></span></span><span dir="LTR"></span><span lang="IN">Letakkan torniket 10-12 cm di atas tempat
penusukan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : tidak terdapatnya aliran
arterial menghambat pengisian vena.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kenakan sarung tangan
sekali pakai, pelindung mata dan masker dapat digunakan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : untuk proteksi diri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>11.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Letakkan ujung
adapter jarum perangkat infus dekat dengan kassa steril atau handuk.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : memungkinkan penghubungan
infus yang cepat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>12.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pilih vena yang
terdilatasi baik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : memungkinkan mendapatkan
tempat penusukan yang baik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>13.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Disinfeksi lokasi
tusukan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : mengurangi resiko
kontaminasi bakteri di kulit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>14.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Lakukan pungsi vena
lalu tusukkan jarum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : mengurangi resiko
tertusuknya dinding vena posterior.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>15.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perhatikan keluarnya
darah melalui selang jarum kupu-kupu atau bilik flashback ONC. Jangan
menusukkan kembali stilet bila telah melepasnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : penusukan kembali stilet
dapat menyebabkan kerusakan kateter dalam vena.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>16.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tahan kateter dengan
satu tangan, lepaskan torniket dan lepaskan stilet dari ONC.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : memungkinkan aliran vena,
mengurangi aliran balik darah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>17.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Lepaskan klem roler
untuk memulai infus pada kecepatan yang ditentukan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : mencegah pembekuan vena
serta obstruksi aliran larutan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>18.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Amankan/ viksasi
kateter atau jarum IV</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : agar tidak terjadi
pergeseran dari jarum IV.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>19.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Atur kecepatan
tetesan yang tepat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : mempertahankan aliran IV
yang tepat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>20.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tuliskan tanggal dan
waktu pemasangan serta ukuran jarum pada balutan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : memberikan kecepatan akses
data.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>21.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Lepaskan sarung
tangan, singkirkan alat-alat dan cuci tangan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : mengurangi transmisi
mikroorganisme.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>22.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Catat pada catatan
perawatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Rasionalnya : mencatat pemberian terapi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>E.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Hasil Observasi/ Pengamatan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<span lang="IN">Semua prosedur tindakan dilakukan
perawat akan tetapi perawat tidak melakukan cuci tangan sebelum melakukan
tindakan serts tidak memakai hanscoon. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>F.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pembahasan/ Analisa Sintesa</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Perawat belum mencuci
tangan sebelum melakukan tindakan disebabkan karena untuk mempersingkat waktu
karena tindakan perawat banyak, sudah terbiasa tidak cuci tangan dahulu sebelum
tindakan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Resikonya : dapat terjadi transmisi
mikroorganisme.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Modifikasinya : diberikan tambahan
informasi kepada perawat, pemasangan prosedur tetap pada ruangan setiap
tindakan harus diawali dan diakhiri dengan mencuci tangan agar perawat dapat
diingatkan oleh pasien atau yang menunggu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;">
<span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pemakaian handscoon
sering dilupakan perawat karena persediaan handscoon sekali pakai terbatas dan
membutuhkan waktu untuk memakai dan melepas </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Resikonya : proteksi diri perawat kurang
sehingga resiko tertularnya suatu penyakit sangat besar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">
<span lang="IN">Modifikasinya : disediakan dana tersendiri
untuk pembelian handscoon sekali pakai, apabila tidak ada dana dapat memakai
handscoon yang bekas kemudian dicuci sampai bersih dan didisinfeksi.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">BAB VI</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b><span lang="IN">KESIMPULAN DAN SARAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>A.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Kesimpulan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<span lang="IN">Dari pembahasan di atas yang
kami sampaikan dapat diambil kesimpulan bahwa dalam melakukan tindakan
keperawatan diperlukan ketelitian dan ketaatan terhadap prosedur tetap tindakan
ataupun yang telah dimodifikasi supaya dalam memberikan pelayanan kepada
masyarakat benar-benar profesional serta mengurangi semua resiko yang mungkin
terjadi dalam melakukan suatu tindakan keperawatan. Selain itu kerja sama
dengan pihak-pihak terkait di dalam suatu instansi yang baik dapat meningkatkan
kinerja dan profesionalisme yang tinggi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;">
<b><span lang="IN"><span>B.<span style="font: 7pt "Times New Roman";">
</span></span></span></b><span dir="LTR"></span><b><span lang="IN">Saran</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;">
<span lang="IN">Instansi kesehatan dalam
memberikan pelayanan kepada masyarakat agar lebih ditingkatkan agar derajat
kesehatan masyarakat lebih tinggi serta penghargaan masyarakat untuk tenaga
kesehatan bisa lebih baik.</span></div>
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" />
</span>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: center; text-indent: -27pt;">
<b><span lang="IN">DAFTAR PUSTAKA</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 27pt; text-align: center; text-indent: -27pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 27pt; text-align: justify; text-indent: -27pt;">
<span lang="IN">Alaydrus, N. 2006. <i>Perdarahan Uterus Disfungsional</i>.
Retrieved from http//www.sisroom.blogspot.com</span></div>
<div class="MsoNormal" style="margin-left: 27pt; text-align: justify; text-indent: -27pt;">
<span lang="IN">Anonim. 2006. <i>Kebutuhan Cairan dan Elektrolit.</i>
Retrieved from http//www. sisroom.blogspot.com</span></div>
<div class="MsoNormal" style="margin-left: 27pt; text-align: justify; text-indent: -27pt;">
<span lang="IN">Despopoulos, A.,
Silbergnagl, S. 1998. <i>Atlas Berwarna
& Teks Fisiologi.</i> Jakarta : Hipokrates</span></div>
<div class="MsoNormal" style="margin-left: 27pt; text-align: justify; text-indent: -27pt;">
<span lang="IN">Kusyati, E,. Wahyuningsih,
R.D., Fuauziyah, N. 2003. <i>Keterampilan
dan Prosedur Perawatan Dasar.</i> Semarang : Akper Karya Husada</span></div>
<div class="MsoNormal" style="margin-left: 27pt; text-align: justify; text-indent: -27pt;">
<span lang="IN">Tarwoto, Wartonah. 2003. <i>Kebutuhan Dasar Manusia dan Proses
Keperawatan.</i> Jakarta : Salemba Medika</span></div>
<div class="MsoNormal" style="margin-left: 27pt; text-align: justify; text-indent: -27pt;">
<span lang="IN">Wiknjosastro, H. 2002. <i>Ilmu Kebidanan. </i>Jakarta : Yayasan Bina
Pustaka Sarwono Prawirohardjo</span></div>
<span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt;"><br clear="all" style="page-break-before: always;" />
</span></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-41284675683984353272012-03-14T22:13:00.002-07:002012-03-14T22:13:18.108-07:00GLAUKoma<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowComments/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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</style> <![endif]--> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB I</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PENDAHULUAN</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: -14.2pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Latar Belakang</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma merupakan penyakit yang terjadi akibat gangguan tekanan intraokuler pada mata. Oleh karena itu glaukoma dapat mengganggu penglihatan yang perlu diwaspadai. Tidak hanya itu, glaucoma juga dapat membawa pada kebutaan. Contohnya pada kasus glaucoma yang terjadi di Amerika Serikat, glaucoma beresiko 12% pada kebutan (Luckman & Sorensen, 2004).</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menurut data dari WHO pada tahun 2002, penyebab kebutaan paling utama di dunia adalah katarak (47,8%), galukoma (12,3%), uveitis (10,2%), <i>age-related mucular degeneration</i> (AMD) (8,7%), trakhoma (3,6%), corneal apacity (5,1%), dan diabetic retinopathy (4,8%). Namun sesungguhnya hal ini bisa dicegah dengan pemeriksaan tonometri rutin. Sehingga tidak sampai terjadi hal fatal seperti kebutaan. Jika seseorang tidak pernah melakukan pemeriksaan tonometri, sedang ia baru mendapati dirinya glaukoma yang sudah fatal, maka tindakan yang bisa diambil adalah operasi yang dapat menyebabkan masalah tersendiri pada penderitanya. Apalagi hasil dari operasi belum tentu sesuai dengan harapan. Misalnya, operasi tersebut berujung pada kebutaan. Oleh karena itu, kita perlu malakukan pengukuran tonometri rutin dan juga memahami proses keperawatan pada klien glaukoma. Supaya sebagai perawat tentunya dapat memberikan asuhan keperawatan secara efektif dan efisien.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 21.25pt;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: -14.2pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan Umum</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menjelaskan konsep dan proses keperawatan pada penyakit glaukoma.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan Khusus</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Setelah mengikuti pembelajaran diharapkan mahasiswa mampu;</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menjelaskan definisi penyakit glaucoma</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menyebutkan dan menjelaskan penyakit glaucoma</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menjelaskan patofisiologi penyakit glaucoma</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menyebutkan dan menjelaskan penyakit glaucoma</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menjelaskan manifestasi klinik penyakit glaucoma</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menjelaskan pemeriksaan diagnostic penyakit glaucoma</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menjelaskan kompikasi penyakit glaucoma</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>h.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menjelaskan penatalaksanaan penyakit glaucoma</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>i.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menjelaskan dan menerapkan asuhan keperawatan pada klien dengan masalah penyakit glaucoma</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span></b> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB II</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-indent: -14.2pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Definisi Glaukoma</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma adalah suatu kelainan mata berupa rusaknya serabut syaraf optik pada daerah sekitar tempat keluar bola mata. Glaukoma berasal dari kata Yunani “<i>glaukos</i>” yang berarti hijau kebiruan, yang memberikan kesan warna tersebut pada pupil penderita glaukoma. Kelainan mata glaukoma ditandai dengan meningkatnya tekanan bola mata, atrofi saraf optikus dan menciutnya lapang pandang. </span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Glaukoma adalah </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">suatu</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"> penyakit yang memberikan gambaran klinik berupa peningkatan tekanan bola mata, penggaungan papil saraf optik dengan defek lapang pandangan mata (Sidarta Ilyas,2000).</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Glaukoma adalah kelompok penyakit mata yang disebabkan oleh tingginya tekanan bola mata sehingga menyebabkan rusaknya saraf optik yang membentuk bagian-bagian retina retina di belakang bola mata. Saraf optik menyambung jaringan-jaringan penerima cahaya (retina) dengan bagian dari otak yang memproses informasi pengelihatan.</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menurut glaukoma merupakan suatu kumpulan penyakit yang mempunyai karakteristik umum neuropatik yang berhubungan dengan hilangnya fungsi penglihatan. Walaupun kenaikan tekanan intra okuler adalah satu dari resiko primer, ada atau tidaknya faktor ini tidak merubah definisi penyakit (Herman, 2010).</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma bukanlah sebuah penyakit, melainkan kekomplekan dari gangguan tekanan intraokuler yang mana mempunyai karakteristik gejala peningkatan tekanan intraokular pada orang dewasa.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Normalnya, tekanan intraokular adalah 10-20 mmHg. Jika hasil pemeriksaan tekanan bola mata lebih dari 20, maka patut curiga terhadap adanya glaukoma. Apabla hasil menunjukkan angka lebih dari 25, maka dipastikan orang tersebut terkena glaukoma. T</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">ekanan intraokuler menjadi sangat patologik, k</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">a</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">d</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">an</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">g m</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">eningkat secara</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"> cepat sampai 60 dan 70 mmHg. </span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penegakan diagnosa bisa dengan pemeriksaan tonometri (pemeriksaan tekanan bola mata). Pengukuran tonometri rutin ini penting, untuk mengidentifikasi adanya glaukoma sebelum mata terkena bahaya permanen dari peningkatan tekanan di dalamnya.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma biasanya diderita oleh klien yang berumur di atas 40 tahun. Pada orang yang memiliki kecenderungan hereditas glaukoma dalam keluarganya, mereka harus melakukan pengukuran tonometri ritin setiap hari (Luckman, 1980).</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dari beberapa definisi tersebut, dapat disimpulakan bahwa glaukoma adalah penyakit mata yang terjadi karena peningkatan tekanan bola mata dan mempengaruhi kepekaan atau kejelasan penglihatan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: -14.2pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Etiologi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify;"><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Terdapat 3 faktor penting yang menentukan tekanan bola mata, yaitu:</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Jumlah produksi akuos oleh badan siliar</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Tahanan aliran akuos humor yang melalui sistem trabekular meshwork-kanalis Schlem</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Level dari tekanan vena episklera</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">P</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">eningkatan TIO disebabkan oleh peningkatan tahanan aliran akuos humor.</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Penyakit yang ditandai dengan peningkatan tekanan intraokuler ini disebabkan oleh: </span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Bertambahnya produksi cairan mata oleh badan siliar</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Berkurangnya pengeluaran cairan mata di daerah sudut bilik mata atau di celah pupil.</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Faktor-</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">faktor</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"> resiko dari glaukoma adalah (Sidharta, 2009):</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Umur</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Resiko glaukoma bertambah tinggi dengan bertambahnya usia. Terdapat 2% dari populasi usia 40 tahun yang terkena glaukoma. Angka ini akan bertambah dengan bertambahnya usia.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Riwayat anggota keluarga yang terkena glaukoma</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Untuk glaukoma jenis tertentu, anggota keluarga penderita glaukoma mempunyai resiko 6 kali lebih besar untuk terkena glaukoma.Resiko terbesar adalah kakak-adik kemudian hubungan orangtua dan anak-anak</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">.</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Tekanan bola mata</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Tekanan bola mata diatas 21 mmHg beresiko tinggi terkena glaukoma.Meskipun untuk sebagian individu, tekanan bola mata yang lebih rendah sudah dapat merusak saraf optik.Untuk mengukur tekanan bola mata dapat dilakukan di rumah sakit mata atau pada dokter spesialis mata.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Obat-obatan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Pemakai steroid secara rutin misalnya pemakai obat tetes mata yang mengandung steroid yang tidak dikontrol oleh dokter, obat inhaler untuk penderita asma, obat steroid untuk radang sendi, dan pemakai obat secara rutin lainnya.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Riwayat trauma (luka kecelakaan) pada mata.</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Riwayat penyakit diabetes (kencing manis), hipertensi, dan migren.</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Glaukoma adalah bagian penyakit mata yang menyebabkan proses hilangnya pengelihatan,</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">tetapi proses ini dapat dicegah dengan obat-obatan, terapi laser dan pembedahan. Perlu dicatat bahwa setelah terjadi hilangnya pengelihatan yang disebabkan oleh glaukoma, maka hal ini tidak dapat disembuhkan kembali, maka sangat penting untuk mencegah atau menghentikan proses hilangnya penglihatan ini.</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: -14.2pt;"><b><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>C.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Patofisiologi</span></b><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Aqu</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">ou</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">s humor secara kontiniu diproduksi oleh badan silier (sel epitel prosesus ciliary bilik mata belakang</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">) </span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">untuk memberikan nutrien pada lensa. Aqu</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">o</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">us humor mengalir melalui jaring-jaring trabekuler, pupil, bilik mata depan, trabekuler mesh work dan kanal schlem. Tekanan Intra Okuler (TIO) dipertahankan dalam batas 10-21 mmHg tergantung keseimbangan antara produksi dan pegeluaran (aliran) AqH di bilik mata depan. </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Drainase aqueous melalui sudut kamera anterior yang mengandung jaringan trabekular dan kanal Schlemm dan menuju jaringan vena episklera (Barbara, 1999).</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perjalanan aliran aqueous humor 80-90% melalui jaringan trabekular, namun 10% melalui <i>ciliary body face</i>, yang disebut jalur uveoskleral. Berdasarkan fisiologi dari sekresi dan ekskresi cairan aqueous, maka terdapat tiga faktor utama yang berperan dalam meningkatnya tekanan intraokular, antara lain:</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kecepatan produksi aqueous humor oleh badan siliar</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Resistensi aliran aqueous humor melalui jaringan trabekular dan kanal Schlemm</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tekanan vena episklera</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tekanan </span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">intraokular</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> normal yang secara umum diterima adalah 10-21 mmHg. </span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Peningk</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">a</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">tan TIO akan menekan aliran darah ke syaraf optik dan retina sehingga dapat merusak serabut syaraf optik menjadi iskemik dan mati. Selanjutnya menyebabkan kerusakan jaringan yang dimula dari perifer menuju ke fovea sentralis.Hal ini menyebabkan penurunan lapang pandang yang dimulai dari derah nasal atas dan sisa terakhir pada temporal (Sidarta, 2009).</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: -14.2pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>D.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Klasifikasi Glaukoma</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Banyak sekali pola yang digunakan untuk mengklasifikasikan glaukoma, namun, klasifikasi yang secara luas digunakan adalah glaukoma sudut terbuka dan glaukoma sudut tertutup, karena pembagian tersebut terfokus pada </span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">patofisiologi</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> terjadinya glaukoma dan merupakan titik awal ditentukannya penatalaksanaan klinis yang sesuai.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Klasifkasi Vaughen untuk glaukoma adalah:</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma Primer</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma primer adalah glaukoma yang tidak berhubungan dengan penyakit mata atau sistenik yang menyebabkan meningkatnya resistensi aliran aqueous humor. Glaukoma primer biasanya terjadi pada kedua mata.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma Sudut Terbuka (Glaukoma Simpleks)</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma primer sudut terbuka merupakan glaukoma yang tidak diketahui penyebabnya dan ditandai dengan sudut bilik mata terbuka. Glaukoma primer sudut terbuka merupakan penyakit kronis dan progresif lambat dengan atrofi dan <i>cupping</i> dari papil nervus optikus dan pola gangguan lapang pandang yang khas. Glaukoma primer sudut terbuka memiliki kecenderungan familial.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pada umumnya, glaukoma primer sudut terbuka terjadi pada usia lebih dari 40 tahun. Prevalensi juga lebih tinggi pada orang berkulit gelap atau berwarna dibandingkan dengan orang berkulit putih.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gambaran patologi utama pada glaukoma sudut terbuka adalah proses degeneratif di jalinan trabekular, termasuk pengendapan bahan ekstrasel di dalam jalan trabekular dan di bawah lapisan endotel kanalis <i>Schlemm</i>. Akibatnya adalah penurunan drainase aqueous humor yang menyebabkan peningkatan tekanan intra okuler.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tekanan intraokuler merupakan faktor resiko utama untuk glaukoma primer sudut terbuka. Terdapat faktor resiko lain yang berhubungan dengan glaukoma primer sudut terbuka, yaitu; miopia, diabetes mellitus, hipertensi dan oklusi vena sentralis retina.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sifat onsetnya yang samar serta perjalanannya yang progresif lambat maka timbulnya gejalanya pun lambat dan tidak disadari sampai akhirnya berlanjut dengan kebutaan. Keluhan pasien biasanya sangat sedikit atau samar, misalnya mata terasa berat, kepala pusing sebelah, dan anamnesis tidak khas lainnya. Biasanya pasien tidak mengeluh adanya halo dan tidak tampak mata merah. Tekanan intraokuler sehari-hari biasanya tinggi atau lebih dari 20 mmHg. Akibat tekanan tinggi akan terbentuk atrofi papil serta ekskavasio glaukomatosa. Kerusakan dimulai dari tepi lapang pandang, dengan demikian penglihatan sentral tetap baik, sehingga penderita seolah-olah melihat melalui teropong.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diagnosis glaukoma primer sudut terbuka ditegakkan apabila ditemukan kelainan-kelainan glaukomatosa pada diskus optikus dan lapangan pandang disertai peningkatan tekanan intraokuler, sudut kamera anterior terbuka dan tampak normal, dan tidak ditemukan sebab lain yang dapat meningkatkan tekanan intraokuler.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma Sudut Tertutup</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien yang menderita glaukoma primer sudut tertutup cenderung memiliki segmen anterior yang kecil dan sempit, sehingga menjadi faktor predisposisi untuk timbulnya <i>pupillary block</i> relatif. Resiko terjadinya hal tersebut meningkat dengan bertambahnya usia, seiring dengan berkembangnya lensa dan pupil menjadi miosis.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma Primer Sudut Tertutup Akut</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma primer sudut tertutup akut adalah kondisi yang timbul saat TIO meningkat secara cepat akibat blokade relatif mendadak dari jaringan trabekular. Hal ini dapat menimbulkan manifestasi berupa rasa sakit, penglihatan buram, halo, mual dan muntah. Peningkatan TIO yang tinggi menyebabkan edema epitel kornea yang bertanggung jawab dalam timbulnya keluhan penurunan penglihatan. Tanda-tanda pada glaukoma sudut tertutup akut antara lain:</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 92.15pt; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">TIO yang tinggi</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 92.15pt; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pupil yang lebar dan terkadang irreguler</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 92.15pt; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Edema epitel kornea</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 92.15pt; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kongesti pembuluh darah episkleral dan konjungtiva</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 92.15pt; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kamera okuli anterior yang sempit</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Selama serangan akut, TIO cukup tinggi sehingga dapat menyebabkan gangguan nervus optikus dan oklusi pembuluh darah retina. Sinekia anterior perifer dapat terbentuk dengan cepat dan TIO yang tinggi menyebabkan terjadinya iskemia sehingga dapat terjadi atrofi sektoral dari iris. Atrofi pada iris menimbulkan pelepasan pigmen iris dan pigmen-pigmen tersebut menempel dan mengotori permukaan iris dan endotel kornea. Akibat iskemia iris, maka pupil dapat berdilatasi dan terfiksasi.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diagnosis pasti didapatkan dengan gonioskopi. Gonioskopi juga membantu menentukan apakah blokade iris dan jaringan trabekular reversibel atau irreversibel.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma Primer Sudut Tertutup Subakut</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma primer sudut tertutup subakut (intermiten) adalah kondisi yang ditandai dengan adanya penglihatan yang buram, halo, dan rasa sakit yang ringan, disertai dengan peningkatan TIO. Gejala ini membaik dengan sendirinya, terutama selama tidur, dan muncul kembali secara periodik dalam hitungan hari atau minggu. Diagnosis yang tepat dapat dibantu ditegakkan dengan pemeriksaan gonioskopi.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma Primer Sudut Tertutup Kronis</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma primer sudut tertutup kronis merupakan kondisi yang timbul setelah glaukoma sudut tertutup akut atau saat sudut kamera anterior tertutup secara bertahap dan tekanan intraokuler meningkat secara perlahan. Gejala klinisnya serupa dengan glaukoma primer sudut terbuka, yaitu keluhan yang samar, cupping papil nervus optikus yang progresif dan gangguan lapang pandang glaukomatosa. Sehingga, pemeriksaan gonioskopi diperlukan untuk menentukan diagnosis yang tepat.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma Kongenital</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma kongenital primer atau infantil adalah glaukoma yang timbul sesaat setelah lahir sampai beberapa tahuh pertama setlah kelahiran. Selain itu, glaukoma kongenital juga dapat timbul menyertai anomali kongenital lainnya.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma infantil atau dikenal dengan istilah buphthalmos, dipercaya terjadi akibat displasia dari sudut kamera anterior tanpa disertai abnormalitas okular dan sistemik lainnya. Terdapat dua teori yang menerangkan patofisiologi terjadinya glaukoma infantil, yaitu; terjadi abnormalitas membran atau sel pada jaringan trabekular, sehingga jaringan trabekuler menjadi impermeabel; teori lain mengatakan bahwa terjadi anomali luas pada kamera okuli anterior termasuk insersi abnormal dari muskulus siliaris. Dengan adanya anomali-anomali tersebut, maka aliran aqueous akan terganggua dan terjadi pembendungan aqueous humor, maka akan timbul buphtalmos karena jaringan sklera pada neonatus masih lunak.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Keadaan klinis yang khas dari glaukoma infantil adalah trias klasik pada bayi baru lahir, yaitu; epifora, fotofobia, dan blefarospasme. Diagnosis tergantung dari pemeriksaan klinis yang hati-hati, termasuk pemeriksaan TIO, pengukuran diameter kornea, gonioskopi dan oftalmoskopi.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma Sekunder</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma sekunder adalah glaukoma yang berhubungan dengan penyakit mata atau sistemik yang menyebabkan menurunnya aliran aqueous humor. Glaukoma sekunder sering terjadi hanya pada satu mata.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma sekunder merupakan glaukoma yang diketahui penyebab yang menimbulkannya. Glaukoma sekunder dapat terlihat dalam bentuk sudut tertutup maupun sudut terbuka. Kelainan-kelainan tersebut dapat terletak pada:</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sudut bilik mata, akibat goniosinekia, hifema, leukoma adheren dan kontusi sudut bilik mata</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pupil, akibat seklusio dan oklusi relatif pupil</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Badan siliar, seperti rangsangan akibat luksasio lensa</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Beberapa penyakit yang dapat menimbulkan glaukoma, yaitu:</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Uveitis, dimana glaukoma terjadi akibat adanya sinekia anterior maupun posterior, penimbunan sel radang di sudut bilik mata dan seklusio pupil yang biasanya disertai dengan iris bombé.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasca trauma serta ulkus kornea, yang mengakibatkan leukoma adheren sehingga bilik mata tertutup dan mengganggu aliran aqueous humor.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hifema, akan mengakibatkan tersumbatnya sudut bilik mata</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma yang disebabkan oleh lensa. Katarak yang immatur akan menyerap cairan sehingga ukurannya membesar sehingga menyumbat sudut bilik mata, sedangkan katarak yang hipermatur, lensa akan pecah dan komposisi lensa dapat menyumbat sudut bilik mata. Pascabedah katarak, yang mengakibatkan terbentuknya sinekia dan terbentuknya blokade pupil akibat radang di daerah pupil.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma Absolut</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma absolut merupakan stadium akhir glaukoma dimana sudah terjadi kebutaan total. Pada glaukoma absolut, kornea terlihat keruh, bilik mata dangkal, papil atrofi dengan ekskavasio galukomatosa, mata keras seperti batu dan dengan rasa sakit. Mata dengan kebutaan ini mengakibatkan penyumbatan pembuluh darah sehingga menimbulkan penyulit berupa neovaskularisasi pada iris.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kelainan mata yang dapat menyebabkan glaukoma antara lain:</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kelainan lensa</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kelainan uvea</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Trauma</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasca bedah</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma absolut</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Berdasarkan lamanya, glaukoma diklasifikasikan sebagai berikut:</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma Akut</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Definisi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma akut adalah penyakit mata yang disebabkan oleh tekanan intraokuler yang meningkat mendadak sangat tinggi.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Etiologi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dapat terjadi primer, yaitu timbul pada mata yang memiliki bakat bawaan berupa sudut bilik mata depan yang sempit pada kedua mata, atau secara sekunder sebagai akibat penyakit mata lain. Yang paling banyak dijumpai adalah bentuk primer, menyerang pasien usia 40 tahun atau lebih.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Faktor Predisposisi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pada bentuk primer, faktor predisposisinya berupa pemakaian obat-obatan midriatik, berdiam lama di tempat gelap, dan gangguan emosional. Bentuk sekunder sering disebabkan hifema, luksasi/subluksasi lensa, katarak intumesen atau katarak hipermatur, uveitis dengan suklusio/oklusio pupil dan iris bombe, atau pasca pembedahan intraokuler.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Manifestasi klinik</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 78pt; text-align: justify; text-indent: -21.3pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mata terasa sangat sakit. Rasa sakit ini mengenai sekitar mata dan daerah belakang kepala.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 78pt; text-align: justify; text-indent: -21.3pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Akibat rasa sakit yang berat terdapat gejala gastrointestinal berupa mual dan muntah, kadang-kadang dapat mengaburkan gejala glaukoma akut.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 78pt; text-align: justify; text-indent: -21.3pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tajam penglihatan sangat menurun.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 78pt; text-align: justify; text-indent: -21.3pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Terdapat halo atau pelangi di sekitar lampu yang dilihat.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 78pt; text-align: justify; text-indent: -21.3pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Konjungtiva bulbi kemotik atau edema dengan injeksi siliar.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 78pt; text-align: justify; text-indent: -21.3pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(6)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Edema kornea berat sehingga kornea terlihat keruh.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 78pt; text-align: justify; text-indent: -21.3pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(7)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bilik mata depan sangat dangkal dengan efek tyndal yang positif, akibat timbulnya reaksi radang uvea.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 78pt; text-align: justify; text-indent: -21.3pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(8)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pupil lebar dengan reaksi terhadap sinar yang lambat.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 78pt; text-align: justify; text-indent: -21.3pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(9)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan funduskopi sukar dilakukan karena terdapat kekeruhan media penglihatan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 78pt; text-align: justify; text-indent: -21.3pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(10)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tekanan bola mata sangat tinggi.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 78pt; text-align: justify; text-indent: -21.3pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>(11)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tekanan bola mata antara dua serangan dapat sangat normal.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan Penunjang</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengukuran dengan tonometri Schiotz menunjukkan peningkatan tekanan. Perimetri, Gonioskopi, dan Tonografi dilakukan setelah edema kornea menghilang.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penatalaksanaan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penderita dirawat dan dipersiapkan untuk operasi. Dievaluasi tekanan intraokuler (TIO) dan keadaan mata. Bila TIO tetap tidak turun, lakukan operasi segera. Sebelumnya berikan infus manitol 20% 300-500 ml, 60 tetes/menit. Jenis operasi, iridektomi atau filtrasi, ditentukan berdasarkan hasil pemeriksaab gonoskopi setelah pengobatan medikamentosa.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma Kronik</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Definisi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma kronik adalah penyakit mata dengan gejala peningkatan tekanan bola mata sehingga terjadi kerusakan anatomi dan fungsi mata yang permanen.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Etiologi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Keturunan dalam keluarga, diabetes melitus, arteriosklerosis, pemakaian kortikosteroid jangka panjang, miopia tinggi dan progresif.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Manifestasi klinik</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gejala-gejala terjadi akibat peningkatan tekanan bola mata. Penyakit berkembang secara lambat namun pasti. Penampilan bola mata seperti normal dan sebagian tidak mempunyai keluhan pada stadium dini. Pada stadium lanjut keluhannya berupa pasien sering menabrak karena pandangan gelap, lebih kabur, lapang pandang sempit, hingga kebutaan permanen.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan Penunjang</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan tekanan bola mata dengan palpasi dan tonometri menunjukkan peningkatan. Nilai dianggap abnormal 21-25 mmHg dan dianggap patologik diatas 25 mmHg.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pada funduskopi ditemukan cekungan papil menjadi lebih lebar dan dalam, dinding cekungan bergaung, warna memucat dan terdapat perdarahan papil. Pemeriksaan lapang pandang akan menyempit, depresi bagian nasal, tangga Ronne, atau skotoma busur.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penatalaksanaan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien diminta datang teratur 6 bulan sekali, dinilai tekanan bola mata dan lapang pandang. Bila lapang pandang semakin memburuk, meskipun hasil pengukuran tekanan bola mata dalam batas normal, terapi ditingkatkan. Dianjurkan olahraga dan minum sedikit-sedikit.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: -14.2pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>E.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Manifestasi Klinis Glaukoma</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menurut Harnawartiaj (2008) umumnya dari riwayat keluarga ditemukan anggota keluarga dalam garis vertical atau horizontal memiliki penyakit serupa, penyakit ini berkembang secara perlahan namun pasti, penampilan bola mata seperti normal dan sebagian besar tidak menampakan kelainan selama stadium dini. Pada stadium lanjut keluhan klien yang mincul adalah sering menabrak akibat pandangan yang menjadi jelek atau lebih kabur, lapangan pandang menjdi lebih sempit hingga kebutaan secara permanen. Gejala yang lain adalah:</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mata merasa dan sakit tanpa kotoran. </span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kornea suram. </span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Disertai sakit kepala hebat terkadang sampai muntah.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kemunduran penglihatan yang berkurang cepat.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nyeri di mata dan sekitarnya.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Udema kornea. </span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pupil lebar dan refleks berkurang sampai hilang. </span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Lensa keruh.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menurut Sidharta Ilyas (2004) glaucoma akan memperlihatkan gejala sebagai berikut:</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tekanan bola mata yang tidak normal </span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rusaknya selaput jala </span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menciutnya lapang penglihatan akibat rusaknya selaput jala yang dapat </span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Berakhir dengan kebutaan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: -14.2pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>F.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan Diagnostik</span></b></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Oftalmoskopi : Untuk melihat fundus bagian mata dalam yaitu retina, discus optikus macula dan pembuluh darah retina.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Tonometri : Adalah alat untuk mengukurtekanan intra okuler, nilai mencurigakan apabila berkisar antara 21-25 mmhg dan dianggap patologi bila melebihi 25 mmhg. </span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan lampu-slit : Lampu-slit digunakan untuk mengevaluasi oftalmik yaitu memperbesar kornea, sclera dan kornea inferior sehingga memberikan pandangan oblik kedalam tuberkulum dengan lensa khusus.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Kartu mata Snellen/mesin Telebinokular (tes ketajaman penglihatan dan sentral penglihatan) : Mungkin terganggu dengan kerusakan kornea, lensa, aquous atau vitreus humor, kesalahan refraksi, atau penyakit syaraf atau penglihatan ke retina atau jalan optik.</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Gonioskopi ; adalah suatu cara untuk menilai lebar sempitnya sudut bilik mata depan. Dengan demikian dapat dibedakan glaucoma sudut terbuka atau sudut tertutup, juda dapat dilihat apakah ada perlekatan iris bagian perifer.</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan Ultrasonografi.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Ultrasonografi adalah gelombang suara yang dapat digunakan unutk mengukur dimensi dan struktur okuler. Ada dua tipe ultrasonografi yaitu :</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">A-Scan-Ultrasan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Berguna untuk membedakan tumor maligna dan benigna, mengukur mata untuk pem</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">a</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">sangan implant lensa okuler dan memantau adanya glaucoma congenital.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">B-Scan-Ultrasan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Berguna unt</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">u</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">k mendeteksi dan mencari bagian struktur dalam mata yang kurang jelas akibat adanya katarak dan abnormalitas la</span><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">in.</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: -14.2pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>G.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Komplikasi </span></b></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify;"><span lang="IN" style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;">Jika tidak diobati, bola mata akan terus membesar dan bisa mengakibatkan </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">kebutaan.</span><span style="font-family: "inherit","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: -14.2pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>H.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penatalaksanaan Glaukoma</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: 28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan utama terapi glaukoma adalah dengan menurunkan tekanan intraokular serta meningkatkan aliran humor aquos (drainase) dengan efek samping yang minimal. Penangananya meliputi:</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penatalaksanaan Medis</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma Primer</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemberian tetes mata Beta blocker (misalnya timolol, betaxolol, carteolol, levobunolol atau <i>metipranolol</i>) yang kemungkinan akan mengurangi pembentukan cairan di dalam mata dan TIO.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pilocarpine untuk memperkecil pupil sehingga iris tertarik dan membuka saluran yang tersumbat.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Obat lainnya yang juga diberikan adalah epinephrine, dipivephrine dan <b><i>carbacol</i></b> (untuk memperbaiki pengaliran cairan atau mengurangi pembentukan cairan)</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Minum larutan gliserin dan air biasa untuk mengurangi tekanan dan menghentikan serangan glaukoma.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bisa juga diberikan <i>inhibitor</i> karbonik <i>anhidrase</i> (misalnya <i>acetazolamide</i>).</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>6)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pada kasus yang berat, untuk mengurangi tekanan biasanya diberikan manitol <i>intravena</i> (melalui pembuluh darah).</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma<b> S</b>ekunder</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengobatan glaukoma sekunder tergantung kepada penyebabnya. Jika penyebabnya adalah peradangan, diberikan corticosteroid dan obat untuk melebarkan pupil. Kadang dilakukan pembedahan.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Glaukoma<b> </b>Kongenitalis </span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Untuk mengatasi Glaukoma kongenitalis perlu dilakukan pembedahan. Apabila obat tidak dapat mengontrol glaukoma dan peningkatan TIO menetap, maka terapi laser dan pembedahan merupakan alternatif.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Terapi Laser</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Laser iridotomy melibatkan pembuatan suatu lubang pada bagian mata yang berwarna (iris) untuk mengizinkan cairan mengalir secara normal pada mata dengan sudut sempit atau tertutup (<i>narrow or closed angles</i>).</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Laser <i>trabeculoplasty</i> adalah suatu prosedur laser dilaksanakan hanya pada mata-mata dengan sudut-sudut terbuka (open angles). Laser <i>trabeculoplasty</i> tidak menyembuhkan glaukoma, namun sering dilakukan daripada meningkatkan jumlah obat-obat tetes mata yang berbeda-beda. Pada beberapa kasus-kasus, dia digunakan sebagai terapi permulaan atau terapi utama untuk <i>open-angle</i> glaukoma. Prosedur ini adalah metode yang cepat, tidak sakit, dan relatif aman untuk menurunkan tekanan <i>intraocular</i>. Dengan mata yang dibius dengan obat-obat tetes bius, perawatan laser dilaksanakan melalui lens kontak yang berkaca pada sudut mata (<i>angle of the eye</i>). <i>Microscopic</i> laser yang membakar sudut mengizinkan cairan keluar lebih leluasa dari kanal-kanal pengaliran.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Laser <i>cilioablation</i> (juga dikenal sebagai penghancuran badan ciliary atau <i>cyclophotocoagulation</i>) adalah bentuk lain dari perawatan yang umumnya dicadangkan untuk pasien-pasien dengan bentuk-bentuk yang parah dari glaukoma dengan potensi penglihatan yang miskin. Prosedur ini melibatkan pelaksanaan pembakaran laser pada bagian mata yang membuat cairan aqueous (<i>ciliary body</i>). Pembakaran laser ini menghancurkan sel-sel yang membuat cairan, dengan demikian mengurangi tekanan mata.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Terapi Pembedahan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Trabeculectomy adalah suatu prosedur operasi mikro yang sulit, digunakan untuk merawat glaukoma. Pada operasi ini, suatu potongan kecil dari trabecular meshwork yang tersumbat dihilangkan untuk menciptakan suatu pembukaan dan suatu jalan kecil penyaringan yang baru dibuat untuk cairan keluar dari mata. Untk jalan-jalan kecil baru, suatu bleb penyaringan kecil diciptakan dari jaringan conjunctiva (conjunctival tissue). Conjunctiva adalah penutup bening diatas putih mata. Filtering bleb adalah suatu area yang timbul seperti bisul yang ditempatkan pada bagian atas mata dibawah kelopak atas. Sistim pengaliran baru ini mengizinkan cairan untuk meninggalkan mata, masuk ke bleb, dan kemudian lewat masuk kedalam sirkulasi darah kapiler (capillary blood circulation) dengan demikian menurunkan tekanan mata. Trabeculectomy adalah operasi glaukoma yang paling umum dilaksanakan. Jika sukses, dia merupakan alat paling efektif menurunkan tekanan mata.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><i><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Viscocanalostomy</span></i><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> adalah suatu prosedur operasi alternatif yang digunakan untuk menurunkan tekanan mata. Dia melibatkan penghilangan suatu potongan dari sclera (dinding mata) untuk meninggalkan hanya suatu membran yang tipis dari jaringan melaluinya cairan aqueous dapat dengan lebih mudah mengalir. Ketika dia lebih tidak invasiv dibanding <i>trabeculectomy</i> dan <i>aqueous shunt surgery</i>, dia juga bertendensi lebih tidak efektif. Ahli bedah kadangkala menciptakan tipe-tipe lain dari sistim pengaliran (<i>drainage systems</i>). Ketika operasi glaukoma seringkali efektif, komplikasi-komplikasi, seperti infeksi atau perdarahan, adalah mungkin. Maka, operasi umumnya dicadangkan untuk kasus-kasus yang dengan cara lain tidak dapat dikontrol.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt;"><br />
</div><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span></b> <div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB III</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ASUHAN KEPERAWATAN GLAUKOMA</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: -14.2pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengkajian</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Anamnesa</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Anamnesa yang dapat dilakukan pada klien dengan katarak adalah:</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Identitas / Data Biografi</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Berisi nama, usia, jenis kelamin, alamat, dan keterangan lain mengenai identitas pasien.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Riwayat penyakit sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Merupakan penjelasan dari keluhan utama. Misalnya yang sering terjadi pada pasien dengan katarak adalah penurunan ketajaman penglihatan.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Riwayat penyakit dahulu</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Adanya riwayat penyakit sistemik yang di miliki oleh pasien seperti DM, hipertensi, pembedahan mata sebelumnya, dan penyakit metabolic lainnya memicu resiko katarak.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Riwayat Kesehatan Keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pada pengkajian klien dengan gangguan mata (katarak); kaji riwayat keluarga apakah ada riwayat diabetes atau gangguan sistem vaskuler, kaji riwayat stress, alergi, gangguan vasomotor seperti peningkatan tekanan vena, ketidakseimbangan endokrin dan diabetes, serta riwayat terpajan pada radiasi, steroid / toksisitas fenotiazin.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 14.2pt; text-align: justify; text-indent: -14.2pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diagnosa Keperawatan dan Intervensi</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nyeri b.d peningkatan tekanan intra okuler (TIO) yang ditandai dengan mual dan muntah.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan: Nyeri hilang atau berkurang</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kriteria hasil:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien mendemonstrasikan pengetahuan akan penilaian pengontrolan nyeri</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien mengatakan nyeri berkurang/hilang</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ekspresi wajah rileks</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Intervensi:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kaji tipe intensitas dan lokasi nyeri</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kaji tingkatan skala nyeri untuk menentukan dosis analgesik</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Anjurkan istirahat ditempat tidur dalam ruangan yang tenang</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Atur sikap fowler 30<sup>0</sup> atau dalam posisi nyaman.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hindari mual, muntah karena ini akan meningkatkan tio</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Alihkan perhatian pada hal-hal yang menyenangkan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Berikan analgesik sesuai anjuran</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan persepsi sensori: penglihatan b.d gangguan penerimaan; gangguan status organ ditandai dengan kehilangan lapang pandang progresif.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan : Penggunaan penglihatan yang optimal</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kriteria Hasil :</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien akan berpartisipasi dalam program pengobatan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien akan mempertahankan lapang ketajaman penglihatan tanpa kehilangan lebih lanjut.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Intervensi :</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pastikan derajat/tipe kehilangan penglihatan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional : Sementara intervensi dini mencegah kebutaan, pasien menghadapi kemungkinan/mengalami pengalaman kehilangan penglihatan sebagian atau total.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dorong mengekspresikan perasaan tentang kehilangan/ kemungkinan kehilangan penglihatan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Mempengaruhi harapan masa depan pasien dan pilihan intervensi.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tunjukkan pemberian tetes mata, contoh menghitung tetesan, menikuti jadwal, tidak salah dosis.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Mengontrol TIO, mencegah kehilangan penglihatan lanjut.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Lakukan tindakan untuk membantu pasien yang mengalami keterbatasan penglihatan, contoh, kurangi kekacauan,atur perabot, ingatkan memutar kepala ke subjek yang terlihat; perbaiki sinar suram dan masalah penglihatan malam.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Menurunkan bahaya keamanan b/d perubahan lapang pandang atau kehilangan penglihatan dan akomodasi pupil thd sinar lingkungan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kolaborasi obat sesuai dengan indikasi.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Memisahkan badan siliar dr sclera untuk memudahkan aliran keluar akueus humor.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ansietas b.d faktor fisiologis, perubahan status kesehatan, adanya nyeri, kemungkinan/kenyataan kehilangan penglihatan ditandai dengan ketakutan, ragu-ragu, menyatakan masalah tentang perubahan kejadian hidup.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan : Cemas hilang atau berkurang</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kriteria Hasil :</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien tampak rileks dan melaporkan ansitas menurun sampai tingkat dapat diatasi.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien menunjukkan ketrampilan pemecahan masalah.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien menggunakan sumber secara efektif.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Intervensi:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kaji tingkat ansitas, derajat pengalaman nyeri/timbul nya gejala tiba-tiba dan pengetahuan kondisi saat ini.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional : Faktor ini mempengaruhi persepsi pasien terhadap ancaman diri, potensial siklus insietas, dan dapat mempengaruhi upaya medik untuk mengontrol TIO.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Berikan informasi yang akurat dan jujur.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Menurunkan ansiets b/d ketidak tahuan / harapan yang akan datang dan memberikan dasar fakta untuk membuat pilihan info ttg pengobatan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dorong pasien untuk mengakui masalah dan mengekspresikan perasaan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Memberi kesempatan pasien menerima situasi nyata, mengklarifikasi salah konsepsi dan pemecahan masalah.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Identifikasi sumber/orang yang menolong.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Memberikan keyakinan bhw pasien tdk sendiri dlm menghadapi masalah.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -14.15pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kurang pengetahuan (kebutuhan belajar) tentang kondisi, prognosis, dan pengobatan b.d kurang terpajan/tak mengenal sumber, kurang mengingat, salah interpretasi, ditandai dengan ;pertanyaan, pernyataan salah persepsi, tak akurat mengikuti instruksi, terjadi komplikasi yang dapat dicegah.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan: Klien mengetahui tentang kondisi,prognosis dan pengobatannya.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kriteria Hasil:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien menyatakan pemahaman kondisi, prognosis, dan pengobatan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mengidentifikasi hubungan antar gejala/tanda dengan proses penyakit.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Melakukan prosedur dengan benar dan menjelaskan alasan tindakan.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Intervensi:</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diskusikan perlunya menggunakan identifikasi, </span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tunjukkan tehnik yang benar pemberian tetes mata.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Meningkatkan keefektifan pengobatan. Memberikan kesempatan pasien menunjukan kompetensi dan menanyakan pertanyaan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Izinkan pasien mengulang tindakan.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kaji pentingnya mempertahankan jadwal obat, contoh tetes mata. Diskusikan obat yang harus dihindari, contoh midriatik, kelebihan pemakaian steroid topikal.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Penyakit ini dapat di control dan mempertahankan konsistensi program obat adalah control vital. Beberapa obat menyebabkan dilatasi pupil, peningkatan TIO dan potensial kehilangan penglihatan tambahan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Identifikasi efek samping/reaksi merugikan dari pengobatan (penurunan nafsu makan, mual/muntah, kelemahan, jantung tak teratur, dll).</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Dapat mempengaruhi rentang dari ketidak nyamanan sampai ancaman kesehatan berat.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dorong pasien membuat perubahan yang perlu untuk pola hidup.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Pola hidup tenang menurunkan respon emosi thd stres, mencegah perubahan okuler yang mendorong iris kedepan, yang dpt mencetuskan serangan akut.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dorong menghindari aktivitas,seperti mengangkat berat/mendorong, menggunakan baju ketat dan sempit.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Dapat meningkatkan TIO yang mencetuskan serangan akut.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>h.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diskusikan pertimbangan diet, cairan adekuat dan makanan berserat.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Mempertahankan konsistensi feses untuk menghindari konstipasi.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>i.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tekankan pemeriksaan rutin.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional: Untuk mengawasi kemajuan penyakit dan memungkinkan intervensi dini dan mencegah kehilangan penglihatan lanjut.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt;"><br />
</div><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span></b> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB IV</span></b></div><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">DAFTAR PUSTAKA</span></b></div><div align="center" class="MsoNormal" style="line-height: normal; margin-bottom: 0.0001pt; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Anonim. 2009. <i>Kumpulan artikel tentang glaukoma</i>. Available from : http://puskesmassimpangempat.wordpress.com/2009/08/14/kumpulan-artikel-tentang-glaukoma.</span></div><div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Anonim. 2007. <i>World Glaucoma Day (hal </i>1-2). Available from http : www.mazdabalikpapan.com/asuhan-keperawatan-pada-penyakit-mata-glukoma.html.</span></div><div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Anonim. 2008. <i>Askep Glaukoma</i>. Available from http://harnawatiaj.wordpress.com/2008/03/09/glaukoma-2.</span></div><div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Barbara, dkk. 1999. <i>Keperawatan Medikal Bedah. </i>EGC, Jakarta.</span></div><div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Hartono. 2007. <i>Oftalmoskopidasar dan klinis</i>. Yogyakarta : Pustaka Cendekia</span></div><div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Herman. 2010.<i> Prevalensi kebutaan akibat glaukoma. Available from http:repository.usu.ac.id/bitstream/123456789/6399/1/10E00177.pdf.</i></span></div><div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Ilyas, Sidarta. 2009. <i>Ilmu penyakit mata</i>. Jakarta : Balai penerbit FKUI.</span></div><div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Ilyas, Sidarta. 2009. <i>Dasar-dasar pemeriksaan dalam ilmu penyakit mata</i>. Edisi 3. Jakarta : Balai Pustaka.</span></div><div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Ilyas, Sidarta. 2004. <i>Masalah kesehatan mata anda dalam pertanyaan- pertanyaan.</i> Edisi 2. Jakarta : FKUI.</span></div><div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Luckman & Sorensen. 2004. <i>Medical-Surgical Nursing a Psychophysiologic Approach. </i>United States of America: W.B. Sunders Company (1986-1990).</span></div><div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt;">Marilynn, dkk.1999. <i>Rencana Asuhan Keperawatan. </i>Edisi 3. Jakarta : EGC.</span></div><div class="MsoNormal" style="line-height: normal; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -28.35pt;"><br />
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</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-14389597026590278872012-02-26T18:30:00.001-08:002012-02-26T18:30:30.178-08:00peritoneal Dialisa<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if !mso]> <style>
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</style> <![endif]--> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB I</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PENDAHULUAN</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">A.</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Latar Belakang</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: 0.5in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ginjal merupakan organ penting dalam tubuh dan berfungsi untuk membuang sampah metabolisme dan racun tubuh dalam bentuk urin / air seni, yang kemudian dikeluarkan dari tubuh.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> Ginjal-ginjal mempunyai kemampuan untuk memonitor jumlah cairan tubuh, konsentrasi-konsentrasi dari elektrolit-elektrolit seperti sodium dan potassium, dan keseimbangan asam-basa dari tubuh. Ketika ginjal mengalami gangguan dan tidak dapat menjalankanfungsinya maka kan mengakibatkan komplikasi yang sistemik. Maka diperlukan adanya pencucian ( dialisa ) untuk mengurangi komplikasi yang lebih lanjut.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">C.</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 0.0001pt; text-indent: -0.25in;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan Umum</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.5in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mahasiswa mampu melakukan asuhan Keperawatan Medikal Bedah khususnya Sistem Perkemihan pada pasien dengan gangguan sistem perkemihan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 0.0001pt; text-indent: -0.25in;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan Khusus</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mahasiswa mampu melakukan pengkajian asuhan keperawatan pada pasien dengan gangguan sistem perkemihan</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mahasiswa mampu mengidentifikasi masalah keperawatan pada pasien dengan gangguan sistem perkemihan.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mahasiswa mampu memprioritaskan masalah keperawatan pada pasien dengan gangguan sistem perkemihan.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mahasiswa mampu melakukan intervensi keperawatan pada pasien dengan gangguan sistem perkemihan.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mahasiswa mampu melakukan implementasi keperawatan pada pasien dengan gangguan sistem perkemihan.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; 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</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB II</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">TINJAUAN PUSTAKA</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">A.</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> <b>Pengertian Peritoneal Dialisis</b></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: 31.5pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Peritoneal</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> d</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ialisis</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> suatu m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">etode pencucian darah dengan mengunakan peritoneum (selaput yang melapisi perut dan pembungkus organ perut). Cairan dimasukkan melalui sebuah selang kecil yang menembus dinding perut ke dalam rongga perut. Cairan harus dibiarkan selama waktu tertentu sehingga limbah metaboli</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">k</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> dari aliran darah secara perlahan masuk ke dalam cairan tersebut, kemudian cairan dikeluarkan, dibuang, dan diganti dengan cairan yang baru.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: 31.5pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Peritoneum berfungsi sebagai membran semipermiabel yang memungkinkan transfer sisa nitrogen/toksin dan cairan dari darah ke dalam cairan dialisat. Dialisis Peritoneal dipilih karena menggunakan teknik yang lebih sederhana dan memberikan perubahan fisiologis lebih bertahap daripada hemodialis</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: 40.5pt;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Etiologi</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><span lang="IN"><a href="http://2.bp.blogspot.com/-w3s2qn8GIz0/TZ74WvO4E7I/AAAAAAAAACk/gkZroQ3NoM0/s1600/Peritoneal_dialysis.gif"><span lang="EN-US" style="color: windowtext; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%; text-decoration: none;"><span><img alt="http://2.bp.blogspot.com/-w3s2qn8GIz0/TZ74WvO4E7I/AAAAAAAAACk/gkZroQ3NoM0/s1600/Peritoneal_dialysis.gif" border="0" height="274" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="252" /></span></span></a></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
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</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penatalaksanaan</span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: 0.5in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Cairan dialysis 2 L dimasukkan dalam rongga peritoneum melalui catheter tunchoff, didiamkan untuk waktu tertentu (6 – 8 jam) dan peritoneum bekerja sebagai membrane semi permeable untuk mengambil sisa-sisa metabolisme dan kelebihan air dari darah.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: 0.5in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Osmosis, difusi dan konveksi akan terjadi dalam rongga peritoneum. Setelah dwell time selesai cairan akan dikeluarkan dari rongga peritoneum melalui catheter yang sama, proses ini berlangsung 3 – 4 kali dalam sehari selama 7 hari dalam seminggu.</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: 0.5in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sebelum melakukan Dialisis peritoneal, perlu dibuat akses sebagai tempat keluar masuknya cairan dialisat (cairan khusus untuk dialisis) dari dan ke dalam rongga perut (peritoneum). Akses ini berupa kateter yang “ditanam” di dalam rongga perut dengan pembedahan. Posisi kateter yaitu sedikit di bawah pusar. Lokasi dimana sebagian kateter muncul dari dalam perut disebut “<b><i>exit site</i>”.</b></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: -0.25in;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>C.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Patofisiologi</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Difusi</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a. </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Membrane peritoneum menyaring solute dan air dari darah ke rongga peritoneum </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">dan sebaliknya melalui difusi.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify; text-indent: 0.05pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b. Difusi adalah proses perpindahan solute dari daerah yang berkonsentrasi tinggi ke <span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify; text-indent: 0.05pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>daerah yang berkonsentrasi rendah, dimana proses ini berlangsung ketika cairan </span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify; text-indent: 0.05pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span><span> </span>dialisat dimasukkan ke dalam rongga peritoneum.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -14.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> <span> </span>c. Konsentrasi cairan CAPD lebih rendah dari plasma darah, karena cairan plasma <span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -14.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>banyak mengandung toksin uremik. Toksin </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">uremik berpindah dari plasma ke cairan </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span><span lang="IN"></span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -14.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">CAPD.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Osmosi</span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">s</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a. A</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">dalah perpindahan air melewati membrane semi permeable dari daerah solute </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">yang berkonsentrasi rendah (kadar air tinggi) ke daerah solute berkonsentrasi tinggi </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span><span lang="IN"></span></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">(kadar air rendah). Osmosis dipengaruhi oleh tekanan osmotic dan hidrostatik antara </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span><span lang="IN"></span></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">darah dan cairan dialisat.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify; text-indent: 0.1pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b. </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Osmosis pada peritoneum terjadi karena glukosa pada cairan CAPD menyebabkan </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify; text-indent: 0.1pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tekanan osmotic cairan CAPD lebih tinggi (hipertonik) dibanding plasma, sehingga </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span><span lang="IN"></span></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify; text-indent: 0.1pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">air</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">c. </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kandungan glucose yang lebih tinggi akan mengambil air lebih banyak. Cairan </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span><span lang="IN"></span></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">melewati membrane lebih cepat dari pada solute. Untuk itu diperlukan dwell time </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span><span lang="IN"></span></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">yang lebih panjang untuk menarik solute.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">d. </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Untuk membantu mengeluarkan kelebihan air dalam darah, maka cairan dialisat </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span><span lang="IN"></span></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">menyediakan beberapa jenis konsentrasi yang berbeda :</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.5in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Baxter : 1,5%, 2,5%, 4,25%</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.5in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Frescenius : 1,3%, 2,3%, 4,25%</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">H</span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">.</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Faktor yang Mempengaruhi Proses Dialisis</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a)</span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tekanan osmotik</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Konsentrasi zat terlarut antara cairan CAPD dengan plasma darah dalam pembuluh kapiler.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c)</span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pada saat cairan dialisat dimasukkan dalam peritoneum, air akan diultrafiltrasi plasma </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ke dialisat, sehingga meningkatkan volume cairan intra peritoneal. Peningkatan volume </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">cairan intraperitoneal berbanding lurus dengan konsentrasi glukosa dari cairan dialisat.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kecepatan transport air dan zat terlarut dapat diestimasi secara periodic melalui PET test </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">(Peritoneal Equilibrum Test)</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e)</span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Standar konsentrasi elektrolit cairan CAPD:</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 45.75pt; text-align: justify; text-indent: -9.75pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Na (132 meq /lt)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 45.75pt; text-align: justify; text-indent: -9.75pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Cl ( 102 meq /lt)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 45.75pt; text-align: justify; text-indent: -9.75pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mg (0,5 meq /lt)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 45.75pt; text-align: justify; text-indent: -9.75pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">K (0 meq /lt)</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>I.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Keuntungan Peritoneal Dialisis:</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 1. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dapat dilakukan sendiri di rumah atau tempat kerja</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 2. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pasien menjadi mandiri (independen), meningkatkan percaya diri</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 3. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Simpel, dapat dilatih dalam periode 1-2 minggu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 4. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Jadwal fleksibel, tidak tergantung penjadwalan rumah sakit sebagaimana HD</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 5. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pembuangan cairan dan racun lebih stabil</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 6.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> Diit dan intake cairan sedikit lebih bebas</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 7. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Cocok bagi pasien yang mengalami gangguan jantung</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> 8. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeliharaan residual renal function lebih baik pada 2-3 tahun pertama</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>J.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kelemahan Peritoneal Dialisis</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> :</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1. Resiko infeksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2. Peritonitis</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3. Exit site</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4. Tunnel</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5. BB naik karena glukosa, pada cairan CAPD diabsorbsi</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>K.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penilaian Peritoneal Dialisis:</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: -67.5pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1. Penilaian bersifat individual</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2. Adakah faktor kelainan yang menyebabkan CAPD lebih bermanfaat dibanding HD ?</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3. Kesulitan akses vaskular, penyakit cardiovaskular yang berat</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4. Jarak rumah dengan center HD, pekerjaan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>L.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kontra Indikasi Peritoneal Dialisis :</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1. Hilangnya fungsi membran peritoneum</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2. Operasi berulang pada abdomen, kolostomi,</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3. Ukuran tubuh yang besar (kemungkinan dengan PD yang adekuat tidak tercapai)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4. Identifikasi problem yang potensial timbul sebelum CAPD dimulai</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.5in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Apakah pasien perlu seorang asisten (keterbatasan fisik / mental)</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.5in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b. Adakah hernia</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 0.5in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">c. Penglihatan kurang</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5. Malnutrisi yang berat</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>M.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tips Perawatan Chateter Dan Exit Site:Rawatanps</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> perawattttttan kateter dan<i>Exit Site</i>:</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 31.5pt; text-align: justify; text-indent: -13.5pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1. Mandi setiap hari untuk menjaga kebersihan kulit, khususnya di sekitar<i>exit site</i>. Jangan <span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 31.5pt; text-align: justify; text-indent: -13.5pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>mandi berendam</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ganti pakaian dalam maupun pakaian luar setiap hari</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Jangan gunakan bahan kimia, misalnya alkohol dan bahan yang mengandung klorida untuk <span> </span>membersihkan <i>exit site </i>dan keteter</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Jangan gunakan krim, salep, atau bedak tabur di sekitar <i>exit site</i></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Jaga posisi keteter krim agar tetap berada pada tempatnya (tidak tertarik, tertekuk, terputar, <span> </span>atau tersangkut) dengan menempelkannya pada kulit dengan bantuan pleste</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">r.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>N.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">K</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">omplikasi</span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> D</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ilakukannya</span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> P</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">eritoneum</span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> D</span></b><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ialisa</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perdarahan di tempat pemasangan selang atau perdarahan di dalam perut</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perforasi organ dalam pada saat memasukkan selang</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kebocoran cairan di sekitar selang atau ke dalam dinding perut</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4<b>. </b></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penyumbatan aliran cairan oleh bekuan darah</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 21.3pt; text-align: justify; text-indent: -7.1pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Infeksi, baik pada peritoneum maupun di kulit tempat selang terpasang (menyebabkan terbentuknya abses). Infeksi biasanya terjadi karena prosedur dialisa yang kurang steril. Untuk mengatasi infeksi diberikan antibiotik.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">6. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hipoalbuminemia</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">7. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sklerosis peritonealis (pembentukan jaringan parut di peritoneum), yang <span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 14.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>mengakibatkan penyumbatan parsial usus halus</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">8. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hipotiroidisme</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">9. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hiperglikemia, sering terjadi pada penderita kencing manis</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">10. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hernia perut dan selangkangan</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">11. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sembelit.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 14.2pt;"><br />
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</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-10260061778967994772012-02-25T07:55:00.001-08:002012-02-25T08:00:43.961-08:00phymosis<div dir="ltr" style="text-align: left;" trbidi="on"><br />
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<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB I</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PEBDAHULUAN</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -24pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.1</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Latar Belakang</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: 42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Phimosis adalah suatu keadaan dimana prepusium tidak bisa ditarik ke belakang, bisa dikarenakan keadaan sejak lahir atau karena patologi. Pada usia bayi glan penis dan prepusium terjadi adesi sehingga lengket jika terdapat luka pada bagian ini maka akan terjadi perlengketan dan terjadi Phimosis biasanya pada bayi itu adalah hal yang wajar karena keadaan tersebut akan kembali seperti normal dengan bertambahnya umur dan produksi hormon.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: 42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Beberapa penelitian mengatakan kejadian Phimosis saat lahir hanya 4% bayi yang preputiumnya sudah bisa ditarik mundur sepenuhnya sehingga kepala penis terlihat utuh. Selanjutnya secara perlahan terjadi desquamasi sehingga perlekatan itu berkurang. Sampai umur 1 tahun, masih 50% yang belum bisa ditarik penuh. Berturut-turut 30% pada usia 2 tahun, 10% pada usia 4-5 tahun, 5% pada umur 10 tahun, dan masih ada 1% yang bertahan hingga umur 16-17 tahun. Dari kelompok terakhir ini ada sebagian kecil yang bertahan secara persisten sampai dewasa bila tidak ditangani.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: 42.55pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bila Phimosis menghambat kelancaran berkemih seperti pada ballooning maka sisa-sisa urin mudah terjebak pada bagian dalam preputium dan lembah tersebut kandungan glukosa pada urine menjadi lading subur bagi pertumbuhan bakteri, maka berakibat terjadi infeksi saluran kemih (UTI).</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: 42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Berdasarkan data tahun 1980-an dilaporkan bahwa anak yang tidak disirkumsisi memiliki resiko menderita UTI 10-20 kali lebih tinggi. Tahun 1993, dituliskan review bahwa resiko terjadi sebesar 12 kali lipat. Tahun 1999 dalam salah satu bagian dari pernyataan AAP tentang sirkumsisi disebutkan bahwa dari 100 anak pada usia 1 tahun. 7-14 anak yang tidak sirkumsisi menderita sedang hanya 1-2 anak pada kelompok yang disirkumsisi. Dua laporkan jurnal tahun 2001 dan 2005 mendukung bahwa sirkumsisi dibawah resiko UTI.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -24pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> <b>Rumusan Masalah</b></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dari uraian diatas dapat ditarik Rumusan masalah sebagai berikut :</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengertian Phimosis ?</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> Etiologi</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> dan patologi Phimosis ?</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> Manifestasi</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> klinis dan komplikasi Phimosis ?</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penatalaksanaan dan perawatan Phimosis ?</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -24pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.3</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.3.1</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan Khusus</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 78pt; text-align: justify; text-indent: 42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Untuk memenuhi tugas Keperawatan Medical Bedah III dan semoga kami sebagai penyusun dapat mengambil manfaat serta dapat memperluas wawasan pada pasien dengan diagnosa medis Phimosis pada khususnya.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.3.2</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> Tujuan</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> Umum</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin: 0in 0in 0.0001pt 92.15pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Untuk menambah pengetahuan tentang penyakit Phimosis</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 92.15pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Untuk mempermudah dalam pembuatan asuhan keperawatan pada pasien Phimosis. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -24pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.4</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Manfaat</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.4.1</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bagi Penyusun</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin: 0in 0in 0.0001pt 92.15pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dapat belajar dalam penyusunan keperawatan Phimosis</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 92.15pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dapat menambah ilmu dalam pembentukan makalah<b> </b>di bidang kesehatan.<b> </b></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.4.2</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bagi Pendidikan</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sebagai sumbangsih dalam makalah asuhan keperawatan di bidang kesehatan urologi.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -21.25pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.4.</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;">3 </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bagi Pembaca </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sebagai sedikit pengetahuan tentang asuhan keperawatan bidang kesehatan urologi.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 70.9pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB II</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PEMBAHASAN</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -21.25pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.1</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Definisi</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: 42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Phimosis adalah suatu keadaan dimana prepusium penis yang tidak dapat diretaksi keproximal sampai ke korona glandis.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 42.55pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 28.35pt; text-align: justify; text-indent: -21.25pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.2</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> <b> </b></span><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Etiology</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a.</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Konginetal (fimosis fisiologis) </span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: 0.5in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Fimosis kongenital (fimosis fisiologis) timbul sejak lahir sebenarnya merupakan kondisi normal pada anak-anak, bahkan sampai masa remaja. Kulit preputium selalu melekat erat pada glans penis dan tidak dapat ditarik ke belakang pada saat lahir, namun seiring bertambahnya usia serta diproduksinya hormon dan faktor pertumbuhan terjadi proses keratinisasi lapisan epitel dan deskuamasi antara glans penis dan lapis glan dalam preputium sehingga akhirnya kulit preputium terpisah dari glan penis. Suatu penelitian mendapatkan bahwa hanya 4% bayi seluruh kulit preputiumnya dapat ditarik ke belakang penis pada saat lahir, namun mencapai 90% pada saat usia 3 tahun dan hanya 1% laki-laki berusia 17 tahun yang masih mengalami fimosis kongenital. Walaupun demikian, penelitian lain mendapatkan hanya 20% dan 200 anak laki-laki berusia<br />
5-13 tahun yang seluruh kulit preputiumnya dapat ditarik ke belakang penis.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b.</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Fimosis</span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> didapat (fimosis patologik, fimosis yang sebenarnya, true phimosis) timbul kemudian setelah. Hal ini berkaitan dengan kebersihan hygiene) alat kelamin yang buruk, peradangan kronik glans penis dan kulit preputium (balanoposthitis kronik), atau penarikan berlebihan kulit preputium (forceful retraction) pada timosis kongenital yang akan menyebabkan pembentukkan jaringan ikat (fibrosis) dekat bagian kulit preputium yang membuka.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -0.25in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -0.25in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -0.25in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -0.25in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -0.25in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 42.55pt; text-align: justify; text-indent: -42.5pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.3</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Patofisiologi</span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span></b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Fimosis dialami oleh sebagian besar bayi baru lahir karena terdapat adesi alamiah antara preputium dengan glans penis. Hingga usia 3-4 tahun penis tumbuh dan berkembang dan debris yang dihasilkan oleh epitel preputium (smegma) mengumpul didalam preputium dan perlahan-lahan memisahkan preputium dari glans penis. Ereksi penis yang terjadi secara berkala membuat preputium terdilatasi perlahan-lahan sehingga preputium menjadi retraktil dan dapat ditarik ke proksimal.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pathways :</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><img height="476" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image003.jpg" width="548" /></span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div><table align="left" border="0" cellpadding="0" cellspacing="0" class="MsoNormalTable"><tbody>
<tr style="height: 5.25pt;"> <td style="height: 5.25pt; padding: 0in; width: 26.25pt;" width="35"><br />
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</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35.45pt; text-align: justify; text-indent: -24pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.4</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gejala Klinis</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">prepusium tidak bisa ditarik ke belakang</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Balloning</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sakit saat berkemih</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4.</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sulit kencing</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5.</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pancaran kencing sedikit</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35.45pt; text-align: justify; text-indent: -24pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.5</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Komplikasi</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 35.45pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Jika tidak segera ditangani bisa menyebabkan :</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin: 0in 0in 0.0001pt 71.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif";">Infeksi gland penis</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 71.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif";">Infeksi prepusium </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 71.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif";">Infeksi prepusium & Infeksi gland penis</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><span style="font-family: "Times New Roman","serif";"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35.45pt; text-align: justify; text-indent: -24pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.6</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penatalaksanaan</span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tidak dianjurkan melakukan retraksi yang dipaksakan, karena dapat menimbulkan luka dan terbentuk sikatriks pada ujung prepusium sehingga akan terbentuk fimosis sekunder.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Fimosis disertai balanitis xerotica obliterans dapat diberikan salep dexamethasone 0,1% yang dioleskan 3/4 kali, dan diharapkan setelah 6 minggu pemberian prepusium dapat diretraksi spontan.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: Symbol; font-size: 12pt; line-height: 150%;">·<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Fimosis dengan keluhan miksi, menggelembungnya ujung prepusium pada saat miksi atau infeksi postitis merupakan indikasi untuk dilakukan sirkumsisi, dimana pada fimosis disertai balanitis/postitis harus diberikan antibiotika terlebih dahulu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35.45pt; text-align: justify; text-indent: -24pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.7</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Prinsip terapi dan manajemen keperawatan</span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perawatan Rutin</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kebersihan penis</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penis harus dibasuh secara seksama dan bayi tidak boleh ditinggalkan berbaring dengan popok basah untuk waktu yang lama. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Phimosis dapat diterapi dengan membuat celah dorsal untuk mengurangi obstruksi terhadap aliran keluar. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sirkumsisi</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pada pembedahan ini, kelebihan kutup diangkat. Digunakan jahitan catgut untuk mempertemukan kulit dengan mukosa dan mengikat pembuluh darah. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">5)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perawatan Pra Bedah Rutin</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">6)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perawatan Pasca Bedah</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: 24.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pembedahan ini bukan tanpa komplikasi dan Observasi termasuk adanya perdarahan. Pembalut diangkat jika basah dengan urin dan lap panggul berguna untuk membersihkan penis dan mendorong terjadinya penyembuhan. Popok perlu sering diganti.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: 24.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Komplikasi yang terjadi termasuk ulserasi meatus. Ini terjadi sebagai akibat amonia yang membakar epithelium glans. Untuk menimbulkan nyeri pada saat berkemih kadang-kadang adanya perkembangan perdarahan dan retensi urin. Ulserasi meatus dapat menimbulkan stenosis meatus. Hal ini dapat diterapi dengan meatotomi dan dilatasi. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">7)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bimbingan bagi orang tua.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Instruksi yang jelas harus diberikan pada orang tua jika bayi atau anak siap untuk pulang kerumah. Ini termasuk hygiene dari daerah dan pengenalan setiap komplikasi. Mereka juga harus diberikan pedoman untuk pencegahan dermatitis amonia dan jika hal ini terjadi bagaimana untuk mengobatinya. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35.45pt; text-align: justify; text-indent: -24pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.8</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Asuhan Keperawatan Phimosis</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify; text-indent: 0.5in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Asuhan Keperawatan pasien dengan Phimosis melalui pendekatan proses Keperawatan yang terdiri dari pengkajian Keperawatan, perencanaan Keperawatan, penatalaksanaan dan evaluasi keperawatan.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35.45pt; text-align: justify; text-indent: -24pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.9</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengkajian Keperawatan</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengumpulan data</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Data dasar yang berhubungan dengan Phimosis adalah sebagai berikut :</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin: 0in 0in 0.0001pt 78.55pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Courier New"; font-size: 12pt; line-height: 150%;">o<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nyeri saat berkemih</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 78.55pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Courier New"; font-size: 12pt; line-height: 150%;">o<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Balloning</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 78.55pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Courier New"; font-size: 12pt; line-height: 150%;">o<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Retensi Urine</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35.45pt; text-align: justify; text-indent: -24pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.10</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diagnosa Keperawatan </span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 42.55pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diagnosa keperawatan disusun menurut prioritas masalah adalah sebagai berikut :</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin: 0in 0in 0.0001pt 78.55pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan rasa nyaman (Nyeri) </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b.d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> penekanan pada saat berkemih.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 78.55pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan Eliminasi urine</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> b.d </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">retensi urine.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 78.55pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Resiko infeksi saluran kemih </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b.d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> penumukan smegma di ujung penis.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 0.0001pt 35.45pt; text-align: justify; text-indent: -24pt;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.11</span></b><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perencanaan Keperawatan</span></b><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></b></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan rasa nyaman (nyeri) sampai penekanan pada saat berkemih</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan :</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Klien mengatakan nyeri berkurang atau tidak merasa nyeri</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Intervensi :</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kaji skala nyeri</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/ untuk mengetahui tingkat nyeri pasien sebagai pedoman untuk tindakan yang harus diberikan. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ajarkan teknik relaksasi</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/ merelaksasikan otot-otot sehingga suplai darah ke jaringan terpenuhi. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kolaborasi dengan tim medis tentang pemberian obat</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/ obat (anti plasmadik) untuk merelaksasikan otot-otot polos</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Gangguan eliminasi urine sampai retensi urine</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan :</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Klien mengatakan tidak ada hambatan aliran urine</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Intervensi : </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kaji haluan urine</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/ retensi urine dapat terjadi karena adanya sumbatan </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perhatikan waktu</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/ untuk mengetahui output pasien</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dorong klien untuk berkemih bila terasa ada dorongan tetapi tidak lebih dari 30 menit</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/ </span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;">penahanan</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> urine selama > 30 menit bias merusak sel kemih </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Resiko infeksi saluran kemih sampai penumpukan urine diujung penis</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuan :</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tidak terjadi infeksi saluran kemih</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Intervensi :</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Lihat tanda-tanda infeksi</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/ untuk mengetahui tindakan yang harus dilakukan.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-</span><span style="font-family: "Times New Roman","serif"; font-size: 7pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Konsul dengan tim medis tentang prosedur sirkumsisi</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 47.45pt; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">R/ sirkumsisi mencegah infeksi saluran kemih (UTI) </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span> <br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">BAB III</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PENUTUP</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
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</div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin: 0in 0in 0.0001pt 55.7pt; text-align: justify; text-indent: -26.25pt;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.1<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kesimpulan </span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: 0.5in;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pimosis adalah suatu keadaan dimana preposium tidak bisa ditarik bisa dikarenakan konginetal atau didapat. Tetapi biasanya kondisi tersebut bisa normal dengan ditambahnya produksi hormon dan pertumbuhan.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: 0.5in;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pimosis dapat mengakibatkan gangguan berkemih baik nyeri atau balloning (masa diujung penis) perlu dilakukan sirkumsisi biasanya itu merupakan indikasi untuk mencegah infeksi karena terkumpulnya urine yang mengandung glukosa sebagai tempat terbaik bagi pertumbuhan bakteri.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin: 0in 0in 0.0001pt 55.7pt; text-align: justify; text-indent: -26.25pt;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">3.2<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Saran</span></b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 0.0001pt 56.7pt; text-align: justify; text-indent: 0.5in;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Jika ada anak mengalami gejala seperti gejala pimosis untuk segera mendapat penanganan untuk mencegah terjadi infeksi saluran kemih (UTI)</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%;"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="font-family: "Times New Roman","serif";">DAFTAR PUSTAKA</span></div><div class="MsoListParagraph" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN"><a href="http://www.phimosis.com/"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">http://www.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">phimosis.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">com/</span></a></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> (17 Februari 2010, 19.05)</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 0in;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">National Hearth Lung and Blood Institute. 2008. ”</span><i><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">phimosis</span></i><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">”.</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN"><a href="http://www.nhlbi.nih.gov/health/dci/Diseases/phimosis/Phimosis._WhatIs.html%20%2817"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">http://www.nhlbi.nih.gov/health/dci/Diseases/</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">phimosis</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">/</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Phimosis.</span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">_WhatIs.html (17</span></a></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> Februari 2010, 19.20)</span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0in;"><span lang="IN"><a href="mailto:MOKAM@PARTNERS.ORG"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Maureen Okam, M.D.</span></a></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> (Harvard Medical School) .1999. “<i>Phimosis information</i>”. </span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin-left: 0in;"><span lang="IN"><a href="http://medicastore.com/penyakit/167/Phimosis.html%20%2817"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">http://medicastore.com/penyakit/167/Phimosis.html (17</span></a></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> Februari 2010, 20.00)</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-87963190146462283772012-01-24T01:56:00.001-08:002012-01-24T01:56:27.255-08:00STROKE<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowComments/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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<div class="Section1"> <div align="center" class="MsoNormal" style="text-align: center;"><b>BAB II</b></div><div align="center" class="MsoNormal" style="text-align: center;"><b>TINJAUAN PUSTAKA</b></div><div class="MsoFooter"><br />
</div><h1><span>I.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Konsep Dasar</h1><div class="MsoNormal" style="margin-left: 28.35pt; text-indent: -10.35pt;"><span>1<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengertian</div><div class="MsoNormal" style="margin-left: 0.5in;"><span> </span>Menurut WHO stroke adalah adanya tanda-tanda klinik yang berkembang cepat akibat gangguan fungsi otak fokal (atau global) dengan gejala-gejala yang berlangsung selama 24 jam atau lebih yang menyebabkan kematian tanpa adanya penyebab lain yang jelas selain vaskuler. (Hendro Susilo, 2000)</div><div class="MsoNormal" style="margin-left: 0.5in;"><span> </span>Perdarahan intracerebral adalah disfungsi neurologi fokal yang akut dan disebabkan oleh perdarahan primer substansi otak yang terjadi secara spontan bukan olek karena trauma kapitis, disebabkan oleh karena pecahnya pembuluh arteri, vena dan kapiler. (UPF, 1994)</div><div class="MsoNormal" style="margin-left: 28.35pt; text-indent: -14.15pt;"><span>2<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Anatomi fisiologi</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0in;"><span>a<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Otak </div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Berat otak manusia sekitar 1400 gram dan tersusun oleh kurang lebih 100 triliun<span> </span>neuron. Otak terdiri dari empat bagian besar yaitu serebrum (otak besar), serebelum (otak kecil), brainstem (batang otak), dan diensefalon. (Satyanegara, 1998)</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: 0.25in;"><span> </span>Serebrum terdiri dari dua hemisfer serebri, korpus kolosum dan korteks serebri. Masing-masing hemisfer serebri terdiri dari lobus frontalis yang merupakan area motorik primer yang bertanggung jawab untuk gerakan-gerakan voluntar, lobur parietalis yang berperanan pada kegiatan memproses dan mengintegrasi informasi sensorik yang lebih tinggi tingkatnya, lobus temporalis yang merupakan area sensorik untuk impuls pendengaran dan lobus oksipitalis yang mengandung korteks penglihatan primer, menerima informasi penglihatan dan menyadari sensasi warna.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: 0.1in;"><span> </span>Serebelum terletak di dalam fosa kranii posterior dan ditutupi oleh duramater yang menyerupai atap tenda yaitu tentorium, yang memisahkannya dari bagian posterior serebrum. Fungsi utamanya adalah sebagai pusat refleks yang mengkoordinasi dan memperhalus gerakan otot, serta mengubah tonus dan kekuatan kontraksi untuk mempertahankan keseimbangan sikap tubuh.</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Bagian-bagian batang otak dari bawak ke atas adalah medula oblongata, pons dan mesensefalon (otak tengah). Medula oblongata merupakan pusat refleks yang penting untuk jantung, vasokonstriktor, pernafasan, bersin, batuk, menelan, pengeluaran air liur dan muntah. Pons merupakan mata rantai penghubung yang penting pada jaras kortikosereberalis yang menyatukan hemisfer serebri dan serebelum. Mesensefalon merupakan bagian pendek dari batang otak yang berisi aquedikus sylvius, beberapa traktus serabut saraf asenden dan desenden dan pusat stimulus saraf pendengaran dan penglihatan.</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Diensefalon di bagi empat wilayah yaitu talamus, subtalamus, epitalamus dan hipotalamus. Talamus merupakan stasiun penerima dan pengintegrasi subkortikal yang penting. Subtalamus fungsinya belum dapat dimengerti sepenuhnya, tetapi lesi pada subtalamus akan menimbulkan hemibalismus yang ditandai dengan gerakan kaki atau tangan yang terhempas kuat pada satu sisi tubuh. Epitalamus<span> </span>berperanan pada beberapa dorongan emosi dasar seseorang. Hipotalamus berkaitan dengan pengaturan rangsangan dari sistem susunan saraf otonom perifer yang menyertai ekspresi tingkah dan emosi. (Sylvia A. Price, 1995)</div><div class="MsoNormal" style="margin-left: 31.2pt; text-indent: 0in;"><span>b<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sirkulasi darah otak</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Otak menerima 17 % curah jantung dan menggunakan 20 % konsumsi oksigen total tubuh manusia untuk metabolisme aerobiknya. Otak diperdarahi oleh dua pasang arteri yaitu arteri karotis interna dan arteri vertebralis. Da dalam rongga kranium, keempat arteri ini saling berhubungan dan membentuk sistem anastomosis,<span> </span>yaitu sirkulus Willisi.(Satyanegara, 1998)</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: 27pt;"><span> </span>Arteri karotis interna dan eksterna bercabang dari arteria karotis komunis kira-kira setinggi rawan tiroidea. Arteri karotis interna masuk ke dalam tengkorak dan bercabang kira-kira setinggi kiasma optikum, menjadi arteri serebri anterior dan media. Arteri serebri anterior memberi suplai darah pada struktur-struktur seperti nukleus kaudatus dan putamen basal ganglia, kapsula interna, korpus kolosum dan bagian-bagian (terutama medial) lobus frontalis dan parietalis serebri, termasuk korteks somestetik dan korteks motorik. Arteri serebri media mensuplai darah untuk lobus temporalis, parietalis dan frontalis korteks serebri.</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Arteria vertebralis kiri dan kanan berasal dari arteria subklavia sisi yang sama. Arteri vertebralis memasuki tengkorak melalui foramen magnum, setinggi perbatasan pons dan medula oblongata. Kedua arteri ini bersatu membentuk arteri basilaris, arteri basilaris terus berjalan sampai setinggi otak tengah, dan di sini bercabang menjadi dua membentuk sepasang arteri serebri posterior. Cabang-cabang sistem vertebrobasilaris ini jmemperdarahi medula oblongata, pons, serebelum, otak tengah dan sebagian diensefalon. Arteri<span> </span>serebri posterior dan cabang-cabangnya memperdarahi sebagian diensefalon, sebagian lobus oksipitalis dan temporalis, aparatus koklearis dan organ-organ vestibular. (Sylvia A. Price, 1995)</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Darah di dalam jaringan kapiler otak akan dialirkan melalui venula-venula (yang tidak mempunyai nama) ke vena serta di drainase ke sinus duramatris. Dari sinus, melalui vena emisaria akan dialirkan ke vena-vena ekstrakranial. (Satyanegara, 1998)</div><div class="MsoNormal" style="margin-left: 28.35pt; text-indent: -14.15pt;"><span>3<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Patofisiologi</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.05in;"><span> </span>Hipertensi kronik menyebabkan pembuluh arteriola yang berdiameter 100-400 mcmeter mengalami perubahan patologik pada dinding pembuluh darah tersebut berupa hipohialinosis, nekrosis fibrinoid serta timbulnya aneurisma tipe Bouchard. Arteriol-arteriol dari cabang-cabang lentikulostriata, cabang tembus arteriotalamus dan cabang-cabang paramedian arteria vertebro-basilar mengalami perubahan-perubahan degeneratif yang sama. Kenaikan darah yang “abrupt” atau kenaikan dalam jumlah yang secara mencolok dapat menginduksi pecahnya pembuluh darah terutama pada pagi hari dan sore hari.</div><div class="MsoNormal" style="margin-left: 0.5in;"><span> </span>Jika pembuluh darah tersebut pecah, maka perdarahan dapat berlanjut sampai dengan 6 jam dan jika volumenya besarakan merusak struktur anatomi otak dan menimbulkan gejala klinik.</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.05in;"><span> </span>Jika perdarahan yang timbul kecil ukurannya, maka massa darah hanya dapat merasuk dan menyela di antara selaput akson massa putih tanpa merusaknya. Pada keadaan ini absorbsi darah akan diikutioleh pulihnya fungsi-fungsi neurologi. Sedangkan pada perdarahan yang luas terjadi destruksi massa otak, peninggian tekanan intrakranial dan yang lebih berat dapat menyebabkan herniasi otak pada falk serebri atau lewat foramen magnum.</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.05in;"><span> </span>Kematian dapat disebabkan oleh kompresi batang otak, hemisfer otak, dan perdarahan batang otak sekunder atau ekstensi perdarahan ke batang otak. Perembesan darah ke ventrikel otak terjadi pada sepertiga kasus perdarahan otak di nukleus kaudatus, talamus dan pons.</div><div class="MsoNormal" style="margin-left: 0.5in;"><span> </span>Selain kerusakan parenkim otak, akibat volume perdarahan yang relatif banyak akan mengakibatkan peningian tekanan intrakranial dan mentebabkan menurunnya tekanan perfusi otak serta terganggunya drainase otak.</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.05in;"><span> </span>Elemen-elemen vasoaktif darah yang keluar serta kaskade iskemik akibat menurunnya tekanan perfusi, menyebabkan neuron-neuron di daerah yang terkena darah dan sekitarnya tertekan lagi. Jumlah darah yang keluar menentukan prognosis. Apabila volume darah lebih dari 60 cc maka resiko kematian sebesar 93 % pada perdarahan dalam dan 71 % pada perdarahan lobar. Sedangkan bila terjadi perdarahan serebelar dengan volume antara 30-60 cc diperkirakan kemungkinan kematian sebesar 75 % tetapi volume darah 5 cc dan terdapat di pons sudah berakibat fatal. (Jusuf Misbach, 1999)</div><div class="MsoNormal" style="margin-left: 28.35pt; text-indent: -14.15pt;"><span>4<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dampak masalah</div><div class="MsoNormal" style="margin-left: 31.2pt; text-indent: 0in;"><span>a<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pada individu</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan perfusi jaringan otak</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Akibat adanya sumbatan pembuluh darah otak, perdarahan otak, vasospasme serebral, edema otak</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan mobilitas fisik</div><div class="MsoNormal" style="margin-left: 51.7pt;"><span> </span>Terjadi karena adanya kelemahan, kelumpuhan dan menurunnya persepsi / kognitif</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan komunikasi verbal</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Akibat menurunnya/ terhambatnya sirkulasi serebral, kerusakan neuromuskuler, kelemahan otot wajah</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan nutrisi</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Akibat adanya kesulitan menelan, kehilangan sensasi (rasa kecap) pada lidah, nafsu makan yang menurun</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan eliminasi uri dan alvi</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Dapat terjadi akibat klien tidak sadar, dehidrasi, imobilisasi dan hilangnya kontrol miksi</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>6)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Ketidakmampuan perawatan diri</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Akibat adanya kelemahan pada salah satu sisi tubuh, kehilangan koordinasi / kontrol otot, menurunnya persepsi kognitif.</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>7)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan psikologis</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Dapat berupa emosi labil, mudah marah, kehilangan kontrol diri, ketakutan, perasaan tidak berdaya dan putus asa.</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>8)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan penglihatan</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Dapat terjadi karena penurunan ketajaman penglihatan dan gangguan lapang pandang.</div><div class="MsoNormal" style="margin-left: 31.2pt; text-indent: 0in;"><span>b<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pada keluarga</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Terjadi kecemasan</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Masalah biaya</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan dalam pekerjaan </div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><b><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><span> </span><b>Asuhan Keperawatan</b></div><div class="MsoNormal" style="margin-left: 28.35pt; text-indent: -14.15pt;"><span>1<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengkajian</div><div class="MsoNormal" style="margin-left: 0.5in;"><span> </span>Pengkajian merupakan tahap awal dan landasan proses keperawatan untuk mengenal masalah klien, agar dapat memberi arah kepada tindakan keperawatan. Tahap pengkajian terdiri dari tiga kegiatan, yaitu pengumpulan data, pengelompokkan data dan perumusan diagnosis keperawatan. (Lismidar, 1990)</div><div class="MsoNormal" style="margin-left: 31.2pt; text-indent: 0in;"><span>a<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengumpulan data</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: 0.1in;"><span> </span>Pengumpulan data adalah mengumpulkan informasi tentang status kesehatan klien yang menyeluruh mengenai fisik, psikologis, sosial budaya, spiritual, kognitif, tingkat perkembangan, status ekonomi, kemampuan fungsi dan gaya hidup klien. (Marilynn E. Doenges et al, 1998)</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Identitas klien</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Meliputi nama, umur (kebanyakan terjadi pada usia tua), jenis kelamin, pendidikan, alamat, pekerjaan, agama, suku bangsa, tanggal dan jam MRS, nomor register, diagnose medis.</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Keluhan utama</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Biasanya didapatkan kelemahan anggota gerak sebelah badan, bicara pelo, dan tidak dapat berkomunikasi. (Jusuf Misbach, 1999)</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Riwayat penyakit sekarang</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: 9pt;"><span> </span>Serangan stroke hemoragik seringkali berlangsung sangat mendadak, pada saat klien sedang melakukan aktivitas. Biasanya terjadi nyeri kepala, mual, muntah bahkan kejang sampai tidak sadar, disamping gejala kelumpuhan separoh badan atau gangguan fungsi otak yang lain. (Siti Rochani, 2000) </div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Riwayat penyakit dahulu</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Adanya riwayat hipertensi, diabetes militus, penyakit jantung, anemia, riwayat trauma kepala, kontrasepsi oral yang lama, penggunaan obat-obat anti koagulan, aspirin, vasodilator, obat-obat adiktif, kegemukan. (Donna D. Ignativicius, 1995)</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Riwayat penyakit keluarga</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span><span> </span>Biasanya ada riwayat keluarga yang menderita hipertensi ataupun diabetes militus. (Hendro Susilo, 2000)</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>6)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Riwayat psikososial</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Stroke memang suatu penyakit yang sangat mahal. Biaya untuk pemeriksaan, pengobatan dan perawatan dapat mengacaukan keuangan keluarga sehingga faktor biaya ini dapat mempengaruhi stabilitas emosi dan pikiran klien dan keluarga.</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>7)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola-pola fungsi kesehatan</div><div class="MsoNormal" style="margin-left: 59.55pt; text-indent: -8.5pt;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola persepsi dan tata laksana hidup sehat</div><div class="MsoNormal" style="margin-left: 1in;"><span> </span>Biasanya ada riwayat perokok, penggunaan alkohol, penggunaan obat kontrasepsi oral.</div><div class="MsoNormal" style="margin-left: 59.55pt; text-indent: -8.5pt;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola nutrisi dan metabolisme</div><div class="MsoNormal" style="margin-left: 1in;"><span> </span>Adanya keluhan kesulitan menelan, nafsu makan menurun, mual muntah pada fase akut.</div><div class="MsoNormal" style="margin-left: 59.55pt; text-indent: -8.5pt;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola eliminasi</div><div class="MsoNormal" style="margin-left: 1in;"><span> </span>Biasanya terjadi inkontinensia urine dan pada pola defekasi biasanya terjadi konstipasi akibat penurunan peristaltik usus.</div><div class="MsoNormal" style="margin-left: 59.55pt; text-indent: -8.5pt;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola aktivitas dan latihan</div><div class="MsoNormal" style="margin-left: 1in;"><span> </span>Adanya kesukaran untuk beraktivitas karena kelemahan, kehilangan sensori atau paralise/ hemiplegi, mudah lelah</div><div class="MsoNormal" style="margin-left: 59.55pt; text-indent: -8.5pt;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola tidur dan istirahat</div><div class="MsoNormal" style="margin-left: 1in; text-indent: 21pt;">Biasanya klien mengalami kesukaran untuk istirahat karena kejang otot/nyeri otot</div><div class="MsoNormal" style="margin-left: 59.55pt; text-indent: -8.5pt;"><span>f)</span><span dir="LTR"></span>Pola hubungan dan peran</div><div class="MsoNormal" style="margin-left: 1in;"><span> </span>Adanya perubahan hubungan dan peran karena klien mengalami kesukaran untuk berkomunikasi akibat gangguan bicara.</div><div class="MsoNormal" style="margin-left: 59.55pt; text-indent: -8.5pt;"><span>g)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola persepsi dan konsep diri</div><div class="MsoNormal" style="margin-left: 1in;"><span> </span>Klien merasa tidak berdaya, tidak ada harapan, mudah marah, tidak kooperatif.</div><div class="MsoNormal" style="margin-left: 59.55pt; text-indent: -8.5pt;"><span>h)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola sensori dan kognitif</div><div class="MsoNormal" style="margin-left: 1in;"><span> </span>Pada pola sensori klien mengalami gangguan penglihatan/kekaburan pandangan, perabaan/sentuhan menurun pada muka dan ekstremitas yang sakit. Pada pola kognitif biasanya terjadi penurunan memori dan proses berpikir.</div><div class="MsoNormal" style="margin-left: 59.55pt; text-indent: -8.5pt;"><span>i)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola reproduksi seksual</div><div class="MsoNormal" style="margin-left: 1in;"><span> </span>Biasanya terjadi penurunan gairah seksual akibat dari beberapa pengobatan stroke, seperti obat anti kejang, anti hipertensi, antagonis histamin.</div><div class="MsoNormal" style="margin-left: 59.55pt; text-indent: -8.5pt;"><span>j)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola penanggulangan stress</div><div class="MsoNormal" style="margin-left: 1in;"><span> </span>Klien biasanya mengalami kesulitan untuk memecahkan masalah karena gangguan proses berpikir dan kesulitan berkomunikasi.</div><div class="MsoNormal" style="margin-left: 59.55pt; text-indent: -8.5pt;"><span>k)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola tata nilai dan kepercayaan</div><div class="MsoNormal" style="margin-left: 1in;"><span> </span>Klien biasanya jarang melakukan ibadah karena tingkah laku yang tidak stabil, kelemahan/kelumpuhan pada salah satu sisi tubuh.</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>8)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan fisik</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -9pt;"><span>a)</span><span dir="LTR"></span>Keadaan umum</div><div class="MsoNormal" style="margin-left: 1in; text-indent: 9pt;"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kesadaran : umumnya mengelami penurunan kesadaran</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Suara bicara : kadang mengalami gangguan yaitu sukar dimengerti, kadang tidak bisa bicara</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tanda-tanda vital : tekanan darah meningkat, denyut nadi bervariasi</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.5in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan integumen</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kulit : jika klien kekurangan O2 kulit akan tampak pucat dan jika kekurangan cairan maka turgor kulit kan jelek. Di samping itu perlu juga dikaji tanda-tanda dekubitus terutama pada daerah yang menonjol karena klien CVA Bleeding harus bed rest 2-3 minggu</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kuku : perlu dilihat adanya clubbing finger, cyanosis</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rambut : umumnya tidak ada kelainan</div><div class="MsoNormal" style="margin-left: 1in; text-indent: 0in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan kepala dan leher</div><div class="MsoNormal" style="margin-left: 117pt; text-indent: -27pt;"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kepala : bentuk normocephalik</div><div class="MsoNormal" style="margin-left: 117pt; text-indent: -27pt;"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Muka : umumnya tidak simetris yaitu mencong ke salah satu sisi</div><div class="MsoNormal" style="margin: 12pt 0in 0.0001pt 117pt; text-indent: -27pt;"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Leher : kaku kuduk jarang terjadi (Satyanegara, 1998)</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan dada</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span> </span>Pada pernafasan kadang didapatkan suara nafas terdengar ronchi, wheezing ataupun suara nafas tambahan, pernafasan tidak teratur akibat penurunan refleks batuk dan menelan.</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan abdomen</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span> </span>Didapatkan penurunan peristaltik usus akibat bed rest yang lama, dan kadang terdapat kembung.</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan inguinal, genetalia, anus</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span> </span>Kadang terdapat incontinensia atau retensio urine</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span>g)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan ekstremitas</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span> </span>Sering didapatkan kelumpuhan pada salah satu sisi tubuh.</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span>h)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan neurologi</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -9pt;"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan nervus cranialis</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -9pt;"><span> </span>Umumnya terdapat gangguan nervus cranialis VII dan XII central. </div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -9pt;"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan motorik</div><div class="MsoNormal" style="margin-left: 117pt; text-indent: -27pt;"><span> </span>Hampir selalu terjadi kelumpuhan/kelemahan pada salah satu sisi tubuh.</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -9pt;"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan sensorik</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -9pt;"><span> </span>Dapat terjadi hemihipestesi.</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -9pt;"><span>(4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan refleks</div><div class="MsoNormal" style="margin-left: 1.5in;"><span> </span>Pada fase akut reflek fisiologis sisi yang lumpuh akan menghilang. Setelah beberapa hari refleks fisiologis akan muncul kembali didahuli dengan refleks patologis.(Jusuf Misbach, 1999)</div><div class="MsoNormal" style="margin-left: 65.2pt; text-indent: -19.85pt;"><span>9)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan penunjang</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -9pt;"><span>a)</span><span dir="LTR"></span>Pemeriksaan radiologi</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>CT scan : didapatkan hiperdens fokal, kadang-kadang masuk ventrikel, atau menyebar ke permukaan otak. (Linardi Widjaja, 1993)</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>MRI : untuk menunjukkan area yang mengalami hemoragik. (Marilynn E. Doenges, 2000)</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Angiografi serebral : untuk mencari sumber perdarahan seperti aneurisma atau malformasi vaskuler. (Satyanegara, 1998)</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>(4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan foto thorax : dapat memperlihatkan keadaan jantung, apakah terdapat pembesaran ventrikel kiri yang merupakan salah satu tanda hipertensi kronis pada penderita stroke. (Jusuf Misbach, 1999)</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan laboratorium</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pungsi lumbal : pemeriksaan likuor yang merah biasanya dijumpai pada perdarahan yang masif, sedangkan perdarahan yang kecil biasanya warna likuor masih normal (xantokhrom) sewaktu hari-hari pertama. (Satyanegara, 1998)</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan darah rutin</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan kimia darah : pada stroke akut dapat terjadi hiperglikemia. Gula darah dapat mencapai 250 mg dalajm serum dan kemudian berangsur-angsur turun kembali. (Jusuf Misbach, 1999)</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>(4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan darah lengkap : unutk mencari kelainan pada darah itu sendiri. (Linardi Widjaja, 1993)</div><div class="MsoNormal" style="margin-left: 31.2pt; text-indent: 0in;"><span>b<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Analisa data</div><div class="MsoNormal" style="margin-left: 0.75in;"><span> </span>Analisa data merupakan kegiatan intelektual yang meliputi kegiatan mentabulasi, mengklasifikasi, mengelompokkan, mengkaitkan data dan akhirnya menarik kesimpulan.</div><div class="MsoNormal" style="margin-left: 31.2pt; text-indent: 0in;"><span>c<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Diagnosa keperawatan</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: 0.1in;"><span> </span>Diagnosa keperawatan merupaka suatu pernyataan dari masalah pasien yang nyata ataupun potensial dan membutuhkan tindakan keperawatan sehingga masalah pasien dapat ditanggulangi atau dikurangi. (Lismidar, 1990)</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan perfusi jaringan otak yang berhubungan dengan perdarahan intracerebral. (Marilynn E. Doenges, 2000)</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan mobilitas fisik berhubungan dengan hemiparese/hemiplagia (Donna D. Ignativicius, 1995)</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan persepsi sensori berhubungan dengan penurunan sensori, penurunan penglihatan ( Donna D. Ignativicius, 1995)</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan komunikasi verbal berhubungan dengan penurunan sirkulasi darah otak (Donna D. Ignativicius, 1995)</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan eliminasi alvi(konstipasi) berhubungan dengan imobilisasi, intake cairan yang tidak adekuat (Donna D. Ignativicius, 1995)</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span>6)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Resiko gangguan nutrisi berhubungan dengan kelemahan otot mengunyah dan menelan ( Barbara Engram, 1998)</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span>7)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kurangnya pemenuhan perawatan diri yang berhubungan dengan hemiparese/hemiplegi (Donna D. Ignativicius, 1995)</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span>8)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Resiko gangguan integritas kulit yang berhubungan tirah baring lama (Barbara Engram, 1998)</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span>9)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Resiko ketidakefektifan bersihan jalan nafas yang berhubungan dengan penurunan refleks batuk dan menelan.(Lynda Juall Carpenito, 1998)</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span>10)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan eliminasi uri (inkontinensia uri) yang berhubungan dengan lesi pada upper motor neuron (Lynda Juall Carpenito, 1998) </div><div class="MsoNormal" style="margin-left: 28.35pt; text-indent: -14.15pt;"><span>2<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Perencanaan</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.05in;"><span> </span>Setelah merumuskan diagnosa keperawatan maka perlu dibuat perencanaan intervensi keperawatan dan aktivitas keperawatan. Tujuan perencanaan adalah untuk mengurangi, menghilangkan dan mencegah masalah keperawatan klien. Tahapan perencanaan keperawatan klien adalah penentuan prioritas diagnosa keperawatan,penetuan tujuan, penetapan kriteria hasil dan menntukan intervensi keperawatan. </div><div class="MsoNormal" style="margin-left: 0.55in;"><span> </span>Rencana keperawatan dari diagnosa keperawatan diatas adalah :</div><div class="MsoNormal" style="margin-left: 0.85in; text-indent: -0.35in;"><span>a<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan perfusi jaringan otak yang berhubungan dengan perdarahan intra cerebral</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan :</div><div class="MsoNormal" style="margin-left: 1.05in; text-indent: 0.2in;">Perfusi jaringan otak dapat tercapai secara optimal</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kriteria hasil :</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: 0in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien tidak gelisah</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: 0in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tidak ada keluhan nyeri kepala, mual, kejang.</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: 0in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>GCS<span> </span>456</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: 0in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pupil isokor, reflek cahaya (+)</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tanda-tanda vital normal(nadi : 60-100 kali permenit, suhu: 36-36,7 C, pernafasan 16-20 kali permenit)</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindakan </div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berikan penjelasan kepada keluarga klien tentang sebab-sebab peningkatan TIK dan akibatnya</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Anjurkan kepada klien untuk bed rest totat</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Observasi dan catat tanda-tanda vital dan kelain tekanan intrakranial tiap dua jam</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berikan posisi kepala lebib tinggi 15-30 dengan letak jantung ( beri bantal tipis)</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Anjurkan klien untuk menghindari batukdan mengejan berlebihan</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Ciptakan lingkungan yang tenang dan batasi pengunjung</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>g)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kolaborasi dengan tim dokter dalam pemberian obat neuroprotektor</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rasional </div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Keluarga lebih berpartisipasi dalam proses penyembuhan </div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Untuk mencegah perdarahan ulang</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengetahui setiap perubahan yang terjadi pada klien secara dini dan untuk penetapan tindakan yang tepat</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengurangi tekanan arteri dengan meningkatkan draimage vena dan memperbaiki sirkulasi serebral</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Batuk dan mengejan dapat meningkatkan tekanan intra kranial dan potensial terjadi perdarahan ulang</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rangsangan aktivitas yang meningkat dapat meningkatkan kenaikan TIK. Istirahat total dan ketenagngan mingkin diperlukan untuk pencegahan terhadap perdarahan dalam kasus stroke hemoragik / perdarahan lainnya</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -23.4pt;"><span>g)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Memperbaiki sel yang masih viabel</div><div class="MsoNormal" style="margin-left: 0.85in; text-indent: -0.35in;"><span>b<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan mobilitas fisik berhubungan dengan hemiparese/hemiplegia</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -27pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan :</div><div class="MsoNormal" style="margin-left: 1.25in;">Klien mampu melaksanakan aktivitas fisik sesuai dengan kemampuannya</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -27pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kriteria hasil</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: 0in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tidak terjadi kontraktur sendi</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: 0in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Bertabahnya kekuatan otot</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: 0in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien menunjukkan tindakan untuk meningkatkan mobilitas</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -27pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindakan </div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Ubah posisi klien tiap 2 jam</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Ajarkan klien untuk melakukan latihan gerak aktif pada ekstrimitas yang tidak sakit</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lakukan gerak pasif pada ekstrimitas yang sakit</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berikan papan kaki pada ekstrimitas dalam posisi fungsionalnya</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tinggikan kepala dan tangan </div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kolaborasi dengan ahli fisioterapi untuklatihan fisik klien</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -27pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rasional</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Menurunkan resiko terjadinnya iskemia jaringan akibat sirkulasi darah yang jelek pada daerah yang tertekan </div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gerakan aktif memberikan massa, tonus dan kekuatan otot serta memperbaiki fungsi jantung dan pernapasan</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span> </span>Otot volunter akan kehilangan tonus dan kekuatannya bila tidak dilatih untuk digerakkan</div><div class="MsoNormal" style="margin-left: 0.85in; text-indent: -0.35in;"><span>c<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan persepsi sensori baerhubungan dengan penurunan sensori penurunan penglihatan</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -27pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan :</div><div class="MsoNormal" style="margin-left: 1.25in;">Meningkatnya persepsi sensorik secara optimal.</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -27pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kriteria hasil :</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: 0in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Adanya perubahan kemampuan yang nyata</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: 0in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tidak terjadi disorientasi waktu, tempat, orang</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -27pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindakan</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tentukan kondisi patologis klien</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kaji gangguan penglihatan terhadap perubahan persepsi</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Latih klien untuk melihat suatu obyek dengan telaten dan seksama</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Observasi respon perilaku klien, seperti menangis, bahagia, bermusuhan, halusinasi setiap saat</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berbicaralah dengan klien secara tenang dan gunakan kalimat-kalimat pendek</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -27pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rasional </div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Untuk mengetahui tipe dan lokasi yang mengalami gangguan, sebagai penetapan rencana tindakan</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Untuk mempelajari kendala yang berhubungan dengan disorientasi klien</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Agar klien tidak kebingungan dan lebih konsentrasi</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Untuk mengetahui keadaan emosi klien</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Untuk memfokuskan perhatian klien, sehingga setiap masalah dapat dimengerti.</div><div class="MsoNormal" style="margin-left: 0.85in; text-indent: -0.35in;"><span>d<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan komunikasi verbal yang berhubungan dengan penurunan sirkulasi darah otak</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -0.45in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan </div><div class="MsoNormal" style="margin-left: 1.2in;">Proses komunikasi klien dapat berfungsi secara optimal</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -0.45in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kriteria hasil</div><div class="MsoNormal" style="margin-left: 100.55pt; text-indent: -14.15pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Terciptanya suatu komunikasi dimana kebutuhan klien dapat dipenuhi</div><div class="MsoNormal" style="margin-left: 100.55pt; text-indent: -14.15pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien mampu merespon setiap berkomunikasi secara verbal maupun isarat</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -0.45in;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindakan</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berikan metode alternatif komunikasi, misal dengan bahasa isarat</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Antisipasi setiap kebutuhan klien saat berkomunikasi</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Bicaralah dengan klien secara pelan dan gunakan pertanyaan yang jawabannya “ya” atau “tidak”</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Anjurkan kepada keluarga untuk tetap berkomunikasi dengan klien</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Hargai kemampuan klien dalam berkomunikasi</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kolaborasi dengan fisioterapis untuk latihan wicara</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -27pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rasional </div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Memenuhi kebutuhan komunikasi sesuai dengan kemampuan klien</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mencegah rasa putus asa dan ketergantungan pada orang lain</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengurangi kecemasan dan kebingungan pada saat komunikasi</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengurangi isolasi sosial dan meningkatkan komunikasi yang efektif</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Memberi semangat pada klien agar lebih sering melakukan komunikasi</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Melatih klien belajar bicara secara mandiri dengan baik dan benar</div><div class="MsoNormal" style="margin-left: 0.85in; text-indent: -0.35in;"><span>e<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kurangnya perawatan diri berhubungan dengan hemiparese/hemiplegi</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan</div><div class="MsoNormal" style="margin-left: 1.2in;">Kebutuhan perawatan diri klien terpenuhi</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kriteria hasil</div><div class="MsoNormal" style="margin-left: 100.55pt; text-indent: -23.4pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien dapat melakukan aktivitas perawatan diri sesuai dengan kemampuan klien</div><div class="MsoNormal" style="margin-left: 100.55pt; text-indent: -14.15pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien dapat mengidentifikasi sumber pribadi/komunitas untuk memberikan bantuan sesuai kebutuhan</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindakan</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tentukan kemampuan dan tingkat kekurangan dalam melakukan perawatan diri</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Beri motivasi kepada klien untuk tetap melakukan aktivitas dan beri bantuan dengan sikap sungguh</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Hindari melakukan sesuatu untuk klien yang dapat dilakukan klien sendiri, tetapi berikan bantuan sesuai kebutuhan</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berikan umpan balik yang positif untuk setiap usaha yang dilakukannya atau keberhasilannya</div><div class="MsoNormal" style="margin-left: 1.55in; text-indent: -0.3in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kolaborasi dengan ahli fisioterapi/okupasi </div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -27pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rasional<span> </span></div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Membantu dalam mengantisipasi/merencanakan pemenuhan kebutuhan secara individual</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Meningkatkan harga diri dan semangat untuk berusaha terus-menerus</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien mungkin menjadi sangat ketakutan dan sangat tergantung dan meskipun bantuan yang diberikan bermanfaat dalam mencegah frustasi, adalah penting bagi klien untuk melakukan sebanyak mungkin untuk diri-sendiri untuk emepertahankan harga diri dan meningkatkan pemulihan</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Meningkatkan perasaan makna diri dan kemandirian serta mendorong klien untuk berusaha secara kontinyu</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Memberikan bantuan yang mantap untuk mengembangkan rencana terapi dan mengidentifikasi kebutuhan alat penyokong khusus</div><div class="MsoNormal" style="margin-left: 0.85in; text-indent: -0.35in;"><span>f<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Resiko gangguan nutrisi kurang dari kebutuhan tubuh berhubungan dengan kelemahan otot mengunyah dan menelan</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -9pt;">Tidak terjadi gangguan nutrisi</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -9pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kriteria hasil</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: 0in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berat badan dapat dipertahankan/ditingkatkan</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: 0in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Hb dan albumin dalam batas normal</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -9pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindakan</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tentukan kemampuan klien dalam mengunyah, menelan dan reflek batuk</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Letakkan posisi kepala lebih tinggi pada waktu, seama dan sesudah makan </div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Stimulasi bibir untuk menutup dan membuka mulut secara manual dengan menekan ringan diatas bibir/dibawah gagu jika dibutuhkan </div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Letakkan makanan pada daerah mulut yang tidak terganggu </div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berikan makan dengan berlahan pada lingkungan yang tenang</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mulailah untuk memberikan makan peroral setengah cair, makan lunak ketika klien dapat menelan air</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>g)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Anjurkan klien menggunakan sedotan meminum cairan</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>h)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Anjurkan klien untuk berpartisipasidalam program latihan/kegiatan</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>i)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kolaborasi dengan tim dokter untuk memberikan ciran melalui iv<span> </span>atau makanan melalui selang<span> </span></div><div class="MsoNormal" style="margin-left: 1in; text-indent: -9pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rasional<span> </span></div><div class="MsoNormal" style="margin-left: 1in; text-indent: 0in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Untuk menetapkan jenis makanan yang akan diberikan pada klien</div><div class="MsoNormal" style="margin-left: 1in; text-indent: 0in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Untuk klien lebih mudah untuk menelan karena gaya gravitasi </div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Membantu dalam melatih kembali sensori dan meningkatkan kontrol muskuler</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Memberikan stimulasi sensori (termasuk rasa kecap) yang dapat mencetuskan usaha untuk menelan dan meningkatkan masukan</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien dapat berkonsentrasi pada mekanisme makan tanpa adanya distraksi/gangguan dari luar</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Makan lunak/cairan kental mudah untuk mengendalikannya didalam mulut, menurunkan terjadinya aspirasi</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span>g)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Menguatkan otot fasial dan dan otot menelan dan merunkan resiko terjadinya tersedak</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span>h)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dapat meningkatkan pelepasan endorfin dalam otak yang meningkatkan nafsu makan</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span>i)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mungkin diperlukan untuk memberikan cairan pengganti dan juga makanan jika klien tidak mampu untuk memasukkan segala sesuatu melalui mulut</div><div class="MsoNormal" style="margin-left: 0.85in; text-indent: -0.35in;"><span>g<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan eliminasi alvi (konstipasi) berhubngan dengan imobilisasi, intake cairan yang tidak adekuat</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan</div><div class="MsoNormal" style="margin-left: 81pt;">Klien tidak mengalami kopnstipasi</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kriteria hasil</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien dapat defekasi secara spontan dan lancar tanpa menggunakan obat</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Konsistensifses lunak</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tidak teraba masa pada kolon ( scibala )</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Bising usus normal ( 15-30 kali permenit )</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindakan</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berikan penjelasan pada klien dan keluarga tentang penyebab konstipasi</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Auskultasi bising usus </div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Anjurkan pada klien untuk makan maknanan yang mengandung serat</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berikan intake cairan yang cukup (2 liter perhari) jika tidak ada kontraindikasi </div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lakukan mobilisasi sesuai dengan keadaan klien </div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kolaborasi dengan tim dokter dalam pemberian pelunak feses (laxatif, suppositoria, enema)</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rasional<span> </span></div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien dan keluarga akan mengerti tentang penyebab obstipasi</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Bising usu menandakan sifat aktivitas peristaltik</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Diit seimbang tinggi kandungan serat merangsang peristaltik dan eliminasi reguler</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Masukan cairan adekuat membantu mempertahankan konsistensi feses yang sesuai pada usus dan membantu eliminasi reguler</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Aktivitas fisik reguler membantu eliminasi dengan memperbaiki tonus oto abdomen dan merangsang nafsu makan dan peristaltik</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pelunak feses meningkatkan efisiensi pembasahan air usus, yang melunakkan massa feses dan membantu eliminasi</div><div class="MsoNormal" style="margin-left: 0.85in; text-indent: -0.35in;"><span>h<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Resiko gangguan integritas kulit berhubungan dengan tirah baring lama</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -5.4pt;">Klien mampu mempertahankan keutuhan kulit</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kriteria hasil</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -5.4pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien mau berpartisipasi terhadap pencegahan luka</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -5.4pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien mengetahui penyebab dan cara pencegahan luka</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -5.4pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tidak ada tanda-tanda kemerahan atau luka</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindakan</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Anjurkan untuk melakukan latihan ROM (range of motion) dan mobilisasi jika mungkin</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rubah posisi tiap 2 jam </div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gunakan bantal air atau pengganjal yang lunak di bawah daerah-daerah yang menonjol</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lakukan massage pada daerah yang menonjol yang baru mengalami tekanan pada waktu berubah posisi</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Observasi terhadap eritema dan kepucatan dan palpasi area sekitar terhadap kehangatan dan pelunakan jaringan tiap merubah posisi</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Jaga kebersihan kulit dan seminimal mungkin hindari trauma, panas terhadap kulit</div><div class="MsoNormal" style="margin-left: 1.2in; text-indent: -23.4pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rasional<span> </span></div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Meningkatkan aliran darah kesemua daerah</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Menghindari tekanan dan meningkatkan aliran darah</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Menghindari tekanan yang berlebih pada daerah yang menonjol</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Menghindari kerusakan-kerusakan kapiler-kapiler</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Hangat dan pelunakan adalah tanda kerusakan jaringan</div><div class="MsoNormal" style="margin-left: 99pt; text-indent: -0.25in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mempertahankan keutuhan kulit</div><div class="MsoNormal" style="margin-left: 0.85in; text-indent: -0.35in;"><span>i<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Resiko terjadinya ketidakefektifan bersihan jalan nafas yang berhubungan dengan menurunnya refleks batuk dan menelan, imobilisasi</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan :</div><div class="MsoNormal" style="margin-left: 81pt;">Jalan nafas tetap efektif.</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kriteria hasil :</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: 0in;"><span><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Klien tidak sesak nafas</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: 0in;"><span><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tidak terdapat ronchi, wheezing ataupun suara nafas tambahan</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: 0in;"><span><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tidak retraksi otot bantu pernafasan</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: 0in;"><span><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Pernafasan teratur, RR 16-20 x per menit</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: -0.25in;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindakan :</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berikan penjelasan kepada klien dan keluarga tentang sebab dan akibat ketidakefektifan jalan nafas</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rubah posisi tiap 2 jam sekali</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berikan intake yang adekuat (2000 cc per hari)</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Observasi pola dan frekuensi nafas</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Auskultasi suara nafas</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lakukan fisioterapi nafas sesuai dengan keadaan umum klien</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: -0.25in;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rasional :</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien dan keluarga mau berpartisipasi dalam mencegah terjadinya ketidakefektifan bersihan jalan nafas</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Perubahan posisi dapat melepaskan sekret darim saluran pernafasan</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Air yang cukup dapat mengencerkan sekret</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Untuk mengetahui ada tidaknya ketidakefektifan jalan nafas</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Untuk mengetahui adanya kelainan suara nafas</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Agar dapat melepaskan sekret dan mengembangkan paru-paru</div><div class="MsoNormal" style="margin-left: 0.85in; text-indent: -0.35in;"><span>j<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan eliminasi uri (incontinensia uri) yang berhubungan dengan kehilangan tonus kandung kemih, kehilangan kontrol sfingter, hilangnya isarat berkemih.</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan :</div><div class="MsoNormal" style="margin-left: 81pt;">Klien mampu mengontrol eliminasi urinya</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kriteria hasil :</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: 0in;"><span><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Klien akan melaporkan penurunan atau hilangnya inkontinensia</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: 0in;"><span><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tidak ada distensi bladder</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: -0.25in;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindakan :</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Identifikasi pola berkemih dan kembangkan jadwal berkemih sering</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: 0in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Ajarkan untuk membatasi masukan cairan selama malam hari</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Ajarkan teknik untuk mencetuskan refleks berkemih (rangsangan kutaneus dengan penepukan suprapubik, manuver regangan anal)</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Bila masih terjadi inkontinensia, kurangi waktu antara berkemih pada jadwal yang telah direncanakan</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berikan penjelasan tentang pentingnya hidrasi optimal (sedikitnya 2000 cc per hari bila tidak ada kontraindikasi)</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: -0.25in;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rasional :</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berkemih yang sering dapat mengurangi dorongan dari distensi kandung kemih yang berlebih</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pembatasan cairan pada malam hari dapat membantu mencegah enuresis</div><div class="MsoNormal" style="margin-left: 81pt; text-indent: 0in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Untuk melatih dan membantu pengosongan kandung kemih</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kapasitas kandung kemih mungkin tidak cukup untuk menampung volume urine sehingga memerlukanuntuk lebih sering berkemih</div><div class="MsoNormal" style="margin-left: 1.5in; text-indent: -27pt;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Hidrasi optimal diperlukan untuk mencegah infeksi saluran perkemihan dan batu ginjal.</div><div class="MsoNormal" style="margin-left: 28.35pt; text-indent: -14.15pt;"><span>3<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pelaksanaan</div><div class="MsoNormal" style="margin-left: 0.55in;"><span> </span>Pelaksanaan asuhan keperawatan ini merupakan realisasi dari rencana tindakan keperawatan yang diberikan pada klien.</div><div class="MsoNormal" style="margin-left: 28.35pt; text-indent: -14.15pt;"><span>4<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi</div><div class="MsoNormal" style="margin-left: 0.55in;"><span> </span>Evaluasi merupakan langkah akhir dalam proses keperawatan. Evaluasi adalah kegiatan yang di sengaja dan terus-menerus dengan melibatkan klien, perawat, dan anggota tim kesehatan lainnya. Dalam hal ini diperlukan pengetahuan tentang kesehatan, patofisiologi, dan strategi evaluasi. Tujuan evaluasi adalah untuk menilai apakah tujuan dalam rencana keperawatan tercapai atau tidak dan untuk melakukan pengkajian ulang. (Lismidar, 1990)</div><h1 style="margin-left: 0in; text-indent: 0in;"> </h1></div><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%; text-transform: uppercase;"><br clear="all" style="page-break-before: always;" /> </span></b> <h1 align="center" style="margin-left: 0in; text-align: center; text-indent: 0in;">DAFTAR PUSTAKA</h1><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Ali, Wendra, 1999, <i>Petunjuk Praktis Rehabilitasi Penderita Stroke</i>, Bagian Neurologi<span> </span>FKUI /RSCM,UCB Pharma Indonesia, Jakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Carpenito, Lynda Juall, 2000, <i>Buku Saku Diagnosa Keperawatan</i>, Edisi 8, EGC, Jakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Depkes RI, 1996, <i>Asuhan Keperawatan Pada Klien Dengan Gangguan Sistem Persarafan,</i> Diknakes, Jakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Doenges, M.E.,Moorhouse M.F.,Geissler A.C., 2000, <i>Rencana Asuhan Keperawatan</i>, Edisi 3, EGC, Jakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Engram, Barbara, 1998, <i>Rencana Asuhan Keperawatan Medikal Bedah</i>, Volume 3, EGC, Jakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Harsono, 1996, <i>Buku Ajar Neurologi Klinis</i>, Edisi 1, Gadjah Mada University Press, Yogyakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Harsono, 2000, <i>Kapita Selekta Neurologi</i>, Gadjah Mada University Press, Yogyakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Hudak C.M.,Gallo B.M.,1996, <i>Keperawatan Kritis, Pendekatan Holistik</i>, Edisi VI, Volume II, EGC, Jakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Ignatavicius D.D., Bayne M.V., 1991, <i>Medical Surgical Nursing, A Nursing Process Approach</i>, An HBJ International Edition, W.B. Saunders Company, Philadelphia.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Ignatavicius D.D., Workman M.L., Mishler M.A., 1995, <i>Medical Surgical Nursing, A Nursing Process Approach</i>, 2<sup>nd</sup><span> </span>edition, W.B. Saunders Company, Philadelphia.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Islam, Mohammad Saiful, 1998, <i>Stroke : Diagnosis Dan Penatalaksanaannya</i>, Lab/SMF Ilmu Penyakit Saraf, FK Unair/RSUD Dr. Soetomo, Surabaya.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Juwono, T., 1996, <i>Pemeriksaan Klinik Neurologik Dalam Praktek</i>, EGC, Jakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Lismidar, 1990, <i>Proses Keperawatan</i>, Universitas Indonesia, Jakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Mardjono M., Sidharta P., 1981, <i>Neurologi Klinis Dasar</i>, PT Dian Rakyat, Jakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Price S.A., Wilson L.M., 1995, <i>Patofisiologi Konsep Klinis Proses-Proses Penyakit</i>, Edisi 4, Buku II, EGC, Jakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Rochani, Siti, 2000, <i>Simposium Nasional Keperawatan Perhimpunan Perawat Bedah Saraf Indonesia,</i> Surabaya.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Satyanegara, 1998, <i>Ilmu Bedah Saraf</i>, Edisi Ketiga, Gramedia Pustaka Utama, Jakarta.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Susilo, Hendro, 2000, <i>Simposium Stroke, Patofisiologi Dan Penanganan Stroke, Suatu Pendekatan Baru Millenium III</i>, Bangkalan.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;">Widjaja, Linardi, 1993, <i>Patofisiologi dan Penatalaksanaan Stroke</i>, Lab/UPF Ilmu Penyakit Saraf, FK Unair/RSUD Dr. Soetomo, Surabaya. </div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.75in;"><br />
</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-20979829878572144182012-01-24T01:32:00.001-08:002012-01-24T01:32:53.772-08:00thypus<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if !mso]> <style>
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</style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="1062"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> <h1 style="line-height: 145%;">BAB I</h1><h1 style="line-height: 145%;">PENDAHULUAN</h1><h1 style="line-height: 145%; text-align: justify;"> </h1><h1 style="line-height: 145%; text-align: justify;"><span style="font-weight: normal;"> </span></h1><h1 style="line-height: 145%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>LATAR BELAKANG</h1><div class="MsoNormal" style="line-height: 145%; margin-left: 35.45pt; text-align: justify; text-indent: 56.7pt;">Typus abdominalis adalah suatu infeksi sistem yang ditandai demam, sakit kepala, kelesuan, anoreksia, bradikardi relatif, kadang-kadang pembesaran dari limpa/hati/kedua-duanya.</div><div class="MsoNormal" style="line-height: 145%; margin-left: 35.45pt; text-align: justify; text-indent: 56.7pt;">Gejala demam tipoid pada anak bervariasi, namun secara garis besar terdiri dari demam satu minggu atau lebih, terdapat gangguan saluran pencernaan. Dalam minggu pertama, keluhan dan gejala menyerupai penyakit infeksi akut pada umumnya, seperti demam, nyeri kepala, anoreksia, mual, muntah, diare/konstipasi. Pada pemeriksaan fisik hanya didapatkan suhu badan yang meningkat.</div><div class="MsoNormal" style="line-height: 145%; margin-left: 35.45pt; text-align: justify; text-indent: 56.7pt;">Masa inkubasi demam tifoid berlangsung selama 7-14 hari (bervariasi antara 3-60 hari) bergantung jumlah dan strain kuman yang tertelan. Setelah masa inkubasi penderita mulai menunjukkan gejala klinis. Onset penyakit berjalan secara perlahan tetapi bisa juga timbul secara tiba-tiba. Demam makin lama makin tinggi tetapi bisa juga remiten atau menetap. Pada awalnya suhu meningkat secara bertahap menyerupai anak tangga selama 2-7 hari, lebih tinggi pada sore dan malam hari. Akan tetapi demam bisa pula mendadak tinggi.<span lang="IN"></span></div><div class="MsoNormal" style="line-height: 145%; margin-left: 35.45pt; text-align: justify; text-indent: 56.7pt;"><br />
</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 0.5in; text-indent: -0.25in;"><b><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>TUJUAN</b></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 0.5in;">Tujuan umum:<span> </span>Mahasiswa mampu menerapkan asuhan keperawatan pada pasien anak dengan Typoid</div><div class="MsoNormal" style="line-height: 145%; text-align: justify; text-indent: 35.45pt;"><span lang="FR">Tujuan khusus:</span><span lang="IN"></span></div><div class="MsoNormal" style="line-height: 145%; text-align: justify; text-indent: 35.45pt;"><span lang="IN"><span> </span></span><span lang="IN">a. </span><span lang="FR">Mengetahui pengertian tentang </span><span lang="IN">Typoid</span></div><div class="MsoNormal" style="line-height: 145%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengetahui tentang penyebab <span lang="IN">Typoid</span></div><div class="MsoNormal" style="line-height: 145%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengetahui karakteristik dan manifestasi kliniknya</div><div class="MsoNormal" style="line-height: 145%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengetahui patofisiologi<span lang="IN"> Typoid</span></div><div class="MsoNormal" style="line-height: 145%; margin-left: 49.65pt; text-align: justify; text-indent: -14.2pt;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengetahui penatalaksanaan dan asuhan keperawatannya</div><h1>BAB II</h1><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>KONSEP DASAR</b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b>A. PENGERTIAN</b></div><div class="MsoBodyTextIndent" style="line-height: 150%;">Typus abdominalis adalah penyakit infeksi akut yang biasa mengenai saluran cerna dengan gejala batuk demam lebih dari 7 hari, dengan gangguan pada saluran cerna, gangguan kesadaran (suryadi, 2006)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: 35.45pt;">Typus abdominalis adalah suatu infeksi sistem yang ditandai demam, sakit kepala, kelesuan, anoreksia, bradikardi relatif, kadang-kadang pembesaran dari limpa/hati/kedua-duanya. (Samsuridjal D dan heru S, 2003)</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><h2 style="line-height: 150%;">B. PENYEBAB <span lang="IN"></span></h2><div class="MsoBodyTextIndent" style="line-height: 150%;">Salmonella typhi yang menyebabkan infeksi invasive, bergerak dengan rambutgetar, tidak berespon mempunyai sekurangnya empat antigen O ( somatic H (flagel) VI dan protein membrane hialin)<span lang="IN">.</span></div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-indent: 0in;"><br />
</div><div class="MsoBodyTextIndent" style="line-height: 150%; text-indent: -14.2pt;"><b><span>C.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>MANIFESTASI KLINIS</b></div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 32.2pt; text-indent: -0.25in;"><span><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Nyeri kepala, lemah, lesu</div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 32.2pt; text-indent: -0.25in;"><span><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Demam yang tidak terlalu tinggi dan berlangsung selama 3 minggu, minggu pertama peningkatan suhu tubuh berfluktuasi, biasanya suhu tubuh meningkat pada pagi hari. Pada minggu kedua suhu tubuh terus meningkat dan pada minggu ketiga suhu berangsur – angsur turun dan kembali normal.</div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 32.2pt; text-indent: -0.25in;"><span><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Gangguan pada saluran pencernaan</div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 32.2pt; text-indent: -0.25in;"><span><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Gangguan kesadaran, penurunan kesadaran (apatis, sapnolen)</div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 32.2pt; text-indent: -0.25in;"><span><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Bintik – bintik kemerahan pada kulit, akibat hasil dalam kapiler kulit</div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 32.2pt; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Epistaksis.</div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-indent: 0in;"><br />
</div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-indent: 0in;"><br />
</div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-indent: 0in;"><br />
</div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-indent: 0in;"><br />
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</div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-indent: 0in;"><b>D. PATOFISIOLOGIS</b></div><div class="MsoBodyTextIndent" style="line-height: 150%;">Infeksi salmonella thypi masuk tubuh manusia melalui mulut dengan makanan dan air yang tercemar sebagai kuman dimusnahkan oleh asam lambung, sebagian lagi masuk ke usus halus dan mencapai jaringan. Plag playeri dileum terminalis hipertropi di tempat ini komplikasi perdarahan dan perforasi intestinal dapat terjadi pada demam thipoid terjadi proses inflamasi lokal pada jaringan tempat salmonella thypi berkembang biak, demam pada thypi disebabkan karena salmonella thypi dan endolesinya merangsang sintesis dan pelepasan zat pirogen oleh leukosit pada jaringan meradang.</div><div class="MsoBodyTextIndent" style="line-height: 150%;">Bakteri masuk melalui saluran cerna, kemudian menimbulkan infeksi, sebagian besar bakteri mati oleh asam lambung. Bakteri yang tetap hidup akan masuk ke dalam ileum melalui mikrovili dan mencapai piagpayeri. Selanjutnya masuk ke dalam pembuluh darah (disebut bakteri primer) pada tahap berikutnya salmonella thypi menuju ke organ sistem retikulo endolekai yaitu hati, limpa, sum-sum tulang dan organ lain (disebut bakteria sekunder) kandung empedu merupakan organ yang sensitif infeksi salmonella thypi. </div><div class="MsoBodyTextIndent" style="line-height: 150%;"><br />
</div><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span></b> <div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-indent: 0in;"><b>PATHWAYS</b></div><div align="center" class="MsoBodyTextIndent" style="line-height: 120%; margin-left: 0in; text-align: center; text-indent: 0in;"><span style="height: 24px; left: 0px; margin-left: 266px; margin-top: 20px; position: absolute; width: 12px; z-index: 251639808;"><img height="24" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="12" /></span>Salmonella thypi</div><div align="center" class="MsoBodyTextIndent" style="line-height: 120%; margin-left: 0in; text-align: center; text-indent: 0in;"><br />
</div><div align="center" class="MsoBodyTextIndent" style="line-height: 120%; margin-left: 0in; text-align: center; text-indent: 0in;"><span style="height: 24px; left: 0px; margin-left: 266px; margin-top: 21px; position: absolute; width: 12px; z-index: 251640832;"><img height="24" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="12" /></span><span>Mulut</span></div><div align="center" class="MsoBodyTextIndent" style="line-height: 120%; margin-left: 0in; text-align: center; text-indent: 0in;"><br />
</div><div align="center" class="MsoBodyTextIndent" style="line-height: 120%; margin-left: 0in; text-align: center; text-indent: 0in;"><span>Saluran Pencernaan</span></div><div align="center" class="MsoBodyTextIndent" style="line-height: 120%; margin-left: 0in; text-align: center; text-indent: 0in;"><span style="position: relative; z-index: 251641856;"><span style="height: 24px; left: 266px; position: absolute; top: -1px; width: 12px;"><img height="24" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="12" /></span></span> </div><br clear="ALL" /> <div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin-left: 0in; text-align: left; text-indent: 0in;"><span style="height: 25px; margin-left: 266px; margin-top: 18px; position: absolute; width: 12px; z-index: 251644928;"><img height="25" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="12" /></span><span style="height: 12px; margin-left: 164px; margin-top: 7px; position: absolute; width: 75px; z-index: 251643904;"><img height="12" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="75" /></span><span style="height: 12px; margin-left: 313px; margin-top: 6px; position: absolute; width: 123px; z-index: 251642880;"><img height="12" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="123" /></span><span><span> </span>Dimusnahkan asam <span> </span>Lambung<span> </span>Usus Halus </span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin-left: 0in; text-align: left; text-indent: 0in;"><span style="height: 57px; margin-left: 471px; margin-top: 4px; position: absolute; width: 12px; z-index: 251653120;"><img height="57" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="12" /></span><span><span> </span>Lambung </span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin-left: 0in; text-align: left; text-indent: 0in;"><span style="height: 35px; margin-left: 88px; margin-top: 4px; position: absolute; width: 12px; z-index: 251649024;"><img height="35" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></span><span style="height: 24px; margin-left: 266px; margin-top: 20px; position: absolute; width: 12px; z-index: 251645952;"><img height="24" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="12" /></span><span><span> </span>Iritasi Lambung</span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin-left: 0in; text-align: left; text-indent: 0in;"><span><span> </span></span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin-left: 0in; text-align: left; text-indent: 0in;"><span style="height: 28px; margin-left: 476px; margin-top: 20px; position: absolute; width: 76px; z-index: 251655168;"><img height="28" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="76" /></span><span style="height: 29px; margin-left: 408px; margin-top: 20px; position: absolute; width: 71px; z-index: 251654144;"><img height="29" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" width="71" /></span><span><span> </span>Salmonelid thypi mati<span> </span>Mual, hiperemesis <span> </span>Ke jaringan limfoid </span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin-left: 0in; text-align: left; text-indent: 0in;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
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</tbody></table></span><span> </span></div><br clear="ALL" /> <div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span><span> </span>Anoreksia <span> </span>Hiperptisia <span> </span>Menyerang villi </span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="height: 36px; margin-left: 88px; margin-top: 1px; position: absolute; width: 12px; z-index: 251651072;"><img height="36" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></span><span style="height: 35px; margin-left: 266px; margin-top: 2px; position: absolute; width: 12px; z-index: 251648000;"><img height="35" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" width="12" /></span><span><span> </span>Plaks<span> </span>player<span> </span>Usus halus </span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="position: relative; z-index: 251652096;"><span style="height: 73px; left: 189px; position: absolute; top: -1px; width: 367px;"> <table align="left" cellpadding="0" cellspacing="0"><tbody>
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</td> <td align="left" rowspan="2" valign="top"><img height="25" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="12" /></td> <td><br />
</td> <td align="left" rowspan="3" valign="top"><img height="64" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" width="12" /></td> </tr>
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</td> <td height="59" rowspan="3" style="border: 0.75pt solid black; vertical-align: top;" width="172"><span style="position: absolute; z-index: 251652096;"> <table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div class="shape" style="padding: 4.35pt 7.95pt;"> <div class="MsoNormal"><br />
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</tbody></table></span></span><span> </span></div><br clear="ALL" /> <div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="height: 24px; margin-left: 405px; margin-top: 21px; position: absolute; width: 12px; z-index: 251657216;"><img height="24" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="12" /></span><span><span> </span>Output berlebihan <span> </span>O<sub>3</sub> pada nutrisi kurang <span> </span>Nekrosis<span> </span></span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span><span> </span></span><span lang="FR">Dari pada input<span> </span>dari kebutuhan tubuh<span> </span></span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="position: relative; z-index: 251667456;"><span style="height: 35px; left: 88px; position: absolute; top: -1px; width: 12px;"><img height="35" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></span></span><span><span> </span>Ulserasi plaks <span> </span>Masuk peredaran</span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="height: 42px; margin-left: 35px; margin-top: 15px; position: absolute; width: 125px; z-index: 251666432;"> <table cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="42" style="border: 0.75pt solid black; vertical-align: top;" width="125"><span style="position: absolute; z-index: 251666432;"> <table cellpadding="0" cellspacing="0"><tbody>
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</tbody></table></span><span style="height: 24px; margin-left: 541px; margin-top: 20px; position: absolute; width: 12px; z-index: 251661312;"><img height="24" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="12" /></span><span style="height: 24px; margin-left: 405px; margin-top: 20px; position: absolute; width: 12px; z-index: 251658240;"><img height="24" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="12" /></span><span><span> </span>Player <span> </span>darah</span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="height: 83px; margin-left: 155px; margin-top: 8px; position: absolute; width: 202px; z-index: 251668480;"><img height="83" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image015.gif" width="202" /></span><span><span> </span>Defisit volume <span> </span></span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span><span> </span>Ulkus<span> </span>Sel-sel retikulo </span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="height: 24px; margin-left: 405px; margin-top: 0px; position: absolute; width: 12px; z-index: 251659264;"><img height="24" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="12" /></span><span><span> </span>Endoteleal, hati</span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span><span> </span>Perdarahan dan <span> </span>limfa dan organ </span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="height: 24px; margin-left: 541px; margin-top: 21px; position: absolute; width: 12px; z-index: 251662336;"><img height="24" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="12" /></span><span><span> </span>Perforasi usus <span> </span>lain</span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span><span> </span></span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span><span> </span>Endotoksemia</span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="position: relative; z-index: 251663360;"><span style="height: 24px; left: 541px; position: absolute; top: -1px; width: 12px;"><img height="24" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="12" /></span></span><span><span> </span></span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span><span> </span>Merangsang sintesi</span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="height: 48px; margin-left: 324px; margin-top: 13px; position: absolute; width: 206px; z-index: 251669504;"><img height="48" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image016.gif" width="206" /></span><span><span> </span>Cemas/takut<span> </span>dan pelepasan za</span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="height: 25px; margin-left: 269px; margin-top: 19px; position: absolute; width: 12px; z-index: 251673600;"><img height="25" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image017.gif" width="12" /></span><span><span> </span>Hospitalisasi <span> </span>piragen dan leukosit </span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="height: 31px; margin-left: 203px; margin-top: 20px; position: absolute; width: 149px; z-index: 251670528;"> <table cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="31" style="border: 0.75pt solid black; vertical-align: top;" width="149"><span style="position: absolute; z-index: 251670528;"> <table cellpadding="0" cellspacing="0"><tbody>
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</tbody></table></span><span style="height: 24px; margin-left: 541px; margin-top: 0px; position: absolute; width: 12px; z-index: 251664384;"><img height="24" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="12" /></span><span><span> </span></span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span style="height: 24px; margin-left: 407px; margin-top: 17px; position: absolute; width: 12px; z-index: 251675648;"><img height="24" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image018.gif" width="12" /></span><span style="height: 12px; margin-left: 470px; margin-top: 7px; position: absolute; width: 27px; z-index: 251674624;"><img height="12" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image019.gif" width="27" /></span><span style="height: 25px; margin-left: 541px; margin-top: 19px; position: absolute; width: 12px; z-index: 251665408;"><img height="25" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="12" /></span><span><span> </span>Gangguan pola tidur <span> </span>Suhu tubuh me↑<span> </span>Inflamasi usus</span></div><div align="left" class="MsoBodyTextIndent" style="line-height: 120%; margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
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</td> <td height="32" rowspan="2" style="border: 0.75pt solid black; vertical-align: top;" width="93"><span style="position: absolute; z-index: 251671552;"> <table cellpadding="0" cellspacing="0"><tbody>
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</td> <td height="46" rowspan="2" style="border: 0.75pt solid black; vertical-align: top;" width="129"><span style="position: absolute; z-index: 251672576;"> <table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div class="shape" style="padding: 4.35pt 7.95pt;"> <div class="MsoNormal"><br />
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</tbody></table></span><span> </span></div><br clear="ALL" /> <div align="left" class="MsoBodyTextIndent" style="margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span><span> </span></span><span lang="FR">Hipertermi <span> </span>G3 rasa nyaman </span></div><div align="left" class="MsoBodyTextIndent" style="margin: 0in -43.85pt 0.0001pt 0in; text-align: left; text-indent: 0in;"><span lang="FR"><span> </span>Nyeri <span> </span><span> </span></span><span lang="FR"></span></div><div align="right" class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-align: right; text-indent: 0in;"><span lang="FR">(Suriadi & Rita Y, 2001)</span></div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-indent: 0in;"><br />
</div><div class="MsoBodyTextIndent2" style="line-height: 145%; text-indent: 0in;"><b><span lang="FR">E. PEMERIKSAAN PENUNJANG</span></b></div><div class="MsoBodyTextIndent2" style="line-height: 145%; margin-left: 32.2pt; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan Darah Perifer Lengkap</div><div class="MsoBodyTextIndent2" style="line-height: 145%; margin-left: 32.2pt; text-indent: 0in;"><span lang="FR">Dapat ditemukan leukopeni, dapat pula leukositosis atau kadar leukosit normal. </span>Leukositosis dapat terjadi walaupun tanpa disertai infeksi sekunder. </div><div class="MsoBodyTextIndent2" style="line-height: 145%; margin-left: 32.2pt; text-indent: -0.25in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan SGOT dan SGPT</div><div class="MsoBodyTextIndent2" style="line-height: 145%; margin-left: 32.2pt; text-indent: 0in;">SGOT dan SGPT sering meningkat, tetapi akan kembali normal setelah sembuh. Peningkatan SGOT dan SGPT ini tidak memerlukan penanganan khusus</div><div class="MsoBodyTextIndent2" style="line-height: 145%; margin-left: 32.2pt; text-indent: -0.25in;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan Uji Widal</div><div class="MsoBodyTextIndent2" style="line-height: 145%; margin-left: 32.2pt; text-indent: 0in;">Uji Widal dilakukan untuk mendeteksi adanya antibodi terhadap bakteri Salmonella typhi. Uji Widal dimaksudkan untuk menentukan adanya aglutinin dalam serum penderita Demam Tifoid. Akibat adanya infeksi oleh Salmonella typhi maka penderita membuat antibodi (aglutinin) yaitu:</div><div class="MsoBodyTextIndent2" style="line-height: 145%; margin-left: 53.45pt; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Aglutinin O: karena rangsangan antigen O yang berasal dari tubuh bakteri</div><div class="MsoBodyTextIndent2" style="line-height: 145%; margin-left: 53.45pt; text-indent: -0.25in;"><span lang="FR" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FR">Aglutinin H: karena rangsangan antigen H yang berasal dari flagela bakteri</span></div><div class="MsoBodyTextIndent2" style="line-height: 145%; margin-left: 127.6pt; text-indent: -92.15pt;"><span lang="FR" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FR">Aglutinin Vi: karena rangsangan antigen Vi yang berasal dari simpai bakter.</span></div><div class="MsoBodyTextIndent2" style="line-height: 145%; margin-left: 35.45pt; text-indent: 0in;">Dari ketiga aglutinin tersebut hanya aglitinin O dan H yang digunakan untuk diagnosis Demam Tifoid. Semakin tinggi titernya semakin besar kemungkinan menderita Demam Tifoid. (Widiastuti Samekto, 2001)</div><div class="MsoBodyTextIndent" style="line-height: 145%; text-indent: -14.2pt;"><br />
</div><h2 style="line-height: 145%;">F. KOMPLIKASI</h2><div class="MsoNormal" style="line-height: 145%; margin-left: 14.2pt; text-indent: 35.45pt;">Perdarahan usus, peritonitis, meningitis, kolesistitis, ensefalopati, bronkopneumonia, hepatitis. (Arif mansjoer & Suprohaitan 2000)</div><div class="MsoBodyTextIndent3" style="line-height: 145%; margin-left: 14.2pt; text-indent: 35.45pt;">Perforasi usus terjadi pada 0,5-3% dan perdarahan berat pada 1-10% penderita demam tifoid. Kebanyakan komplikasi terjadi selama stadium ke-2 penyakit dan umumnya didahului oleh penurunan suhu tubuh dan tekanan darah serta kenaikan denyut jantung.Pneumonia sering ditemukan selama stadium ke-2 penyakit, tetapi seringkali sebagai akibat superinfeksi oleh organisme lain selain Salmonella. Pielonefritis, endokarditis, meningitis, osteomielitis dan arthritis septik jarang terjadi pada hospes normal. Arthritis septik dan osteomielitis lebih sering terjadi pada penderita hemoglobinopati. (Behrman Richard, 1992)</div><div class="MsoBodyText" style="line-height: 145%;"><b>G. <span> </span>ASUHAN KEPERAWATAN PADA ANAK DENGAN DEMAM TIPOID</b></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 21pt;"><b>1.<span> </span>PENGKAJIAN</b></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 43.4pt;">a.<span> </span>Keadaan Umum</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 65.1pt;">Takikardia, hipotensi dan shock jika perdarahan, infeksi sekunder atau septikimia.</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 43.4pt;"><span lang="FR">b.<span> </span>Pernafasan</span></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 65.1pt;"><span lang="FR">Batuk non produktif, sesak nafas</span></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 43.4pt;"><span lang="FR">c.<span> </span>Pencernaan</span></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 65.1pt;"><span lang="FR">Umumnya konstipasi diri pada diare, pertu tegang, pembesaran limpa dan hati, nyeri perut pada perlukaan, bising usus melemah atau hilang, muntah, lidah dengan ujung dan tepi kemerahan, kotor, mulut bau, bibir kering, dan pecah-pecah.</span></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 43.4pt;"><span lang="FR">d.<span> </span>Gastrointestinal</span></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 65.1pt;"><span lang="FR">Distensi kandung kemih, retensi urine</span></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 43.4pt;"><span lang="FR">e.<span> </span>Sistem Syaraf</span></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 65.1pt;"><span lang="FR">Demam, nyeri kepala, kesadaran menurun, gangguan kepribadian, afasia, kejang.</span></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 43.4pt;"><span lang="FR">f.<span> </span>Muskulakeletal</span></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 65.1pt;">Nyeri sendi</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 43.4pt;">g.<span> </span>Sistem Endokrin</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 65.1pt;">Tidak ada masalah</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 43.4pt;">h.<span> </span>Sistem Integumen</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 65.1pt;">Turgor kulit menurun, membran mukosa kering</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 43.4pt;">i.<span> </span>Sistem Pendengaran</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 65.1pt;">Tuli ringan atau terdapat adanya otitis media</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 0.25in; text-indent: 3.3pt;"><br />
</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 21pt;"><b>2.<span> </span>DIAGNOSA KEPERAWATAN</b></div><div class="MsoBodyText" style="line-height: 145%; margin-left: 63.7pt; text-indent: -20.3pt;">1.<span> </span>Hipertermia b.d proses infeksi</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 63.7pt; text-indent: -20.3pt;">2.<span> </span>Gangguan rasa nyaman nyeri b.d penekanan rongga abdomen</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 63.7pt; text-indent: -20.3pt;">3.<span> </span>Perubahan pola nutrisi kurang dari kebutuhan tubuh b.d intake nutrisi tidak adekuat.</div><div class="MsoBodyText" style="line-height: 145%; margin-left: 63.7pt; text-indent: -20.3pt;">4.<span> </span>Gangguan pola istirahat b.d proses hospitalisasi </div><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span></b> <div class="MsoBodyText" style="margin-left: 21pt;"><b>3.<span> </span>INTERVENSI KEPERAWATAN</b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: -61.8pt; width: 718px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 28.5pt;" valign="top" width="38"> <div class="MsoBodyText"><b><span style="font-size: 11pt; line-height: 150%;">No.</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 47.5pt;" valign="top" width="63"> <div class="MsoBodyText"><b><span style="font-size: 11pt; line-height: 150%;">Waktu</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 89.95pt;" valign="top" width="120"> <div class="MsoBodyText"><b><span style="font-size: 11pt; line-height: 150%;">Dx. Kep</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 112.1pt;" valign="top" width="149"> <div class="MsoBodyText"><b><span style="font-size: 11pt; line-height: 150%;">Tujuan + KH</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 119.05pt;" valign="top" width="159"> <div class="MsoBodyText"><b><span style="font-size: 11pt; line-height: 150%;">Intervensi</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 106pt;" valign="top" width="141"> <div class="MsoBodyText"><b><span style="font-size: 11pt; line-height: 150%;">Rasional</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 35.5pt;" valign="top" width="47"> <div class="MsoBodyText"><b><span style="font-size: 11pt; line-height: 150%;">TTD</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 28.5pt;" valign="top" width="38"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 47.5pt;" valign="top" width="63"> <div align="center" class="MsoBodyText" style="text-align: center;"><span lang="IN" style="font-size: 11pt; line-height: 150%;">21</span><span style="font-size: 11pt; line-height: 150%;">/7/09</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 89.95pt;" valign="top" width="120"> <div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">Hipertermia b.d proses inflamasi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 112.1pt;" valign="top" width="149"> <div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">Tujuan : setelah dilaksanakan tindakan kep. selama 3 x 24 jam suhu tubuh dalam batas normal</span></div><div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">KH :</span></div><div class="MsoBodyText" style="margin-left: 13.5pt; text-indent: -13.5pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Suhu 36 – 37 <sup>o</sup>C</span></div><div class="MsoBodyText" style="margin-left: 13.5pt; text-indent: -13.5pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Badan teraba tidak panas</span></div><div class="MsoBodyText" style="margin-left: 13.5pt; text-indent: -13.5pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Leukosit dalam batas normal</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 119.05pt;" valign="top" width="159"> <div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">1. <span> </span>Observasi suhu, nadi, TD dan pernapasan </span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">2. <span> </span>Beri klien kompres hangat</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">3. <span> </span>Anjurkan klien banyak minum</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">4. <span> </span>Anjurkan klien memakai baju yang tipis dan menyerap keringat</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 150%;">5. <span> </span>Kolaborasi pemberian cairan parenteral dan antipiretik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 106pt;" valign="top" width="141"> <div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Monitor dini terjadinya hipertermia</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mempercepat proses penguapan panas tubuh</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengembalikan cairan tubuh yang hilang</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Membantu mempercepat penguapan suhu tubuh</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menambah cairan tubuh dan mengurangi hipertermia</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 35.5pt;" valign="top" width="47"> <div class="MsoBodyText"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 28.5pt;" valign="top" width="38"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-size: 11pt; line-height: 150%;">2.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 47.5pt;" valign="top" width="63"> <div align="center" class="MsoBodyText" style="text-align: center;"><span lang="IN" style="font-size: 11pt; line-height: 150%;">21</span><span style="font-size: 11pt; line-height: 150%;">/7/09</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 89.95pt;" valign="top" width="120"> <div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">Gangguan rasa nyaman nyeri b.d penekanan rongga abdomen</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 112.1pt;" valign="top" width="149"> <div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">Tujuan : setelah dilakukan tindakan kep. selama 3 x 24 jam nyeri berkurang / hilang</span></div><div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">KH : </span></div><div class="MsoBodyText" style="margin-left: 13.5pt; text-indent: -13.5pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Vital sign dalam batas normal</span></div><div class="MsoBodyText" style="margin-left: 13.5pt; text-indent: -13.5pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Klien dengan verbal mengatakan nyeri hilang</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 119.05pt;" valign="top" width="159"> <div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">1. <span> </span>Kaji tingkat nyeri</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">2. <span> </span>Atur posisi senyaman mungkin</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 150%;">3. <span> </span>Beritahu klien atau keluarga tentang teknik relaksasi</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 150%;">4. <span> </span>Berikan tirah baring yang cukup</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 150%;">5. <span> </span>Berikan kompres hangat</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 150%;">6. <span> </span>Kolaborasi pemberian analgesik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 106pt;" valign="top" width="141"> <div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Pemberian terapi yang sesuai</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Memberikan kenyamanan klien</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Menambah relaksasi dan mengurangi rasa nyeri</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Meminimalisir nyeri karena penekanan rongga abdomen</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Menambah relaksasi </span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengurangi rasa nyeri</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 35.5pt;" valign="top" width="47"> <div class="MsoBodyText"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 28.5pt;" valign="top" width="38"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-size: 11pt; line-height: 150%;">3.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 47.5pt;" valign="top" width="63"> <div align="center" class="MsoBodyText" style="text-align: center;"><span lang="IN" style="font-size: 11pt; line-height: 150%;">21</span><span style="font-size: 11pt; line-height: 150%;">/7/09</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 89.95pt;" valign="top" width="120"> <div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">Gangguan pola nutrisi kurang dari kebutuhan tubuh b.d intake yang tidak adekuat</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 112.1pt;" valign="top" width="149"> <div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">Tujuan : setelah dilakukan tindakan kep. selama 3 x 24 jam nutrisi terpenuhi atau me ↑</span></div><div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">KH :</span></div><div class="MsoBodyText" style="margin-left: 13.5pt; text-indent: -13.5pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Nafsu makan me ↑</span></div><div class="MsoBodyText" style="margin-left: 13.5pt; text-indent: -13.5pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Porsi makan habis 1 porsi</span></div><div class="MsoBodyText" style="margin-left: 13.5pt; text-indent: -13.5pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>BB meningkat</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 119.05pt;" valign="top" width="159"> <div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 150%;">1. <span> </span>Kaji pola nutrisi pasien</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 150%;">2. <span> </span>Kaji faktor yang menimbulkan mual-mual</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 150%;">3. <span> </span>Anjurkan klien untuk menghindari makanan yang pedas</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 150%;">4. <span> </span>Anjurkan klien makan sedikit tapi sering</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 150%;">5. <span> </span>Berikan pentingnya tentang nutrisi</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 150%;">6. <span> </span>Kolaborasi dengan ahli gizi untuk memberikan makanan </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 106pt;" valign="top" width="141"> <div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menentukan terapi yang sesuai</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Monitor dini penyebab dan segera monitor intake dan output</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Meminimalisir perlukaan lambung</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Menghindari rasa mual dan muntah</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Klien tahu dan me ↑ pola nutrisi</span></div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Keb. nutrisi terpenuhi dan terjaga</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 35.5pt;" valign="top" width="47"> <div class="MsoBodyText"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 28.5pt;" valign="top" width="38"> <div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">4.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 47.5pt;" valign="top" width="63"> <div class="MsoBodyText"><span lang="IN" style="font-size: 11pt; line-height: 150%;">21</span><span style="font-size: 11pt; line-height: 150%;">/7/09</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 89.95pt;" valign="top" width="120"> <div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">Gangguan pola istirahat tidur b.d proses hospitalisasi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 112.1pt;" valign="top" width="149"> <div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">Tujuan : setelah dilakukan tindakan kep. selama 3 x 24 jam istirahat tidur terpenuhi</span></div><div class="MsoBodyText"><span lang="FR" style="font-size: 11pt; line-height: 150%;">KH :</span></div><div class="MsoBodyText" style="margin-left: 13.5pt; text-indent: -13.5pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Klien dapat tidur</span></div><div class="MsoBodyText" style="margin-left: 13.5pt; text-indent: -13.5pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Klien tidur <u>+</u> 10 jam /hr</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 119.05pt;" valign="top" width="159"> <div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">1. Dongengkan cerita yang menyenangkan pada anak sebelum tidur.</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">2. <span> </span>Batasi pengunjung</span></div><div class="MsoBodyText" style="margin-left: 19pt; text-indent: -19pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">3. <span> </span>Yakinkan pada anak selalu ada di dekatnya sepanjang klien tidur</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 106pt;" valign="top" width="141"> <div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><br />
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</div><div class="MsoBodyText" style="margin-left: 16.1pt; text-indent: -16.1pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menciptakan lingkungan nyaman</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 35.5pt;" valign="top" width="47"> <div class="MsoBodyText"><br />
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<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 28.5pt;" valign="top" width="38"> <div class="MsoBodyText"><span style="font-size: 11pt; line-height: 150%;">5.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 47.5pt;" valign="top" width="63"> <div class="MsoBodyText"><span lang="IN" style="font-size: 11pt; line-height: 150%;">21</span><span style="font-size: 11pt; line-height: 150%;">/7/09</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 89.95pt;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: 140%;"><span style="font-size: 11pt; line-height: 140%;">Defisit vol. cairan b.d output berlebih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 112.1pt;" valign="top" width="149"> <div class="MsoBodyText" style="line-height: 140%;"><span style="font-size: 11pt; line-height: 140%;">Tujuan : setelah dilakukan tindakan kep. selama 3 x 24 jam intake cairan sama dengan output cairan</span></div><div class="MsoBodyText" style="line-height: 140%;"><span style="font-size: 11pt; line-height: 140%;">KH : </span></div><div class="MsoBodyText" style="line-height: 140%; margin-left: 13.5pt; text-indent: -13.5pt;"><span style="font-size: 11pt; line-height: 140%;">- <span> </span>Turgor kulit baik</span></div><div class="MsoBodyText" style="line-height: 140%; margin-left: 13.5pt; text-indent: -13.5pt;"><span style="font-size: 11pt; line-height: 140%;">- <span> </span>Tidak lemas, tidak pucat,</span></div><div class="MsoBodyText" style="line-height: 140%; margin-left: 13.5pt; text-indent: -13.5pt;"><span style="font-size: 11pt; line-height: 140%;">- <span> </span>Nafsu makan bertambah</span></div><div class="MsoBodyText" style="line-height: 140%; margin-left: 13.5pt; text-indent: -13.5pt;"><span style="font-size: 11pt; line-height: 140%;">- <span> </span>Mual, muntah hilang</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 119.05pt;" valign="top" width="159"> <div class="MsoBodyText" style="line-height: 140%; margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 140%;">1. <span> </span>Kaji intake dan output cairan</span></div><div class="MsoBodyText" style="line-height: 140%; margin-left: 19pt; text-indent: -19pt;"><br />
</div><div class="MsoBodyText" style="line-height: 140%; margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 140%;">2. <span> </span>Observasi sistem integument</span></div><div class="MsoBodyText" style="line-height: 140%; margin-left: 19pt; text-indent: -19pt;"><br />
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</div><div class="MsoBodyText" style="line-height: 140%; margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 140%;">3. <span> </span>Anjurkan klien untuk minum <u>+</u> 2,5 l /hr</span></div><div class="MsoBodyText" style="line-height: 140%; margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 140%;">4. <span> </span>Catat jumlah porsi nutrisi yang masuk pada klien</span></div><div class="MsoBodyText" style="line-height: 140%; margin-left: 19pt; text-indent: -19pt;"><span style="font-size: 11pt; line-height: 140%;">5. <span> </span>Kolaborasi terapi parenteral</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 106pt;" valign="top" width="141"> <div class="MsoBodyText" style="line-height: 140%; margin-left: 16.1pt; text-indent: -16.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 140%;">- <span> </span>Monitor dini tanda-tanda dehidrasi</span></div><div class="MsoBodyText" style="line-height: 140%; margin-left: 16.1pt; text-indent: -16.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 140%;">- <span> </span>Respon kulit sebagai indikator kekurangan cairan</span></div><div class="MsoBodyText" style="line-height: 140%; margin-left: 16.1pt; text-indent: -16.1pt;"><span style="font-size: 11pt; line-height: 140%;">- <span> </span>Intake cairan yang cukup</span></div><div class="MsoBodyText" style="line-height: 140%; margin-left: 16.1pt; text-indent: -16.1pt;"><br />
</div><div class="MsoBodyText" style="line-height: 140%; margin-left: 16.1pt; text-indent: -16.1pt;"><span style="font-size: 11pt; line-height: 140%;">- <span> </span>Pastikan asupan nutrisi yang cukup untuk klien </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 35.5pt;" valign="top" width="47"> <div class="MsoBodyText"><br />
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</tbody></table><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span></b> <div align="center" class="MsoBodyText" style="margin-left: 21pt; text-align: center;"><b>DAFTAR PUSTAKA</b></div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
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</div><div class="MsoNormal" style="margin-left: 21pt; text-align: justify; text-indent: -21pt;">Arjatmo Tjokronegoro & Hendra Utama. <b><i><span lang="FR">Buku Ajar Ilmu Penyakit Dalam</span></i></b><span lang="FR">. </span>Jilid I. Edisi ke Tiga. FKUI. Jakarta. 1997.</div><div align="left" class="MsoBodyText" style="text-align: left;"><br />
</div><div class="MsoNormal" style="margin-left: 28pt; text-align: justify; text-indent: -28pt;">Doengoes, M (2001). <b><i>Rencana Asuhan Keperawatan</i></b>. Jakarta EGC.</div><div class="MsoNormal" style="margin-left: 28pt; text-align: justify; text-indent: -28pt;"><br />
</div><div class="MsoNormal" style="margin-left: 28pt; text-align: justify; text-indent: -28pt;">Junaedi, P (1982). <b><i>Kapita Selekta Kedokteran</i></b>. <span lang="FR">Jakarta : FKUI .</span></div><div class="MsoNormal" style="margin-left: 28pt; text-align: justify; text-indent: -28pt;"><br />
</div><div class="MsoNormal" style="margin-left: 28pt; text-align: justify; text-indent: -28pt;"><span lang="FR">Suriadi dan Yuliani, Rita (2001). </span><b><i>Asuhan Keperawatan Anak</i></b>. Jakarta : CV. Sugung Seto.</div><div class="MsoNormal" style="margin-left: 28pt; text-align: justify; text-indent: -28pt;"><br />
</div><div class="MsoNormal" style="margin-left: 28pt; text-align: justify; text-indent: -28pt;">Whaley’s and Wong (2003). <b><i>Keperawatan Pediatrik</i></b>. Jakarta : EGC. </div><div class="MsoNormal" style="margin-left: 28pt; text-align: justify; text-indent: -28pt;"><br />
</div><div class="MsoNormal" style="margin-left: 28pt; text-align: justify; text-indent: -28pt;">Bagian Ilmu Kesehatan Anak (1985). <b><i>Buku Kuliah Ilmu Kesehatan Anak</i></b>. Jakarta Infomedia.</div><div class="MsoNormal" style="margin-left: 28pt; text-align: justify; text-indent: -28pt;"><br />
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</div><div align="center" class="MsoBodyText" style="text-align: center;"><b>BAB IV</b></div><div align="center" class="MsoBodyText" style="text-align: center;"><b>PEMBAHASAN</b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 0.5in;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 0.5in;">Setelah dilakukan pengkajian pada tanggal 2<span lang="IN">1</span> Juli 2009, pukul 21.20 WIB sampai tanggal 2<span lang="IN">4 </span><span> </span>juli 2009, pukul 07.15 terhadap An. <span lang="IN">A</span> dengan Typus abdominalis didapatkan masalah:</div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif";"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif";">Hipertermia berhubungan dengan proses inflamasi </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif";"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif";">Gangguan rasa nyaman nyeri berhubungan dengan penekanan rongga abdomen</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif";"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif";">Gangguan pola nutrisi kurang dari kebutuhan tubuh berhubungan dengan intake yang tidak adekuat</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 0.5in;">Dari ke-3 masalah di atas, telah dilakukan asuhan keperawatan selama 3 hari mulai tanggal 2<span lang="IN">1</span> Juli 2009 sampai dengan tanggal 2<span lang="IN">4</span> Juli 2009 dengan lama pengkajian perawatan ±7 jam/hari. Hasil evaluasi akhir sebagai berikut:</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>24<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Juli 2009</div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 48.3pt; text-align: justify; text-indent: -48.3pt;"><span style="font-family: "Times New Roman","serif";">DX 1 <span> </span>: <span> </span>Hipertermia berhubungan dengan proses inflamasi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">S<span> </span>: <span> </span>Keluarga mengatakan anaknya panas tambah tinggi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">O<span> </span>: <span> </span>Badan teraba panas, S : 40, N : 120 x/menit</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">A<span> </span>: <span> </span>Masalah belum teratasi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">P<span> </span>: <span> </span>Lanjutkan intervensi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: 0in;"><span style="font-family: "Times New Roman","serif";"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif";">Member</span><span lang="IN" style="font-family: "Times New Roman","serif";">i</span><span style="font-family: "Times New Roman","serif";"> kompres</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: 0in;"><span style="font-family: "Times New Roman","serif";"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif";">Menganjurkan banyak minum</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 48.3pt; text-align: justify; text-indent: -48.3pt;"><span style="font-family: "Times New Roman","serif";">DX 2<span> </span>: <span> </span>Gangguan rasa nyaman nyeri berhubungan dengan penekanan rongga<span> </span>abdomen</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">S <span> </span>: <span> </span>Klien mengatakan nyeri perutnya sudah berkurang. </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">O <span> </span>: <span> </span>Skala nyeri 2, perut masih sakit jika di tekan. </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">A <span> </span>: <span> </span>Masalah teratasi sebagian. </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">P <span> </span>: <span> </span>Lanjutkan intervensi : </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify;"><span style="font-family: "Times New Roman","serif";">-<span> </span>Mengkaji skala nyeri. </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify;"><span style="font-family: "Times New Roman","serif";">-<span> </span>Menganjurkan istirahat yang cukup. <span> </span></span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 48.3pt; text-align: justify; text-indent: -48.3pt;"><span style="font-family: "Times New Roman","serif";">DX 3 <span> </span>: <span> </span>Gangguan pola nutrisi kurang dari kebutuhan tubuh berhubungan dengan intake yang tidak adekuat</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">S <span> </span>: <span> </span>Keluarga mengatakan anaknya sudah mau makan sedikit-sedikit. </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">O <span> </span>: <span> </span>Bibir kering, nasi 4 - 5 sendok di makan</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">A <span> </span>: <span> </span>Masalah teratasi sebagian. </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">P <span> </span>: <span> </span>Lanjutkan intervensi : </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify;"><span style="font-family: "Times New Roman","serif";">-<span> </span>Menganjurkan menghindari makanan pedas dan kecut. </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify;"><span style="font-family: "Times New Roman","serif";">-<span> </span>Memberikan makan dikit tapi sering.</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 48.3pt; text-align: justify; text-indent: -48.3pt;"><span style="font-family: "Times New Roman","serif";">DX 4 <span> </span>: <span> </span>Gangguan eliminasi : konstipasi b.d penurunan aktivitas fisik</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">S <span> </span>: <span> </span>Keluarga mengatakan anaknya sudah tidak konstipasi </span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">O <span> </span>: <span> </span>Abdomen lembek, bising usus 18x /menit</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">A<span> </span>: <span> </span>Masalah teratasi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify; text-indent: -30.1pt;"><span style="font-family: "Times New Roman","serif";">P <span> </span>: <span> </span>Lanjutkan intervensi</span></div><div class="MsoListParagraph" style="line-height: 150%; margin-left: 78.4pt; text-align: justify;"><span style="font-family: "Times New Roman","serif";">- <span> </span>Menganjurkan untuk banyak makan sayur dan buah</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 0.5in;">Dari hasil evaluasi diatas, diagnos<span lang="IN">a</span> 1 masalah belum teratasi, diagnos<span lang="IN">a</span> 2 masalah teratasi sebagian, dan diagnos<span lang="IN">a</span> 3 masalah teratasi sebagian, diagnosa ke-4 masalah sudah teratasi. Karena pengkajian yang dilakukan selama tiga hari, maka untuk melanjutkan intervensi selanjutnya kami limpahkan keperawat di ruangan.</div><div class="MsoBodyText"><br />
</div><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span> <div align="center" class="MsoBodyText" style="text-align: center;"><b>BAB V</b></div><div align="center" class="MsoBodyText" style="text-align: center;"><b>PENUTUP</b></div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-indent: 0in;"><br />
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</div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-indent: 0in;"><b><span style="font-size: 14pt; line-height: 150%;">Kesimpulan </span></b></div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-indent: 28pt;">Typus abdominalis adalah penyakit infeksi akut yang biasanya mengenai saluran cerna dengan gejala batuk demam lebih dari 7 hari, gangguan pada saluran cerna, gangguan kesadaran gejala dari typus abdominalis adalah nyeri kepala, demam, lemah, gangguan saluran pencernaan, gangguan kesadaran, bintik-bintik merah pada kulit, epistaksis, penyebab typus abdominalis salmonella thypi. Pada kasus typus abdominalis ini terjadi pada An. <span lang="IN">A</span> dengan umur 10 tahun awal mulanya anak hanya mengalami demam selama 1 minggu, yang tidak turun-turun lalu dibawanya ke dokter oleh dokter dianjurkan cek laboratorium ternyata haal widal salmonella typi O 1/320 dan widal salmonella thypi H 1/220 lalu oleh dokter dianjurkan untuk dibawa ke RS<span lang="IN"> Roemani</span> untuk mendapatkan perawatan.</div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0in; text-indent: 28pt;">Untuk mengatasi masalah yang ada pada An. <span lang="IN">A</span> dengan thypus abdominalis yang paling prioritas adalah hipertermi dari kasus anak A tanda dan gejala yang dialami tidak semua sama dengan yang di teori.</div><div class="MsoBodyText" style="text-indent: 28pt;">Selama memberikan asuhan keperawatan kepada An. <span lang="IN">A</span> penulis menemukan hambatan-hambatan tersebut adalah penulis tidak bisa memberikan asuhan keperawatan mandiri selama 24 jam dan untuk mengatasi penulis bekerjasama dengan dokter, perawat ruangan, tim kesehatan lain dan keluarga.</div><div class="MsoBodyText"><br />
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</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-45823342501292048842012-01-24T01:27:00.000-08:002012-01-24T01:27:09.438-08:00Typus Abdominalis<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if !mso]> <style>
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</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>Disusun Oleh :</b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>D</b><b><span lang="IN">WI ANA YUNIATI</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>G5A00801</b><b><span lang="IN">5</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span style="font-size: 14pt; line-height: 150%;">PROGRAM PROFESI NURSE</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span style="font-size: 14pt; line-height: 150%;">FAKULTAS ILMU KEPERAWATAN DAN KESEHATAN</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span style="font-size: 14pt; line-height: 150%;">UNIVERSITAS MUHAMMADIYAH SEMARANG</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span style="font-size: 14pt; line-height: 150%;">2009</span></b></div><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>BAB III</b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>ASUHAN KEPERAWATAN PADA AN. </b><b><span lang="IN">A</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>DENGAN THYPUS ABDOMINALIS DI RUANG </b><b><span lang="IN">LUKMAN</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="FR">RS</span></b><b><span lang="IN"> ROEMANI</span></b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><b><span lang="FR">A. <span> </span>PENGKAJIAN </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 24pt; text-align: justify;"><span lang="FR">Pengkajian dilakukan pada tanggal 2</span><span lang="IN">1</span><span lang="FR"> Juli 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 42pt; text-align: justify; text-indent: -0.25in;"><span lang="FR">1. <span> </span>Identitas </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 42pt; text-align: justify;">Nama <span> </span>: <span> </span>An. <span lang="IN">A</span><span lang="IN"> </span><span> </span><span> </span>Nama Ayah <span> </span>: <span> </span>Tn. S</div><div class="MsoNormal" style="line-height: 150%; margin-left: 42pt; text-align: justify;">Umur <span> </span>: <span> </span>10 tahun <span> </span>Nama Ibu <span> </span>: <span> </span>Ny. <span lang="IN">C</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in -41.1pt 0.0001pt 42pt; text-align: justify;">Jenis Kelamin <span> </span>: <span> </span>Perempuan <span> </span>Suku / Bangsa <span> </span>: <span> </span>Jawa/Indonesia </div><div class="MsoNormal" style="line-height: 150%; margin-left: 42pt; text-align: justify;">Tanggal Masuk <span> </span>: <span> </span>2<span lang="IN">1</span> Juli 2009<span> </span>Agama <span> </span>: <span> </span>Islam </div><div class="MsoNormal" style="line-height: 150%; margin-left: 42pt; text-align: justify;">Diagnosa Medis <span> </span>: <span> </span>Thypus abdominalis <span> </span>Alamat <span> </span>: <span> </span><span lang="IN">Kopen,</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 42pt; text-align: justify;"><span lang="IN"><span> </span></span>No. Reg<span> </span>:<span> </span>571 906<span> </span><span lang="IN">Wonodri</span><span lang="IN"> </span><span lang="IN"></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 42pt; text-align: justify; text-indent: -0.25in;">2. <span> </span>Riwayat Kesehatan </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">a. <span> </span>Keluhan Utama </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;">Pasien mengatakan badan panas</div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">b. <span> </span>Riwayat Kesehatan Sekarang </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;">Keluarga mengatakan anaknya panas, perut sakit, badan lemah, nafsu makan berkurang. Sejak tanggal 14 Juli 2009, keluarga sudah memeriksakannya ke dokter tapi tidak sembuh-sembuh dan keluarga memeriksakannya lagi ke dokter lalu pasien dianjurkan untuk tes laboraturium. Hasilnya widal salmonelta thypi O : 1/320 dan widal salmonella thypi N : 1/220 lalu dari dokter di rujuk ke RS<span lang="IN"> Roemani </span>untuk menjalani perawatan lebih lanjut. Pasien dan keluarga sampai di UGD R<span lang="IN">S Roemani</span> pada tanggal 2<span lang="IN">1</span> Juli 2009 Jam 20.39 di UGD mendapat therapi infus RL 20 tpm, Cefotaxim 3 x 500 mg untuk perawatan lebih lanjut pasien di pindahkan ke ruang <span lang="IN">Lukman </span>pada pukul 21.15.</div><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span> <div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">c. <span> </span>Riwayat Kesehatan Dahulu </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;">Keluarga mengatakan klien pada usia 1 thn pernah dirawat d<span lang="IN">i </span>R<span lang="IN">S Roemani</span> karena menderita penyakit diare. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">d. <span> </span>Riwayat Kesehatan Keluarga </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;">Kakak pasien ada yang pernah menderita penyakit yang sama thypus abdominalis seperti yang klien derita sekarang. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 42pt; text-align: justify; text-indent: -0.25in;">3. <span> </span>Pengkajian pola fungsi kesehatan </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">a. <span> </span>Persepsi dan pemeliharaan kesehatan </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;">Keluarga mengatakan sangat peduli dengan kesehatan, keluarga merasa khawatir dengan penyakit anaknya, keluarga selalu membawa berobat ke dokter apabila dari keluarga ada yang sakit. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">b. <span> </span>Pola Nutrisi dan Cairan </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;">Saat dilakukan pengkajian keluarga mengatakan nafsu makan anak kurang porsi dari rumah sakit hanya 2-3 sendok yang dihabiskan. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;">A <span> </span>: <span> </span>BB sebelum sakit <span> </span>: <span> </span>33,5 kg </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;"><span> </span>BB selama sakit <span> </span>: <span> </span>32 kg </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;">B <span> </span>: <span> </span>HB 11,9 g/dl </div><div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -30pt;">C<span> </span>: <span> </span>Turgor kulit baik (di cubit cepat kembali) konjungtiva merah muda. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">D<span> </span>: <span> </span>Diet bubur nasi, lauk, ayam, sayur-sayuran hijau. Nasi bubur<span> </span>dimakan 2 – 3 sendok </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">c. <span> </span>Pada eliminasi </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;">Keluarga dan klien mengatakan sudah 3 hari ini belum BAB kurang nafsu makannya kurang untuk BAK klien 3-4 x/hari tanpa ada keluhan. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">d. <span> </span>Pola Aktivitas dan Latihan </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;">Selama sakit ini anak aktivitasnya dibantu sebagian oleh keluarga sudah 5hari anak tidak sekolah dan bermain dengan teman-temannya lagi. </div><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 145%;"><br clear="all" style="page-break-before: always;" /> </span> <div class="MsoNormal" style="line-height: 145%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">e. <span> </span>Pola Istirahat Tidur </div><div class="MsoNormal" style="line-height: 145%; margin-left: 60pt; text-align: justify;">Selama sakit keluarga mengatakan istirahat cukup tetapi tiap tidur malam selalu terbangun, istirahat malam. Mulai pukul 21.30 sampai 05.30 tidur siang dari jam 10.00-15.00.</div><div class="MsoNormal" style="line-height: 145%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">f. <span> </span>Pola hubungan dengan orang lain. </div><div class="MsoNormal" style="line-height: 145%; margin-left: 60pt; text-align: justify;">Keluarga mengatakan hubungan dengan teman-temannya sangat baik selama sakit dirumah banyak teman-teman yang menjenguknya. Hubungan dengan keluarga juga sangat baik terlihat dari keluarga yang selalu menemani pasien. </div><div class="MsoNormal" style="line-height: 145%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">g. <span> </span>Pola Hubungan Seksualitas </div><div class="MsoNormal" style="line-height: 145%; margin-left: 60pt; text-align: justify;">Pasien berjenis kelamin perempuan, berumur 10 tahun </div><div class="MsoNormal" style="line-height: 145%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">h. <span> </span>Pola Personal Hygiene </div><div class="MsoNormal" style="line-height: 145%; margin-left: 60pt; text-align: justify;">Selama sakit pasien tidak pernah mandi, pasien hanya disibin 2x/hari oleh keluarga, sikat gigi dan keramas tidak pernah, ganti baju 2x/hari. </div><div class="MsoNormal" style="line-height: 145%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">i. <span> </span>Perkembangan </div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">a) <span> </span>Personal Sosial </div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify;">Keluarga mengatakan anaknya bisa mandiri memakai baju/kaos T-Shirt dan bisa gosok gigi sendiri pada usia 3 tahun. </div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">b) <span> </span>Motorik halus </div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify;">Keluarga mengatakan anaknya bisa/senang menulis, mencoret-coret dan mewarnai pada usia 3,5 tahun. </div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">c) <span> </span>Bahasa </div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify;">Keluarga mengatakan anak bisa bicara 2 kata pada usia 10 bulan, bicara 6 kata 1,5 tahun bicara jelas pada usia 2,5 tahun. </div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">d) <span> </span>Motorik Kasar </div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify;">Keluarga mengatakan anak bisa berjalan pada usia 18 bulan </div><div class="MsoNormal" style="line-height: 145%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">j. <span> </span>Pertumbuhan </div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">a) <span> </span>Panjang/tinggi badan <span> </span>: <span> </span>125 cm </div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">b) <span> </span>Berat Badan <span> </span>: <span> </span>32 kg </div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">c) <span> </span>Lingkar Kepala <span> </span>: <span> </span>45 cm </div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">d) <span> </span>Ketebalan lipatan kulit<span> </span>:<span> </span>-</div><div class="MsoNormal" style="line-height: 145%; margin-left: 78pt; text-align: justify; text-indent: -0.25in;">e) <span> </span>Lingkar tengah <span> </span>: <span> </span>15 cm </div><div class="MsoNormal" style="line-height: 150%; margin-left: 42pt; text-align: justify; text-indent: -0.25in;">4. <span> </span>Pemeriksaan Fisik <span> </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">a. <span> </span>Keadaan Umum <span> </span>: <span> </span>Lemah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">b. <span> </span>Kesadaran <span> </span>: <span> </span>Composmentis </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">c. <span> </span>Tanda Vital <span> </span>: <span> </span>N <span> </span>: <span> </span>100 x/mnt <span> </span>S <span> </span>: <span> </span>39<sup>4</sup></div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;"><sup><span> </span></sup>TD <span> </span>: <span> </span>100/70 mmHg <span> </span>RR : <span> </span>20 x/mnt </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">d. <span> </span>Kepala <span> </span>: <span> </span>Mesocepal </div><div class="MsoNormal" style="line-height: 150%; margin-left: 170.1pt; text-align: justify; text-indent: -128.1pt;">e. <span> </span>Rambut <span> </span>: <span> </span>Hitam, lurus, panjang rambut tidak rontok, tidak mudah dicabut</div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;"><span lang="FR">f. <span> </span>Mata <span> </span>: <span> </span>Konjungtiva anemis </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;"><span lang="FR">g. <span> </span></span>Hidung <span> </span>: <span> </span>Polip tidak ada, bersih, tidak ada sekret </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">h. <span> </span>Mulut <span> </span>: <span> </span>Bibir pecah-pecah, merah. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">i. <span> </span>Leher <span> </span>: <span> </span>Tidak tampak pembesaran kelenjar tiroid </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">j. <span> </span>Telinga <span> </span>: <span> </span>Bersih, tidak ada serumen </div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;">k. <span> </span>Jantung <span> </span>: <span> </span>I <span> </span>: <span> </span>Ictus cordis tidak tampak </div><div class="MsoNormal" style="line-height: 150%; margin-left: 206.5pt; text-align: justify; text-indent: -164.5pt;"><span> </span><span lang="FR">Pa <span> </span>: <span> </span>Ictur cordis teraba di LMCS intercosta iv-v</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 206.5pt; text-align: justify; text-indent: -164.5pt;"><span lang="FR"><span> </span>Pe <span> </span>: <span> </span>Pekak </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 206.5pt; text-align: justify; text-indent: -164.5pt;"><span lang="FR"><span> </span>Au <span> </span>: <span> </span>Suara Bunyi jantung I/II murni</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 206.5pt; text-align: justify; text-indent: -164.5pt;"><span lang="FR">l. <span> </span>Paru<span> </span>: <span> </span>I <span> </span>: <span> </span>Simetris </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 206.5pt; text-align: justify; text-indent: -164.5pt;"><span lang="FR"><span> </span>Pa <span> </span>: <span> </span>Suara vokal vremitus Ka = Ki </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 206.5pt; text-align: justify; text-indent: -164.5pt;"><span lang="FR"><span> </span>Pe <span> </span>: <span> </span>Sonor seluruh lapang paru </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 206.5pt; text-align: justify; text-indent: -164.5pt;"><span lang="FR"><span> </span>Au <span> </span>: <span> </span>Suara dasar vesi kuler ka=ki</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 206.5pt; text-align: justify; text-indent: -164.5pt;">M. <span> </span>Abdomen <span> </span>: <span> </span>I <span> </span>: <span> </span>Bentuk datar </div><div class="MsoNormal" style="line-height: 150%; margin-left: 206.5pt; text-align: justify; text-indent: -164.5pt;"><span> </span>Au <span> </span>: <span> </span>Bising usus <span style="font-family: Symbol;"><span><span> </span></span></span><span style="font-family: Symbol;"><span>Å</span></span>, 18 x/menit</div><div class="MsoNormal" style="line-height: 150%; margin-left: 206.5pt; text-align: justify; text-indent: -164.5pt;"><span> </span>Pe <span> </span>: <span> </span>Tympani </div><div class="MsoNormal" style="line-height: 150%; margin-left: 206.5pt; text-align: justify; text-indent: -164.5pt;"><span> </span>Pa <span> </span>: <span> </span>Terdapat nyeri tekan di perut kanan bagian atas. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 184.1pt; text-align: justify; text-indent: -142.1pt;">N. <span> </span>Integumen <span> </span>: <span> </span>Turgor kulit baik </div><div class="MsoNormal" style="line-height: 150%; margin-left: 184.1pt; text-align: justify; text-indent: -142.1pt;">O. <span> </span>Ekstremitas <span> </span>: <span> </span>-<span> </span>Tidak terdapat oedema </div><div class="MsoNormal" style="line-height: 150%; margin-left: 184.1pt; text-align: justify; text-indent: -142.1pt;"><span> </span><span lang="FR">- <span> </span>Tangan kiri terpasang infuse </span></div><span lang="FR" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span> <div class="MsoNormal" style="line-height: 150%; margin-left: 24.5pt; text-align: justify;"><span lang="FR">5.<span> </span>Pemeriksaan Penunjang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.5pt; text-align: justify;">Lab 19/7/2009</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>WBC<span> </span>:<span> </span>8.0<span> </span>10<sup>3</sup>/mm<sup>3</sup><span> </span>(3.5 – 10.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>RBC<span> </span>:<span> </span>5.65<span> </span>10<sup>6</sup>/mm<sup>3</sup><span> </span>(3.80 – 5.80)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>HGB<span> </span>:<span> </span>11.9<span> </span>g/dl<span> </span>(11.0 – 16.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>HCT<span> </span>:<span> </span>37.9<span> </span>%<span> </span>(35.0 – 50.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>PLT<span> </span>:<span> </span>266<span> </span>10<sup>3</sup>/mm<sup>2</sup><span> </span>(150 – 390)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>PCT<span> </span>:<span> </span>188<span> </span>%<span> </span>(100 – 500)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>MCV<span> </span>:<span> </span>67<span> </span>µ m<sup>3</sup><span> </span>(80 – 97)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>MCH<span> </span>:<span> </span>21.1<span> </span>pg<span> </span>(26.5 – 33.5)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>MCHC<span> </span>:<span> </span>31.4<span> </span>g/dl<span> </span>(31.5 – 35.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>RDW<span> </span>:<span> </span>17.1<span> </span>%<span> </span>(10.0 – 15.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>MPV<span> </span>:<span> </span>7.1<span> </span>µ m<sup>3<span> </span></sup>(6.5 – 11.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>PDW<span> </span>:<span> </span>13.1<span> </span>%<span> </span>(10.0 – 18.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.5pt; text-align: justify;">DIFF</div><div class="MsoNormal" style="line-height: 150%; margin: 0in -73.45pt 0.0001pt 44.8pt; text-align: justify;">%<span> </span>LYM<span> </span>:<span> </span>29.3 %<span> </span>(17.0 – 48.0)<span> </span>#<span> </span>LYM<span> </span>:<span> </span>2.3<span> </span>10<sup>3</sup>/mm<sup>3</sup><span> </span>(1.0 – 3.2)</div><div class="MsoNormal" style="line-height: 150%; margin: 0in -73.45pt 0.0001pt 44.8pt; text-align: justify;"><span lang="FR">%<span> </span>MON<span> </span>:<span> </span>5.1 %<span> </span>(4.0 – 10.0)<span> </span>#<span> </span>MON<span> </span>:<span> </span>0.4<span> </span>10<sup>3</sup>/mm<sup>3</sup><span> </span>(0.3 – 0.8)</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in -73.45pt 0.0001pt 44.8pt; text-align: justify;"><span lang="FR">%<span> </span>GRA<span> </span>:<span> </span>65.6 %<span> </span>(43.0 – 76.0)<span> </span>#<span> </span>GRA<span> </span>:<span> </span>5.3<span> </span>10<sup>3</sup>/mm<sup>3</sup><span> </span>(1.2 – 6.8)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">Widal<span> </span>sdl monella<span> </span>thypi<span> </span>O<span> </span>:<span> </span>1/320</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">Widal<span> </span>sdl monella<span> </span>thypi<span> </span>H<span> </span>:<span> </span>1/220</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.5pt; text-align: justify;">Lab 21/7/2009</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>WBC<span> </span>:<span> </span>7.5<span> </span>10<sup>3</sup>/mm<sup>3</sup><span> </span>(3.5 – 10.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>RBC<span> </span>:<span> </span>4.42<span> </span>10<sup>6</sup>/mm<sup>3</sup><span> </span>(3.80 – 5.80)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>HGB<span> </span>:<span> </span>12.7<span> </span>g/dl<span> </span>(11.0 – 16.5)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>HCT<span> </span>:<span> </span>33.8<span> </span>%<span> </span>(35.0 – 50.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>PLT<span> </span>:<span> </span>383<span> </span>10<sup>3</sup>/mm<sup>2</sup><span> </span>(750 – 390)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>PCT<span> </span>:<span> </span>-364<span> </span>%<span> </span>(-100 – 500)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>MCV<span> </span>:<span> </span>76<span> </span>µ m<sup>3</sup><span> </span>(80 – 97)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>MCH<span> </span>:<span> </span>28.8<span> </span>pg<span> </span>(26.5 – 33.5)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>MCHC<span> </span>:<span> </span>37.6 N<span> </span>g/dl<span> </span>(31.5 – 35.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>RDW<span> </span>:<span> </span>14.4<span> </span>%<span> </span>(10.0 – 15.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>MPV<span> </span>:<span> </span>9.5<span> </span>µ m<sup>3<span> </span></sup>(6.5 – 11.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.8pt; text-align: justify;">-<span> </span>PDW<span> </span>:<span> </span>14.5<span> </span>%<span> </span>(10.0 – 18.0)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 45.5pt; text-align: justify;">DIFF</div><div class="MsoNormal" style="line-height: 150%; margin: 0in -73.45pt 0.0001pt 44.8pt; text-align: justify;">%<span> </span>LYM<span> </span>:<span> </span>20.2 %<span> </span>(17.0 – 48.0)<span> </span>#<span> </span>LYM<span> </span>:<span> </span>1.5<span> </span>10<sup>3</sup>/mm<sup>3</sup><span> </span>(1.2 – 3.2)</div><div class="MsoNormal" style="line-height: 150%; margin: 0in -73.45pt 0.0001pt 44.8pt; text-align: justify;"><span lang="FR">%<span> </span>MON<span> </span>:<span> </span>2.8 L %<span> </span>(4.0 – 10.0)<span> </span>#<span> </span>MON<span> </span>:<span> </span>0.2 L<span> </span>10<sup>3</sup>/mm<sup>3</sup><span> </span>(0.3 – 0.8)</span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in -73.45pt 0.0001pt 44.8pt; text-align: justify;">%<span> </span>GRA<span> </span>:<span> </span>77.8 H %<span> </span>(43.0 – 76.0)<span> </span>#<span> </span>GRA<span> </span>:<span> </span>5.8<span> </span>10<sup>3</sup>/mm<sup>3</sup><span> </span>(1.2 – 6.8)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.1pt; text-align: justify;">Widal</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.1pt; text-align: justify;">-<span> </span>Salmonella typi O (R. kosong)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.1pt; text-align: justify;">-<span> </span>Salmonella typi H + 1/320</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.1pt; text-align: justify;">-<span> </span>Salmonella para typi H – A<span> </span>+<span> </span>1/160</div><div class="MsoNormal" style="line-height: 150%; margin-left: 44.1pt; text-align: justify;">-<span> </span>Salmonella para typi H – B<span> </span>-<span> </span>negatif</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b>G.<span> </span>Therapi</b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.4pt; text-align: justify;">2<span lang="IN">1</span>/7<span lang="IN">/09</span><span> </span>-<span> </span>Infus RL<span> </span><span lang="IN"><span> </span></span>20 tpm</div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.4pt; text-align: justify;"><span> </span>-<span> </span>Injeksi Cefo<span lang="IN"> <span> </span></span>3 x 500 mg /IV</div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.4pt; text-align: justify;"><span> </span>-<span> </span>Paracetamol<span lang="IN"> <span> </span></span>3 x 1 tab /oral</div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.4pt; text-align: justify;"><span> </span>-<span> </span>Dexanta syr<span> </span><span lang="IN"><span> </span></span>3 x 1 cth</div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.4pt; text-align: justify;">2<span lang="IN">2</span>/7<span lang="IN">/09</span><span> </span>-<span> </span>Inj. Lapixin<span> </span><span lang="IN"><span> </span></span>3 x 500 mg /IV</div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.4pt; text-align: justify;"><span> </span>-<span> </span>cough en<span> </span><span lang="IN"><span> </span></span>3 x 1 cth</div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.4pt; text-align: justify;"><span> </span>-<span> </span>Antasida<span> </span><span lang="IN"><span> </span></span>3 x 1 cth</div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.4pt; text-align: justify;"><span> </span>-<span> </span>Candistatin<span> </span><span lang="IN"><span> </span></span>4 x 1 cc</div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.4pt; text-align: justify;">2<span lang="IN">3</span>/7<span lang="IN">/09</span><span> </span>-<span> </span>injeksi Cefotaxim<span> </span>3 x 500 mg/IV</div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.4pt; text-align: justify;"><span> </span>-<span> </span>Chlorampenicol <span> </span>4 x 2 cth</div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.4pt; text-align: justify;"><span> </span>-<span> </span>Dulculac supp 1</div><div class="MsoNormal" style="line-height: 150%; margin-left: 22.4pt; text-align: justify;"><span> </span>-<span> </span>Candistatin<span> </span>4 x 2 cc</div><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b>B. <span> </span>ANALISA DATA </b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 29.4pt; width: 560px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 25.5pt;" valign="top" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>No</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 190.5pt;" valign="top" width="254"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>Data Fokus</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 101.95pt;" valign="top" width="136"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>Problem</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 102.05pt;" valign="top" width="136"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>Etiologi</b></div></td> </tr>
<tr style="height: 141.7pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 141.7pt; padding: 0in 5.4pt; width: 25.5pt;" valign="top" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">1</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 141.7pt; padding: 0in 5.4pt; width: 190.5pt;" valign="top" width="254"> <div class="MsoNormal" style="line-height: 150%; margin-left: 34.7pt; text-align: justify; text-indent: -34.7pt;"><span style="font-size: 11pt; line-height: 150%;">DS <span> </span>: <span> </span>Keluarga dan klien mengatakan klien panas. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 47.3pt; text-align: justify; text-indent: -47.3pt;"><span style="font-size: 11pt; line-height: 150%;">DO <span> </span>: <span> </span>- <span> </span>Klien teraba panas. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 47.3pt; text-align: justify; text-indent: -47.3pt;"><span style="font-size: 11pt; line-height: 150%;"><span> </span>- <span> </span>Klien tampak gelisah. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 47.3pt; text-align: justify; text-indent: -47.3pt;"><span style="font-size: 11pt; line-height: 150%;"><span> </span>- <span> </span>Suhu 39,<sup>4o</sup>C</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 47.3pt; text-align: justify; text-indent: -47.3pt;"><span style="font-size: 11pt; line-height: 150%;"><span> </span>- <span> </span>Tes Widal Thypus O </span><span style="font-family: Symbol; font-size: 11pt; line-height: 150%;"><span>Å</span></span><span style="font-size: 11pt; line-height: 150%;"> 1/320</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 47.3pt; text-align: justify; text-indent: -47.3pt;"><span style="font-size: 11pt; line-height: 150%;"><span> </span>-<span> </span>WBC 7,5 ribu/mmk</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 141.7pt; padding: 0in 5.4pt; width: 101.95pt;" valign="top" width="136"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;">Hipertermi </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 141.7pt; padding: 0in 5.4pt; width: 102.05pt;" valign="top" width="136"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;">Proses Inflamasi </div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 25.5pt;" valign="top" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">2</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 190.5pt;" valign="top" width="254"> <div class="MsoNormal" style="line-height: 150%; margin-left: 59.1pt; text-align: justify; text-indent: -59.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">DS <span> </span>: <span> </span>P <span> </span>: <span> </span>Klien mengatakan nyeri saat batuk dan ditekan pada perut. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.1pt; text-align: justify; text-indent: -59.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;"><span> </span>Q <span> </span>: <span> </span>Nyeri terasa senut-senut. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.1pt; text-align: justify; text-indent: -59.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;"><span> </span>R <span> </span>: <span> </span>Nyeri di kuadran kanan atas. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.1pt; text-align: justify; text-indent: -59.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;"><span> </span>S <span> </span>: <span> </span>Skala nyeri 4 </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.1pt; text-align: justify; text-indent: -59.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;"><span> </span>T <span> </span>: <span> </span>Nyeri timbul saat duduk dan batuk. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.1pt; text-align: justify; text-indent: -59.1pt;"><span style="font-size: 11pt; line-height: 150%;">DO <span> </span>: <span> </span>- <span> </span>Anak terlihat gelisah </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.1pt; text-align: justify; text-indent: -59.1pt;"><span style="font-size: 11pt; line-height: 150%;"><span> </span>- <span> </span>Nadi 100 x/mnt </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 101.95pt;" valign="top" width="136"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;">Gangguan rasa nyaman nyeri</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 102.05pt;" valign="top" width="136"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;">Penekanan rongga abdomen akibat hepatomegali </div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 25.5pt;" valign="top" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">3</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 190.5pt;" valign="top" width="254"> <div class="MsoNormal" style="line-height: 150%; margin-left: 34.7pt; text-align: justify; text-indent: -34.7pt;"><span style="font-size: 11pt; line-height: 150%;">DS <span> </span>: <span> </span>Keluarga mengatakan nafsu makan anak menurun, makan hanya 2-3 sendok. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 60.6pt; text-align: justify; text-indent: -60.6pt;"><span style="font-size: 11pt; line-height: 150%;">DO <span> </span>: <span> </span>A <span> </span>: <span> </span>BB sebelum sakit : 33,5 kg. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 60.6pt; text-align: justify; text-indent: -60.6pt;"><span style="font-size: 11pt; line-height: 150%;"><span> </span>BB Selama sakit : 32 kg </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 60.6pt; text-align: justify; text-indent: -60.6pt;"><span style="font-size: 11pt; line-height: 150%;"><span> </span>B <span> </span>: <span> </span>HB : 11,9 g/dl </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 60.6pt; text-align: justify; text-indent: -60.6pt;"><span style="font-size: 11pt; line-height: 150%;"><span> </span>C <span> </span>: <span> </span>Turgor kulit baik (dicubit cepat kembali), konjungtiva anemis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 60.6pt; text-align: justify; text-indent: -60.6pt;"><span style="font-size: 11pt; line-height: 150%;"><span> </span>D <span> </span>: <span> </span>Diet bubur nadi, lauk ayam, sayur, buah, habis 2-3 sendok</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 101.95pt;" valign="top" width="136"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="FR">Gangguan nutrisi kurang dari kebutuhan. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 102.05pt;" valign="top" width="136"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;">Intike tidak adekuat. </div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b>C. <span> </span>DIAGNOSA KEPERAWATAN </b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 42pt; text-align: justify; text-indent: -0.25in;">1. <span> </span>Hipertermi b.d proses inflamasi </div><div class="MsoNormal" style="line-height: 150%; margin-left: 42pt; text-align: justify; text-indent: -0.25in;">2. <span> </span>Gangguan rasa nyaman nyeri b.d penekanan rongga abdomen akibat hepatomegali</div><div class="MsoNormal" style="line-height: 150%; margin-left: 42pt; text-align: justify; text-indent: -0.25in;">3. <span> </span>Gangguan nutrisi kurang dari kebutuhan b.d intake tidak adekuat. </div><div class="MsoNormal" style="margin-left: 42pt; text-align: justify; text-indent: -0.25in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><b>D. <span> </span>INTERVENSI KEPERAWATAN </b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 29.4pt; width: 577px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 25.7pt;" valign="top" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>No</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 91.7pt;" valign="top" width="122"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>Diagnosa Kep</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 111.3pt;" valign="top" width="148"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>Tujuan + KH</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 109.85pt;" valign="top" width="146"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>Intervensi</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 94.5pt;" valign="top" width="126"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>Rasional</b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 25.7pt;" valign="top" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 91.7pt;" valign="top" width="122"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="font-size: 11pt; line-height: 150%;">Hipertermi b.d proses inflamasi </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 111.3pt;" valign="top" width="148"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="font-size: 11pt; line-height: 150%;">Tujuan : Setelah dilaksanakan tindakan keperawatan selama 3 x 24 jam suhu tubuh dalam batas normal. </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">KH : </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 12.1pt; text-align: justify; text-indent: -12.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Suhu tubuh 36-37<sup>o</sup>C</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 12.1pt; text-align: justify; text-indent: -12.1pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Leukosit dalam batas normal </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 109.85pt;" valign="top" width="146"> <div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">1. <span> </span>Observasi, suhu, nadi, tekanan darah dan pernafasan. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">2. <span> </span>Berikan klien kompres dingin. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">3. <span> </span>Anjurkan pada keluarga untuk memberi minum yang banyak. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">4. <span> </span>Anjurkan pada keluarga untuk memakai baju yang tipis pada klien. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">5. <span> </span>Kolaborasi pemberian cairan parenteral dan anti piretik. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 94.5pt;" valign="top" width="126"> <div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Monitor dini tanda-tanda hipertermi. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Salah satu cara untuk menurunkan suhu tubuh. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span style="letter-spacing: -0.3pt;">Mengembalikan</span> cairan tubuh yang hilang. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Membantu mempercepat penguapan suhu tubuh. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengurangi resiko hipertermi. </span></div></td> </tr>
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<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 25.7pt;" valign="top" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">2</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 91.7pt;" valign="top" width="122"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="font-size: 11pt; line-height: 150%;">Gangguan rasa nyaman nyeri b.d penekanan rongga abdomen akibat hepatomegali. </span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 111.3pt;" valign="top" width="148"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="font-size: 11pt; line-height: 150%;">Tujuan : Setelah dilakukan tindakan keperawatan selama 3 x 24 jam. Nyeri berkurang. </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="font-size: 11pt; line-height: 150%;">KH : Skala nyeri 1-0 </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 12.1pt; text-align: justify; text-indent: -12.1pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Klien dapat mengatakan nyeri hilang. </span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 109.85pt;" valign="top" width="146"> <div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">1. <span> </span>Kaji tingkat / skala nyeri. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">2. <span> </span>Atur posisi / tirah baring senyaman mungkin. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">3. <span> </span>Ajarkan pada klien tentang teknik relaksasi (nafas dalam). </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">4. <span> </span>Berikan tirah baring yang cukup. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">5. <span> </span>Berikan kompres hangat.<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">6. <span> </span>Kolaborasi pemberian analgesik. </span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 94.5pt;" valign="top" width="126"> <div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Pemberian terapi yang sesuai dengan respon klien. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Memberikan kenyamanan pada klien. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Memberikan relaksasi dan mengurangi rasa nyeri. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">-<span> </span><span style="letter-spacing: -0.4pt;">Meminimalisir</span> nyeri </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Melancarkan aliran darah. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengurangi rasa nyeri. </span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 25.7pt;" valign="top" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 91.7pt;" valign="top" width="122"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="font-size: 11pt; line-height: 150%;">Gangguan nutrisi kurang dari kebutuhan b.d intake tidak adekuat. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 111.3pt;" valign="top" width="148"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="font-size: 11pt; line-height: 150%;">Tujuan : setelah dilakukan tindakan keperawatan selama 3 x 24 jam nutrisi terpenuhi. </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="font-size: 11pt; line-height: 150%;">KH : nafsu makan meningkat. </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- Porsi makan di RS habis 1 porsi. </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span style="font-size: 11pt; line-height: 150%;">- BB meningkat. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 109.85pt;" valign="top" width="146"> <div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">1. <span> </span>Kaji pola nutrisi pasien. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">2. <span> </span>Anjurkan klien untuk menghindari makanan yang pedas. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">3. <span> </span>Anjurkan klien untuk makan dikit tapi sering. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">4. <span> </span>Kolaborasi dengan ahli gizi untuk memberikan makanan sesuai diit pasien. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 94.5pt;" valign="top" width="126"> <div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Menentukan terapi yang sesuai. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span><span style="letter-spacing: -0.4pt;">Meminimalisir </span>perlukaan lambung. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">- <span> </span>Menghindari rasa mual dan muntah. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Memberikan makanan yang sesuai diit. </span></div></td> </tr>
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</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b>E. <span> </span>IMPLEMENTASI </b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 29.4pt; width: 580px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 63.5pt;" width="85"> <div align="center" class="MsoNormal" style="text-align: center;"><b>Waktu</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" width="68"> <div align="center" class="MsoNormal" style="text-align: center;"><b>No. Dx Kep</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" width="153"> <div align="center" class="MsoNormal" style="text-align: center;"><b>Implementasi</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" width="203"> <div align="center" class="MsoNormal" style="text-align: center;"><b>Respon</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" width="71"> <div align="center" class="MsoNormal" style="text-align: center;"><b>Ttd</b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">2</span><span lang="IN" style="font-size: 11pt; line-height: 150%;">1</span><span style="font-size: 11pt; line-height: 150%;">/7/2009</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">21.20</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengobservasi KU klien. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan badan panas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>KU Lemah<span> </span>S : 39<sup>4</sup></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">21.30</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengkaji skala nyeri </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Klien mengatakan perutnya sakit jika di pegang. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Skala nyeri 4</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">21.35</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menganjurkan pada keluarga untuk klien istirahat yang cukup. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan akan mengikuti saran. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Klien dan ortu tiduran</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">21.25</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>memberikan kompres hangat </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan akan mengompres </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>S : 394</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">21.45</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Memberikan obat peroral paracetamol 1 tab.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Obat peroral masuk / diminum, tidak muntah</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">05.30</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengobservasi TTV </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan panasnya berapa.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>S : 38<sup>6</sup> N : 100 x/mnt<span> </span></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">05.32</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menganjurkan kepada keluarga untuk banyak minum. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan anaknya banyak minum air putih. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">06.30</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengkaji nutrisi pasien. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan makan hanya 2-3 sendok. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Bibir kering, makan hanya 2-3 sendok. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">06.35</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menganjurkan pada keluarga untuk memberi makan sedikit tapi sering. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan anak mau makan sedikit-sedikit. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">07.05</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengganti cairan infus. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>- </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Terpasang infus RL 12 tpm. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">2</span><span lang="IN" style="font-size: 11pt; line-height: 150%;">2</span><span style="font-size: 11pt; line-height: 150%;">/7/2009</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">14.30</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengobservasi KU klien. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan anaknya masih panas. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>KU lemah S : 38<sup>4</sup></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">14.35</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menganjurkan pada keluarga untuk memakai baju yang tipis </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan akan memakaikan baju tipis pada anaknya. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Klien lemah, memakai baju, kaos, kaos kaki. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">14.40</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menganjurkan pada keluarga untuk tetap memberikan kompres. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan akan mengikuti saran. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Klien masih dikompres. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">14.50</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengobservasi TTV </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>- </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>S : 38<sup>6o</sup>C</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;"><span> </span>N : 112 x/mnt </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">15.10</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Memberikan injeksi Lapixin 500 mg/IV </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>- </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Injeksi masuk, tidak terjadi alergi. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">17.30</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengkaji skala nyeri </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Klien mengatakan perut masih sakit. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span lang="FR" style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Klien gelisah, skala nyeri 3.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">17.35</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengajarkan pada klien dan keluarga tentang teknik relaksasi (nafas dalam)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan mengerti yang diajarkan. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Klien mengikuti yang diajarkan. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">17.45</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menganjurkan pada keluarga memberikan kompres hangat jika klien kesakitan pada abdomen. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan akan memberikan kompres hangat bila perut bertambah sakit. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Klien tampak lemah. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">17.30</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menganjurkan pada klien untuk menghindari makanan yang pedas kecut. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan akan menghindari makanan pedas dan kecut. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Klien tidak makan pedas dan kecut. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">19.00</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Memberikan obat peroral paracetamol 1 tab. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>-</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Obat peroral masuk /diminum. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">20.15</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 145%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span lang="FR" style="font-size: 11pt; line-height: 145%;">- <span> </span>Mengganti cairan infus RL 12 tpm </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">S <span> </span>: <span> </span>- </span></div><div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">O <span> </span>: <span> </span>Terpasang infus RL 12 tpm. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">20.55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 145%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 145%;">- <span> </span>Mengobservasi tindakan yang telah dilakukan. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">S <span> </span>: <span> </span>Keluarga mengatakan anak masih panas, perut masih nyeri. </span></div><div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">O <span> </span>: <span> </span>KU lemah, S : 38<sup>9</sup></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">2</span><span lang="IN" style="font-size: 11pt; line-height: 145%;">3</span><span style="font-size: 11pt; line-height: 145%;">/7/2009</span></div><div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">14.35</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 145%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 145%;">- Mengobservasi KU klien. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">S <span> </span>: <span> </span>Keluarga mengatakan anaknya masih panas, sariawan. </span></div><div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span lang="FR" style="font-size: 11pt; line-height: 145%;">O <span> </span>: <span> </span>KU lemah, terdapat sariawan di mulut. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">14.55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 145%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 145%;">- Mengukur Suhu </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">S <span> </span>: <span> </span>Keluarga menanyakan berapa suhu/panasnya. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">15.05</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 145%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 145%;">- <span> </span>Menganjurkan pada keluarga untuk mengompres daerah aksial. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">S <span> </span>: <span> </span>Keluarga mengatakan akan mengompres. </span></div><div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">O <span> </span>: <span> </span>Daerah aksial terkompresi air dingin. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">15.10</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 145%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 145%;">- <span> </span>Memberikan injeksi Cefotaxim 500 mg/IV </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">S <span> </span>: <span> </span>- </span></div><div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">O <span> </span>: <span> </span>Injeksi masuk per intra selang/ IV, tidak terjadi alergi. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">15.40</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 145%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span lang="FR" style="font-size: 11pt; line-height: 145%;">- <span> </span>Mengatur posisi pasien / memberikan posisi yang nyaman. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">S <span> </span>: <span> </span>Klien mengatakan perutnya sakit sudah berkurang. </span></div><div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">O <span> </span>: <span> </span>Posisi pasien terlentang. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">15.42</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 145%; text-align: center;"><span style="font-size: 11pt; line-height: 145%;">3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 145%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 145%;">- <span> </span>Memberikan dulkolak sup </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">S <span> </span>: <span> </span>Klien mengatakan takut </span></div><div class="MsoNormal" style="line-height: 145%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 145%;">O <span> </span>: <span> </span>Dulkolak sup masuk per rectum. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">15.48</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menganjurkan pada klien untuk banyak makan sayur-sayuran dan banyak makan sedikit-sedikit tapi sering. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan sudah mau makan sedikit-sedikit. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Klien terlihat masih makan roti. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">16.10</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menganjurkan pada klien untuk banyak minum. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Klien mengatakan klien suka minum air putih. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Klien minum 1 hari 750 ml. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">17.30</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengukur TTV </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan badan anaknya tambah panas. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Badan teraba panas S : 40<sup>O</sup>C N : 120 x/mnt </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">17.40</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengajarkan pada keluarga untuk mengompres pada kening dan daerah aksial. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan akan mengompres anaknya. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Kening dan aksial di kompres. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">18.15</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Memberikan obat paracetamol 1 tab</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan panasnya tidak turun-turun. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Obat peroral diminum. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">20.15</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menghaluskan obat peroral pasien. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan klien tidak bisa minum obat tablet. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>obat paracetamol dihaluskan. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">20.35</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Memberikan obat candistatin 1 cc </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan anaknya sariawan. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>Obat candistatin tertetes 1 cc </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63.5pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">20.50</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 51.1pt;" valign="top" width="68"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="font-size: 11pt; line-height: 150%;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 114.8pt;" valign="top" width="153"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.8pt; text-align: justify; text-indent: -12.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Mengevaluasi tindakan yang telah dilakukan. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 152.55pt;" valign="top" width="203"> <div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">S <span> </span>: <span> </span>Keluarga mengatakan badan anaknya sudah tidak terlalu panas lagi. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 27.45pt; text-align: justify; text-indent: -27.45pt;"><span style="font-size: 11pt; line-height: 150%;">O <span> </span>: <span> </span>KU lemah, badan teraba hangat, suhu 38,6</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.2pt;" valign="top" width="71"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><b>F. <span> </span>EVALUASI </b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 29.4pt; width: 579px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 66pt;" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b>Waktu</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 60.5pt;" width="81"> <div align="center" class="MsoNormal" style="text-align: center;"><b>No. DX Kep</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 254.05pt;" width="339"> <div align="center" class="MsoNormal" style="text-align: center;"><b>Catatan Perkembangan</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" width="72"> <div align="center" class="MsoNormal" style="text-align: center;"><b>Ttd</b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">21/7/2009</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">07.10</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.5pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">1</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 254.05pt;" valign="top" width="339"> <div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">S <span> </span>: <span> </span>Keluarga mengatakan anaknya masih panas. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">O <span> </span>: <span> </span>KU lemah, badan teraba panas. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.1pt; text-align: justify; text-indent: -54.1pt;"><span> </span>S <span> </span>: <span> </span>39<sup>4</sup><span> </span>N : 100 x/mnt </div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">A <span> </span>: <span> </span>Masalah belum teratasi </div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">P <span> </span>: <span> </span>Lanjutkan intervensi : </div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Memberikan kompres. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Menganjurkan banyak minum </div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Menganjurkan memakai baju tipis. </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.5pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">2</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 254.05pt;" valign="top" width="339"> <div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">S <span> </span>: <span> </span>Klien mengatakan perutnya masih sakit. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">O <span> </span>: <span> </span>KU lemah, perut sakit jika ditekan dan saat batuk, skala nyeri 3. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">A <span> </span>: <span> </span>Masalah teratasi sebagian. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">P <span> </span>: <span> </span>Lanjutkan intervensi. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Mengkaji skala nyeri. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Memberi posisi yang nyaman. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Menganjurkan istirahat yang cukup. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Memberikan kompres hangat. </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.5pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">3</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 254.05pt;" valign="top" width="339"> <div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">S <span> </span>: <span> </span>Keluarga mengatakan anaknya nafsu makan menurun. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">O <span> </span>: <span> </span>Nasi bubur, dimakan 2-3 sendok, bibir kering. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;"><span lang="FR">A <span> </span>: <span> </span>Masalah teratasi sebagian. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;"><span lang="FR">P <span> </span>: <span> </span>Lanjutkan intervensi. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;"><span lang="FR">- </span><span lang="FR" style="font-size: 11pt; line-height: 150%;"><span> </span>Mengkaji pola nutrisi pasien. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;"><span style="font-size: 11pt; line-height: 150%;">- <span> </span>Menganjurkan untuk menghindari makanan yang pedas. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;"><span style="font-size: 11pt; line-height: 150%;"><span> </span>- <span> </span>Menganjurkan untuk makan dikit tapi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 29.4pt; width: 579px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">22/7/2009</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">11.30</div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 60.5pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">1</div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 254.05pt;" valign="top" width="339"> <div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">S <span> </span>: <span> </span>Keluarga mengatakan anaknya masih panas. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;"><span lang="FR">O <span> </span>: <span> </span>KU lemah, badan terasa panas. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 54.1pt; text-align: justify; text-indent: -54.1pt;"><span lang="FR"><span> </span></span>S : 38<sup>6</sup> H : 112 x/mnt </div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">A <span> </span>: <span> </span>Masalah teratasi sebagian. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">P <span> </span>: <span> </span>Lanjutkan intervensi. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Memberikan kompres </div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Menganjurkan banyak minum. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Menganjurkan memakai baju tipis. </div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.5pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">2</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 254.05pt;" valign="top" width="339"> <div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">S <span> </span>: <span> </span>Keluarga mengatakan anaknya masih sakit perutnya. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;"><span lang="FR">O <span> </span>: <span> </span>Skala nyeri 3, perut terasa sakit jika duduk. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;"><span lang="FR">A <span> </span>: <span> </span>Masalah teratasi sebagian. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;"><span lang="FR">P <span> </span>: <span> </span>Lanjutkan intervensi. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;"><span lang="FR">- <span> </span>Mengkaji skala nyeri </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;"><span lang="FR">- <span> </span>Memberi posisi yang nyaman. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;"><span lang="FR">- <span> </span>Menganjurkan istirahat yang cukup </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Mengompres air hangat. </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.5pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">3</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 254.05pt;" valign="top" width="339"> <div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">S <span> </span>: <span> </span>Keluarga mengatakan masih susah untuk makan. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">O <span> </span>: <span> </span>Bibir kering, bubur nasi di makan 2-3 sendok. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">A <span> </span>: <span> </span>Masalah teratasi sebagian. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">P <span> </span>: <span> </span>Lanjutkan intervensi. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Mengkaji nutrisi / makan klien </div><div class="MsoNormal" style="line-height: 140%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Menganjurkan menghindari makanan yang pedas dan kecut. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Memberikan makan dikit tapi sering. </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">23/7/2009</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">07.15</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.5pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">1</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 254.05pt;" valign="top" width="339"> <div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">S <span> </span>: <span> </span>Keluarga mengatakan anaknya panas tambah tinggi. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">O <span> </span>: <span> </span>Badan teraba panas S : 38<sup>O</sup>C</div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;"><span> </span>N : 120 x/mnt </div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">A <span> </span>: <span> </span>Masalah belum teratasi. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">P <span> </span>: <span> </span>Lanjutkan intervensi. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Memberikan kompres </div><div class="MsoNormal" style="line-height: 140%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Menganjurkan banyak minum </div><div class="MsoNormal" style="line-height: 140%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Menganjurkan memakai pakaian tipis. </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.5pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">2</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 254.05pt;" valign="top" width="339"> <div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">S <span> </span>: <span> </span>Klien mengatakan nyeri perutnya sudah berkurang. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">O <span> </span>: <span> </span>Skala nyeri 2, perut masih sakit jika di tekan. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">A <span> </span>: <span> </span>Masalah teratasi sebagian. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">P <span> </span>: <span> </span>Lanjutkan intervensi : </div><div class="MsoNormal" style="line-height: 140%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Mengkaji skala nyeri. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Menganjurkan istirahat yang cukup. </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.5pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">3</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 254.05pt;" valign="top" width="339"> <div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">S <span> </span>: <span> </span>Keluarga mengatakan anaknya sudah mau makan sedikit-sedikit. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">O <span> </span>: <span> </span>Bibir kering, nasi 4 - 5 sendok di makan</div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">A <span> </span>: <span> </span>Masalah teratasi sebagian. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 28.9pt; text-align: justify; text-indent: -28.9pt;">P <span> </span>: <span> </span>Lanjutkan intervensi : </div><div class="MsoNormal" style="line-height: 140%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Menganjurkan menghindari makanan pedas dan kecut. </div><div class="MsoNormal" style="line-height: 140%; margin-left: 46.4pt; text-align: justify; text-indent: -16.8pt;">- <span> </span>Memberikan makan dikit tapi sering. </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-40227685164958330002012-01-24T01:23:00.001-08:002012-01-24T01:23:47.008-08:00SP Perilaku Kekerasan<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowComments/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
DefSemiHidden="true" DefQFormat="false" DefPriority="99"
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</style> <![endif]--> <div class="MsoTitle">STRATEGI PELAKSANAAN</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;">Masalah<span> </span>: Perilaku Kekerasan</div><div class="MsoNormal" style="text-align: justify;">Pertemuan<span> </span>: ke 1 (satu)</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><b><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span>Proses Keperawatan</div><ol start="1" style="margin-top: 0in;" type="1"><li class="MsoNormal">Kondisi</li>
</ol><div class="MsoBodyTextIndent">Klien datang ke rumah sakit diantar keluarga karena dirumah sering marah-marah dan ingin memukul seseorang yang menasehatinya.</div><ol start="2" style="margin-top: 0in;" type="1"><li class="MsoNormal">Diagnosa Keperawatan</li>
</ol><div class="MsoBodyTextIndent">Risiko mencederai orang lain dan lingkungan berhubungan dengan perilaku kekerasan</div><ol start="3" style="margin-top: 0in;" type="1"><li class="MsoNormal">TUK</li>
</ol><div class="MsoNormal" style="margin-left: 0.5in;">Membina hubungan saling percaya</div><div class="MsoNormal" style="margin-left: 0.5in;">Mengidentifikasi penyebab marah</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Strategi Pelaksanaan Tindakan Keperawatan</div><ol start="1" style="margin-top: 0in;" type="1"><li class="MsoNormal">Orientasi</li>
</ol><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Salam terapeutik</div><div class="MsoBodyTextIndent2">“Selamat pagi, nama saya Ani, panggil saya Ani, saya perawat di sini. Namanya siapa, senang dipanggil apa?”</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi/validasi</div><div class="MsoNormal" style="margin-left: 0.75in;">“Ada apa dirumah sampai dibawa kemari?”</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kontrak</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Topik</div><div class="MsoBodyTextIndent3">“Bagaimana kalau kita bercakap-cakap tentang hal-hal yang menyebabkan Mas Syaiful marah?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tempat</div><div class="MsoNormal" style="margin-left: 1in;">“Mau dimana kita bercakap-cakap? Bagaimana kalau di ruang tunggu saja?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Waktu</div><div class="MsoNormal" style="margin-left: 1in;">“Mau berapa lama? Bagaimana kalau 10 menit saja?”</div><ol start="2" style="margin-top: 0in;" type="1"><li class="MsoNormal">Kerja</li>
</ol><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Apa yang membuat Mas Syaiful marah-marah?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Apakah ada yang membuat Mas Syaiful kesal?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Apakah sebelumnya Mas Syaiful <span> </span>pernah marah?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Apa penyebabnya? Apakah sama dengan yang sekarang?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Baiklah, jadi ada yang menyebabkan Mas Syaiful marah-marah ya!”</div><div class="MsoNormal" style="margin-left: 0.75in;"><br />
</div><ol start="3" style="margin-top: 0in;" type="1"><li class="MsoNormal">Terminasi</li>
</ol><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi Subjektif</div><div class="MsoBodyTextIndent2">“Bagaimana perasaan Mas Syaiful <span> </span>setelah kita bercakap-cakap?”</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi Objektif</div><div class="MsoNormal" style="margin-left: 0.75in;">“Coba sebutkan 3 penyebab Mas Syaiful marah-marah, bagus sekali”</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindak lanjut</div><div class="MsoNormal" style="margin-left: 0.75in;">“Baiklah, waktu kita sudah habis, nanti coba Mas Syaiful ingat lagi, penyebab marah yang belum kita bicarakan”</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kontrak</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Topik</div><div class="MsoBodyTextIndent3">“Nanti kita akan bicarakan perasaan Mas Syaiful pada saat marah dan cara marah yang biasa Mas Syaiful <span> </span>lakukan</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tempat</div><div class="MsoNormal" style="margin-left: 1in;">“Mau dimana kita bicara? Bagaimana kalau disini?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Waktu</div><div class="MsoNormal" style="margin-left: 1in;">“Kira-kira 30 menit lagi ya, sampai nanti”</div><div class="MsoTitle"><br />
</div><b><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><br clear="all" style="page-break-before: always;" /> </span></b> <div class="MsoTitle">STRATEGI PELAKSANAAN</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;">Masalah<span> </span>: Perilaku Kekerasan</div><div class="MsoNormal" style="text-align: justify;">Pertemuan<span> </span>: ke 2 (dua)</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><h2><span>A.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Proses Keperawatan</h2><ol start="1" style="margin-top: 0in;" type="1"><li class="MsoNormal">Kondisi</li>
</ol><div class="MsoBodyTextIndent">Klien dapat menyebutkan penyebab marah</div><div class="MsoBodyTextIndent"><br />
</div><ol start="2" style="margin-top: 0in;" type="1"><li class="MsoNormal">Diagnosa Keperawatan</li>
</ol><div class="MsoBodyTextIndent">Risiko mencederai orang lain dan lingkungan berhubungan dengan perilaku kekerasan</div><div class="MsoBodyTextIndent"><br />
</div><ol start="3" style="margin-top: 0in;" type="1"><li class="MsoNormal">TUK</li>
</ol><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengidentifikasi tanda dan gejala perilaku kekerasan</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengidentifikasi perilaku kekerasan yang biasa dilakukan</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengidentifikasi akibat perilaku kekerasan klien</div><div class="MsoNormal"><br />
</div><h2><span>B.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Strategi Pelaksanaan Tindakan Keperawatan</h2><ol start="1" style="margin-top: 0in;" type="1"><li class="MsoNormal">Orientasi</li>
</ol><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Salam terapeutik</div><div class="MsoBodyTextIndent2">“Selamat pagi Mas Syaiful ”</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi/validasi</div><div class="MsoNormal" style="margin-left: 0.75in;">“Bagaimana perasaan Mas Syaiful <span> </span>saat ini?</div><div class="MsoNormal" style="margin-left: 0.75in;">“Apakah masih ada penyebab marah Mas Syaiful <span> </span>yang lain?”</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kontrak</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Topik</div><div class="MsoNormal" style="margin-left: 1in;">“Baiklah kita akan membicarakan perasaan Mas Syaiful saat sedang marah”</div><div class="MsoNormal" style="margin-left: 1in;">Tempat</div><div class="MsoNormal" style="margin-left: 1in;">“Mau dimana? Bagaimana kalau di ruang tunggu saja?”</div><div class="MsoNormal" style="margin-left: 1in;">Waktu</div><div class="MsoNormal" style="margin-left: 1in;">“Mau berapa lama? Bagaimana kalau 15 menit saja?”</div><div class="MsoNormal" style="margin-left: 1in;"><br />
</div><ol start="2" style="margin-top: 0in;" type="1"><li class="MsoNormal">Kerja</li>
</ol><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Mas Syaiful <span> </span>pada saat dimarahi oleh ibu apa yang Mas Syaiful <span> </span>rasakan?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Apakah ada perasaan kesal, tegang, mengepalkan tangan, mondar-mandir?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Lalu apa yang biasanya Mas Syaiful <span> </span>lakukan?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Apakah sampai memukul? Atau Cuma marah-marah saja?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Mas Syaiful , coba praktekkan cara marah pada Ani, anggap perawat (saya) adalah orang tua yang membuat Mas Syaiful <span> </span>jengkel, wah bagus sekali”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Nah, bagaimana perasaan Mas Syaiful <span> </span>setelah memukul meja?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Apakah masalahnya selesai?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Apa akibat perilaku Mas Syaiful ”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Betul, tangan jadi sakit, meja bisa rusak, masalah tidak selesai dan akhirnya dibawa kerumah sakit”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Bagaimana Mas Syaiful, maukah belajar cara mengungkapkan marah yang benar dan sehat”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Baiklah waktu kita sudah habis”</div><ol start="3" style="margin-top: 0in;" type="1"><li class="MsoNormal">Terminasi</li>
</ol><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi Subjektif</div><div class="MsoBodyTextIndent2">“Bagaimana perasaan Mas Syaiful <span> </span>setelah kita bercakap-cakap?”</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi Objektif</div><div class="MsoNormal" style="margin-left: 0.75in;">“Apa saja tadi yang kita bicarakan?”</div><div class="MsoNormal" style="margin-left: 0.75in;">“Benar, perasaan saat marah, apa saja tadi?ya betul, lagi, OK!”</div><div class="MsoNormal" style="margin-left: 0.75in;">“Lalu cara marah yang lama, apa saja tadi? Ya betul, lagi, OK!”</div><div class="MsoNormal" style="margin-left: 0.75in;">“Dan akibat marah, apa saja? Ya betul, sampai dibawa kerumah sakit”</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindak lanjut</div><div class="MsoNormal" style="margin-left: 0.75in;">“Baiklah, sudah banyak yang kits bicarakan, nanti coba ingat-ingat lagi perasaan Mas Syaiful <span> </span>sewaktu marah, dan cara Mas Syaiful <span> </span>marah serta akibat yang terjadi, kalau di rumah sakit ada yang membuat Mas Syaiful <span> </span>marah beritahu saya ya”</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kontrak</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Waktu<span> </span>: “Besok satu bulan lagi kita ketemu ya”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tempat<span> </span>: “Bagaimana kalau disini lagi?”</div><div class="MsoNormal" style="margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Topik<span> </span>: “Besok kita mulai latihan cara marah yang baik dan sehat, sampai besok ya!”</div><div class="MsoNormal"><br />
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</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-1430023689195242932012-01-24T01:22:00.000-08:002012-01-24T01:22:01.141-08:00PRE PLANNING (Strategi Pelaksanaan Tindakan Keperawatan) MD<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowComments/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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</style> <![endif]--> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="EN-GB">PRE PLANNING</span></b></div><div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="EN-GB">(Strategi Pelaksanaan Tindakan Keperawatan)</span></b></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div class="MsoNormal"><span lang="EN-GB">Kondisi klien:</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-GB">Senang menyendiri, kontak dengan klien lain kurang, duduk dipojok, termenung.</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB">Diagnosa keperawatan:</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="EN-GB">Risiko perubahan sensori persepsi: halusinasi....berhubungan dengan menarik diri.</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><span lang="EN-GB">Tujuan khusus</span></div><div class="MsoNormal" style="margin-left: 48.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="EN-GB"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Klien dapat membina hubungan saling percaya dengan perawat.</span></div><div class="MsoNormal" style="margin-left: 48.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="EN-GB"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Klien dapat menyebutkan penyebab menarik diri.</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><span lang="EN-GB"><span>I.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fase Orientasi</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span lang="EN-GB"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Salam terapeutik</span></div><div class="MsoBodyTextIndent"><span lang="EN-GB">“Selamat pagi Ibu, kenalkan nama saya A. Saya suka dipanggil A, nama Ibu siapa dan senangnya dipanggil apa. Saya yang akan merawat ibu pada shift pagi ini”</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span lang="EN-GB"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Evaluasi/validasi</span></div><div class="MsoNormal" style="margin-left: 48.85pt; text-align: justify;"><span lang="EN-GB">“Apa yang terjadi dirumah”</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span lang="EN-GB"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kontrak (Topik, waktu, tempat)</span></div><div class="MsoBodyTextIndent"><span lang="EN-GB">“Bagaimana kalau kita bercakap-cakap tentang kejadian dirumah, agar saya dapat membantu cara mengatasinya”. “Ibu mau berapa lama bercakap-cakap, bagaimana kalau 10 menit”. “Ibu mau bercakap-cakap dimana, bagaimana kalau diruangan ini”.</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><span lang="EN-GB"><span>II.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fase kerja (langkah-langkah tindakan keperawatan)</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><span lang="EN-GB">“Ibu tinggal dengan siapa saja dirumah”</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><span lang="EN-GB">“iapa yang paling dekat dengan ibu”</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><span lang="EN-GB">“pa yang membuat ibu dekat dengannya”</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><span lang="EN-GB">“Bagus sekali, ibu dapat menyebutkan yang membuat yang membuat dekat dengan seseorang”</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><span lang="EN-GB">“Dengan siapa ibu tidak dekat”</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><span lang="EN-GB">“Apa yang membuat ibu tidak dekat”</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><span lang="EN-GB">“Apa yang harus ibu lakukan agar dekat dengan seseorang”</span></div><div class="MsoNormal" style="margin-left: 0.25in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><span lang="EN-GB"><span>III.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fase terminasi</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span lang="EN-GB"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Evaluasi respons klien terhadap tindakan keperawatan:</span></div><div class="MsoNormal" style="margin-left: 63pt; text-align: justify;"><span lang="EN-GB">Evaluasi pasien<span> </span>: “Bagaimana perasaan ibu setelah kita bercakap-cakap”</span></div><div class="MsoNormal" style="margin-left: 63pt; text-align: justify;"><span lang="EN-GB">Evaluasi perawat<span> </span>: Tersenyum, menatap perawat</span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span lang="EN-GB"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Tindak lanjut klien</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-GB">“Baik ibu, bagaimana kalau ibu mengingat-ingat kembali yang menyebabkan ibu dekat dengan seseorang dan siapa lagi kira-kira yang dekat dengan ibu”</span></div><div class="MsoNormal" style="margin-left: 23.15pt;"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span lang="EN-GB"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kontrak yang akan datang</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-GB"><span> </span>“Bagaimana kalau nanti kita latihan cara berkenalan dengan orang lain, misalnya ibu dengan perawat”</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-GB">“Ibu mau ketemu lagi jam berapa?”. Bagaimana kalau jam 10 nanti”.</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span lang="EN-GB">“Ibu mau bercakap-cakap dimana?”. Bagaimana kalau disini lagi?”.</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 3.5in;"><span lang="EN-GB"><br />
</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-22458818201574618372012-01-24T01:19:00.000-08:002012-01-24T01:19:29.441-08:00Strategi pelaksanaan Harga Diri Rendah<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowComments/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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</div><div class="MsoHeading7">STRATEGI PELAKSANAAN</div><div class="MsoNormal" style="margin: 0in 85.05pt 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-right: 0.9pt; text-align: justify;">Masalah Utama<span> </span>: Harga Diri Rendah</div><div class="MsoNormal" style="margin-right: 0.9pt; text-align: justify;">Pertemuan<span> </span>: Ke 1 (satu)</div><div class="MsoNormal" style="margin-right: 0.9pt; text-align: justify;"><br />
</div><h4 style="margin-right: 0.9pt;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Proses Keperawatan</h4><h4 style="margin: 0in 0.9pt 0.0001pt 0.5in;"><span style="font-weight: normal;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Kondisi</span></h4><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.5in; text-align: justify;">Klien mengatakan malu dan tak berguna, lebih banyak diam, kontak mata kurang selama berkomunikasi </div><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.5in; text-align: justify;"><br />
</div><h4 style="margin: 0in 0.9pt 0.0001pt 0.5in;"><span style="font-weight: normal;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Diagnosa Keperawatan</span></h4><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Isolasi sosial: menarik diri berhubungan dengan harga diri rendah</div><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Perilaku kekerasan berhubungan dengan harga diri rendah</div><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.5in; text-align: justify;"><br />
</div><h4 style="margin: 0in 0.9pt 0.0001pt 0.5in;"><span style="font-weight: normal;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">TUK</span></h4><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien dapat membina hubungan saling percaya.</div><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien dapat mengidentifikasi kemampuan dan aspek positif yang dimiliki.</div><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.5in; text-align: justify;"><br />
</div><h4 style="margin-right: 0.9pt;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Strategi Tindakan Pelaksanaan Tindakan Keperawatan</h4><h4 style="margin-left: 0.5in;"><span style="font-weight: normal;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Orientasi</span></h4><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Salam terapeutik</div><div class="MsoBodyTextIndent" style="text-align: justify;">“Selamat pagi, nama saya Asyrofi, panggil saya Perawat Asyrofi”. “Namanya siapa?, senang dipanggil apa?”</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi/validasi</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify;">“Bagaimana perasaan Hamzah pagi ini? Atau</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify;">“Ada apa dirumah sampai dibawa kemari? Apa yang Nur rasakan?</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kontrak</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Topik: ”Bagaimana kalau kita bercakap-cakap tentang kemammpuan/hobby atau hal-hal yang biasa Nur lakukan”.</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tempat: “Mau dimana kita bercakap-cakap?Bagaimana kalau dikamar perawat?”.</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Waktu: “Mau berapa lama?bagaimana kalu 10 menit</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify;"><br />
</div><h4 style="margin-left: 0.5in;"><span style="font-weight: normal;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Kerja</span></h4><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Apa yang biasa Nur lakukan dirumah?dari kamar tidur dulu deh, terus apa lagi di kamar tamu, di dapur, di halaman. Wah bagus sekali” (sambil dibuat daftar).</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Sekarang yang biasa dilakukan disekolah/tempat kerja”.</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Apa saja yang Nur senangi dari keluarga? Bagaimana dengan Ayah, Ibu, adik kakak,…”</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Bagaimana pula dengan tempat tinggalnya? Apa yang disenangi disana?</div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><h4 style="margin-left: 0.5in;"><span style="font-weight: normal;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Terminasi</span></h4><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi subjektif</div><div class="MsoBodyTextIndent" style="text-align: justify;">Bagaimana perasaan Nur setelah kita bercakap-cakap?”.</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi Objektif</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify;">“Apa saja tadi kemampuan/kebiasaan yang Nur lakukan, bagus sekali ada beberapa kemampuan”.</div><div class="MsoBodyTextIndent" style="text-align: justify;">Apa saja yang tadi disenangi di keluarga dan dirumah, bagus sekali,…”</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindak lanjut</div><div class="MsoBodyTextIndent" style="text-align: justify;">“Baiklah Nur, selanjutnya coba Nur ingat-ingat kemampuan Nur yang lain yang belum kita bicarakan”. “Nanti cerita-cerita<span> </span>sama perawat ya!”</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kontrak</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Topik<span> </span>: ”nanti kita akan melihat kemampuan Nur yang masih dapat dilakukan dirumah”</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tempat: “Tempatnya mau dimana? Bagaimana kalau disini saja, sampai nanti Nur”</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Waktu<span> </span>: “Bagaimana kalau jam 10.00 nanti kita bertemu lagi”</div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><br clear="all" style="page-break-before: always;" /> </span> <div class="MsoNormal" style="margin: 0in 85.05pt 0.0001pt; text-align: justify;"><b>STRATEGI PELAKSANAAN</b></div><div class="MsoNormal" style="margin: 0in 85.05pt 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-right: 0.9pt; text-align: justify;">Masalah Utama<span> </span>: Harga Diri Rendah</div><div class="MsoNormal" style="margin-right: 0.9pt; text-align: justify;">Pertemuan<span> </span>: Ke 2 (dua)</div><div class="MsoNormal" style="margin-right: 0.9pt; text-align: justify;"><br />
</div><h4><span>A.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Proses Keperawatan</h4><h4 style="margin: 0in 0.9pt 0.0001pt 0.5in;"><span style="font-weight: normal;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Kondisi</span></h4><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.5in; text-align: justify;">Klien telah mengetahui bbeberapa kemampuan dan aspek positif yang dimiliki</div><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.5in; text-align: justify;"><br />
</div><h4 style="margin: 0in 0.9pt 0.0001pt 0.5in;"><span style="font-weight: normal;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Diagnosa Keperawatan</span></h4><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Isolasi sosial: menarik diri berhubungan dengan harga diri rendah</div><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Perilaku kekerasan berhubungan dengan harga diri rendah</div><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.5in; text-align: justify;"><br />
</div><h4 style="margin: 0in 0.9pt 0.0001pt 0.5in;"><span style="font-weight: normal;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">TUK</span></h4><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klien dapat menilai kemampuan yang dpat digunakan.</div><h4 style="margin-left: 0.75in;"><span style="font-weight: normal;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Klien dapat memilih kemampuan yang akan digunakan</span></h4><h4 style="margin-left: 0.75in;"><span style="font-weight: normal;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Klien mencoba kemampuan yang dipilih</span></h4><h4 style="margin: 0in 0.9pt 0.0001pt 0.75in;"><span style="font-weight: normal;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Klien menyusun jadwal kegiatan harian untuk kemampuan yang telah dicoba.</span></h4><div class="MsoNormal" style="margin: 0in 0.9pt 0.0001pt 0.5in; text-align: justify;"><br />
</div><h4 style="margin-right: 0.9pt;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Strategi Tindakan Pelaksanaan Tindakan Keperawatan</h4><h4 style="margin-left: 0.5in;"><span style="font-weight: normal;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Orientasi</span></h4><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Salam terapeutik</div><div class="MsoBodyTextIndent" style="text-align: justify;">“Selamat pagi Nur”</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi/validasi</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify;">“Bagaimana perasaan Hamzah pagi ini? </div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify;">“Masih ada kemampuan Nur yang belum diceritakan pada perawat?” </div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kontrak</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Topik: ”Masih ingat apa yang akan kita bicarakan sekarang?Betul, kita akan melihat kembali dafatr kemampuan nur untuk menilai mana yang dapat dikerjakan dirumah. Bagaimana Nur?”</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tempat: “Mau dimana kita bercakap-cakap?Bagaimana kalau ditempat tadi saja?”</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Waktu: “Mau berapa lama? bagaimana kalu 15 menit</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify;"><br />
</div><h4 style="margin-left: 0.5in;"><span style="font-weight: normal;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Kerja</span></h4><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Ini daftar kemampuan yang Nur miliki yang telah dibicarakan. OK, masih ada tambahannya”</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Nah, coba kita lihat satu persatu apakah dapat dialkukan dirumah. Yang pertama ini (sebutkan) bagaiaman? Bagus”</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Nur, kita dapat menyebutkan beberapa kemampuan yang dilakukan dirumah, bagaimana kalau ini, bagus sekali”</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>mari kita coba (perawat mendemonstrasikan sambil mendorong klien melakukannya langkah demi langkah).</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Nah, sekarang sudah selesai, mari kita duduk lagi</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify;"><br />
</div><h4 style="margin-left: 0.5in;"><span style="font-weight: normal;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-weight: normal;">Terminasi</span></h4><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi subjektif</div><div class="MsoBodyTextIndent" style="text-align: justify;">Bagaimana perasaan Nur setelah melakukan kegiatan tadi?”</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi Objektif</div><div class="MsoBodyTextIndent" style="text-align: justify;">“Coba sebut cara mengerjakannya! Bagus, terus, ya benar (Bantu klien)</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rencana tindak lanjut</div><div class="MsoBodyTextIndent" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>“Bagaimana kalau Nur lakukan terus selama di rumah agar nanti dirumah lancar”</div><div class="MsoBodyTextIndent" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Nah, mau jam berapa Nur melakukannya?kita buat jadualnya, biar tidak lupa”</div><div class="MsoBodyTextIndent" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>OK, jadi mau dilakukan setiap pagi setelah bangun tidur”</div><div class="MsoBodyTextIndent" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Jika ada hal-hal yang membingungkan kamu bisa dating kemari atau telepon”</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kontrak</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Topik<span> </span>: ”Baiklah waktu kita sudah habis. Besok kita coba kemampuan yang lain sambil tetap melatih kemampuan yang tadi”</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tempat: “Tempatnya mau dimana? Bagaimana kalau disini saja”</div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: Wingdings;"><span>v<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Waktu<span> </span>: “Jangan lupa satu bulan lagi Nur kontrol kesini lagi dan bawa jadual kegiatan kamu, OK”</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 252.45pt; text-align: justify;"><span></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-53781516177440949132012-01-02T17:13:00.001-08:002012-01-02T17:13:06.500-08:00multiple fraktur<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if !mso]> <style>
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</style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="1056"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> <div align="center" class="MsoNormal" style="text-align: center;">ASUHAN KEPERAWATAN PASIEN DENGAN<span> </span>MULTIPEL FRAKTUR</div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span>I.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengertian.</div><div class="MsoBodyTextIndent" style="text-indent: 0.25in;">Adalah terputuisnya kontinuitas jaringan tulang dan atau tulang rawan yang umumnya disebabkan oleh ruda paksa. Trauma yang menyebabkan tulang patah dapat berubah trauma langsung, misalnya benturan pada lengan bawah yang menyebabkan patah tulang radius dan ulna, dan dapat berubah trauma tidak langsung, misalnya jatuh bertumpu pada tangan yang menyebabkan tulang klavikula atau radius distal patah.<span> </span></div><div class="MsoBodyTextIndent" style="text-indent: 0.25in;">Akibat trauma pada tulang tergantuing pada jenis trauma,kekuatan, dan arahnya.Taruma tajam yang langsung atau trauma tumpul yang kuat dapat menyebabkan tulang patah dengan<span> </span>luka terbuka<span> </span>sampai ketulang<span> </span>yang disebut patah tulang terbuka. Patah tulang yang didekat sendi atau yang mengenai sendi dapat menyebabkan<span> </span>patah tulang disertai luksasi sendi yang disebut fraktur dislokasi. </div><div class="MsoBodyTextIndent" style="margin-left: 0in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;">III.<span> </span><span> </span>Patofisiologi.</div><div class="MsoNormal" style="text-align: justify;"><span> </span></div><div align="center" class="MsoNormal" style="text-align: center;">Patah Tulang</div><div align="center" class="MsoNormal" style="text-align: center;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="7" width="270"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="15" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="12" /></td> </tr>
</tbody></table></span> </div><br clear="ALL" /> <div align="center" class="MsoNormal" style="text-align: center;">Beban lama / Trauma ringan yang kontinyu</div><div align="center" class="MsoNormal" style="text-align: center;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="6" width="270"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="15" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="12" /></td> </tr>
</tbody></table></span> </div><br clear="ALL" /> <div class="MsoNormal" style="text-align: justify;"><span style="position: relative; z-index: 251646976;"><span style="height: 12px; left: 419px; position: absolute; top: -6px; width: 15px;"><img height="12" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="15" /></span></span><span style="position: relative; z-index: 251645952;"><span style="height: 12px; left: 94px; position: absolute; top: -6px; width: 15px;"><img height="12" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="15" /></span></span><span style="position: relative; z-index: 251644928;"><span style="height: 2px; left: 107px; position: absolute; top: -1px; width: 314px;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="314" /></span></span><span> </span>Terbuka<span> </span><span> </span>Tertutup</div><div class="MsoNormal" style="text-align: justify;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="5" width="54"><br />
</td> <td width="12"><br />
</td> <td width="384"><br />
</td> <td width="12"><br />
</td> </tr>
<tr> <td height="15"><br />
</td> <td align="left" valign="top"><img height="15" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="12" /></td> <td><br />
</td> <td align="left" valign="top"><img height="15" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="12" /></td> </tr>
</tbody></table></span> </div><br clear="ALL" /> <div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span style="height: 43px; left: 0px; margin-left: 71px; margin-top: 23px; position: absolute; width: 77px; z-index: 251651072;"><img height="43" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="77" /></span><span> </span>Infeksi<span> </span>Potensial infeksi,adanya emboli lemak dari<span> </span>fraktur tulang panjang & sindroma kompatemen .<span> </span></div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="3" width="284"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="19" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="41" /></td> </tr>
</tbody></table></span> </div><br clear="ALL" /> <div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> </span>Trauma Penetrasi</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="3" width="210"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="15" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="12" /></td> </tr>
</tbody></table></span> </div><br clear="ALL" /> <div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span style="height: 12px; left: 0px; margin-left: 263px; margin-top: 3px; position: absolute; width: 75px; z-index: 251654144;"><img height="12" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="75" /></span><span style="height: 12px; left: 0px; margin-left: 106px; margin-top: 3px; position: absolute; width: 27px; z-index: 251653120;"><img height="12" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="27" /></span>Perdarahan<span> </span>Cidera Vaskuler<span> </span>Trombosis Pembuluh</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="2" width="210"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="15" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="12" /></td> </tr>
</tbody></table></span> </div><br clear="ALL" /> <div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> </span>Komplikasi</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="1" width="140"><br />
</td> <td width="41"><br />
</td> <td width="70"><br />
</td> <td width="100"><br />
</td> </tr>
<tr> <td height="19"><br />
</td> <td align="left" valign="top"><img height="19" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" width="41" /></td> <td><br />
</td> <td align="left" valign="top"><img height="19" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" width="100" /></td> </tr>
</tbody></table></span> </div><br clear="ALL" /> <div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;">Penyebab kematian dini<span> </span>Penyebab lambat kematian(Stl 3 hr)</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="12" width="102"><br />
</td> <td width="12"><br />
</td> <td width="219"><br />
</td> <td width="76"><br />
</td> <td width="22"><br />
</td> <td width="29"><br />
</td> </tr>
<tr> <td height="19"><br />
</td> <td align="left" rowspan="2" valign="top"><img height="27" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></td> <td><br />
</td> <td align="left" valign="top"><img height="19" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" width="76" /></td> <td><br />
</td> <td align="left" valign="top"><img height="19" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" width="29" /></td> </tr>
<tr> <td height="8"><br />
</td> </tr>
</tbody></table></span> </div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><br clear="ALL" /> <div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;">Hemoragi & Cidera Kepala<span> </span>Gangguan Organ Multipel<span> </span>Sepsis</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="5" width="102"><br />
</td> <td width="12"><br />
</td> <td width="336"><br />
</td> <td width="12"><br />
</td> </tr>
<tr> <td height="27"><br />
</td> <td align="left" valign="top"><img height="27" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></td> <td><br />
</td> <td align="left" valign="top"><img height="27" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></td> </tr>
</tbody></table></span> </div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><br clear="ALL" /> <div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span style="height: 27px; left: 0px; margin-left: 102px; margin-top: 16px; position: absolute; width: 12px; z-index: 251662336;"><img height="27" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></span>Terjadi ARDS &<span> </span>DIC<span> </span>Pelepasan Toksin</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="10" width="450"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="27" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></td> </tr>
</tbody></table></span> </div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><br clear="ALL" /> <div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;">Syok Hipovolemik<span> </span>Dilatasi pemb. Darah</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="3" width="102"><br />
</td> <td width="12"><br />
</td> <td width="336"><br />
</td> <td width="12"><br />
</td> </tr>
<tr> <td height="27"><br />
</td> <td align="left" valign="top"><img height="27" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></td> <td><br />
</td> <td align="left" valign="top"><img height="27" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></td> </tr>
</tbody></table></span> </div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><br clear="ALL" /> <div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span style="height: 31px; left: 0px; margin-left: 356px; margin-top: 14px; position: absolute; width: 53px; z-index: 251667456;"><img height="31" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="53" /></span>Penurunan Perfusi<span> </span>organ<span> </span>Terkumpulnya Venosa</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span style="height: 209px; left: 0px; margin-left: 107px; margin-top: 1px; position: absolute; width: 79px; z-index: 251671552;"><img height="209" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image015.gif" width="79" /></span><span style="height: 12px; left: 0px; margin-left: 418px; margin-top: 8px; position: absolute; width: 15px; z-index: 251668480;"><img height="12" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image016.gif" width="15" /></span><span> </span>Peningkatan Curah jantung<span> </span>Penurunan tahanan</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span style="height: 39px; left: 0px; margin-left: 342px; margin-top: 7px; position: absolute; width: 12px; z-index: 251669504;"><img height="39" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image017.gif" width="12" /></span><span> </span><span> </span>Vaskular sistemik</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> </span>Penurunan Curah Jantung,Tensi, Perfusi</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="5" width="342"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="27" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="12" /></td> </tr>
</tbody></table></span> </div><br clear="ALL" /> <div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> </span></div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> </span><span> </span>Syok Sepsis</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="10" width="177"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="55" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image018.gif" width="160" /></td> </tr>
</tbody></table></span> </div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><br clear="ALL" /> <div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> </span>( Tirah baring, Ulkus, Emboli pulmunal, penyusutan Otot )<span> </span></div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.75in;"><span>IV.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klasifikasi patah tulang.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><span> </span>Patah tulang dapat dibagi menurut<span> </span>ada tidanya hubungan antara patahan tulang<span> </span>denga dunia luar, yaitu patah tulang tertutup dan patah tulang terbuka yang memungkinkan kuman dari luar dapat masuk kedalam luka<span> </span>sampai ke tulang yang patah.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><span> </span>Patah tulang terbuka dibagi menjadi tiga derajat yang ditentukan oleh berat ringannya<span> </span>luka dan berat ringannya patah tulang.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><span> </span>Patang tulang juga<span> </span>dapat dibagi menurut garis fraktrunya misanya fisura, patah tulang sederhana, patah tulang kominutif ( pengecilan, patah tulang segmental,patah tulang impaksi ),<span> </span>patah tulang kompresi,<span> </span>impresi dan patah tulang patologis.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><span> </span>Derajat patah tulang<span> </span>terbuka<span> </span>terbagi atas 3 macam yaitu :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>laserasi < 2 cm bentuknya sederhana, dislokasi,fragmen, minimal.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Laserasi > 2 cm<span> </span>kontusi otot diserkitarnya bentuknya dislokasi, fragmen jelas</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Luka lebar, rusak hebat atau hilangnya jaringan disekitarnya bentuknya kominutif, segmental,fragmen tulang ada yang hilang</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span> </span>Jenis patah tulang dapat digolongkan<span> </span>menjadi :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Visura ( Diafisis metatarsal </div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Serong sederhana ( Diaphisis metacarpal )</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lintang sederhana ( diafisis tibia )</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kominutif ( Diafisis femur )</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Segmental ( Diafisis tibia )</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dahan hijau ( diafisis radius pada anak )</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kompresi ( Korpus vertebral<span> </span>th. XII )</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Impaksi ( epifisis radius distal,kolum femur lateral )</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Impresi ( tulang tengkorak )</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Patologis ( Tomur diafisi humerus,kurpus<span> </span>vertebral)<span> </span></div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
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</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.25in; text-indent: -0.25in;"><span>V.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Komplikasi patah tulang .</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.75in; text-indent: -0.5in;">Komplikasi patah tulang meliputi :</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.75in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Komplikasi segera</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.5in;">Lokal : </div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Kulit( abrasi l;acerasi, penetrasi)<span> </span></div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Pembuluh darah ( robek )</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Sistem saraf ( Sumssum tulang belakang, saraf tepi motorik dan<span> </span>sensorik)</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Otot</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Organ dalam ( jantung,paru,hepar, limpha(pada Fr.kosta),kandung kemih (Fr.Pelvics)</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.5in;">Umum :</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1.5in; text-indent: -0.75in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Ruda paksa multiple</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1.5in; text-indent: -0.75in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Syok ( hemoragik, neurogenik )</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.75in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Komplikas Dini :</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.25in; text-indent: 0.25in;">Lokal<span> </span>:</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Nekrosis kulit, gangren, sindroma kopartemen,trombosis vena, infeksi sendi,osteomelisis )</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.25in; text-indent: 0.25in;">Umum :</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>ARDS,emboli paru, tetanus.</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.75in;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kompliasi lama</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;">Lokal :</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1.5in; text-indent: -0.75in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Sendi (ankilosis fibrosa, ankilosis osal )</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tulang ( gagal taut/lama dan salah taut,distropi reflek,osteoporosisi paskah<span> </span>trauma,ggn pertumbuhan,osteomelisis,patah tulang ulang)</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1.5in; text-indent: -0.75in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Otot atau tendon ( penulangan otot, ruptur tendon )</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1.5in; text-indent: -0.75in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Saraf ( kelumpuhan saraf lambat</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 297pt; text-indent: -261pt;">Umum :</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 1.5in; text-indent: -0.75in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Batu ginjal ( akibat mobilisasi lama ditempat tidur)</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><span> </span></div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -207pt;"><br />
</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 27pt; text-indent: -27pt;"><span>VI.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Penatalaksanaan patah tulang.</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 27pt; text-indent: 0in;">Penatalaksanaan patah tulang mengikuti prinsip pengobatan kedokteran pada umumnya yang meliputi :</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Jangan ciderai pasien( Primum<span> </span>Non Nocere).</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengobatan yang tepat berdasarkanb diagnosis dan prognosisnya</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sesuai denga hokum alam</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sesuai dengan kepribadian individu</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 27pt; text-indent: 0in;">Khusus untuk patah tulang meliputi :</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Reposisi</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Imobilisasi</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mobilisasi berupa latihan seluruh system tubuh.</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><br />
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</div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.75in; text-indent: -0.75in;"><span>VII.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Asuhan keperawatan.</div><div class="MsoBodyTextIndent2" style="line-height: normal; text-indent: -225pt;"><br />
</div><div class="MsoSubtitle">ASUHAN KEPERAWATAN</div><div class="MsoNormal" style="margin-left: 36.85pt; text-indent: -17pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Riwayat perjalanan penyakit.</div><div class="MsoNormal" style="margin-left: 36.85pt; text-indent: -17pt;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Riwayat pengobatan sebelumnya.</div><div class="MsoNormal" style="margin-left: 36.85pt; text-indent: -17pt;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pertolongan pertama yang dilakukan</div><div class="MsoNormal" style="margin-left: 19.85pt;"><br />
</div><div class="MsoNormal" style="margin-left: 36.85pt; text-indent: -17pt;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan fisik :</div><div class="MsoNormal" style="margin-left: 54.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Identifikasi fraktur</div><div class="MsoNormal" style="margin-left: 54.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Inspeksi</div><div class="MsoNormal" style="margin-left: 54.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Palpasi (bengkak, krepitasi, nadi, dingin)</div><div class="MsoNormal" style="margin-left: 54.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Observasi spasme otot.</div><div class="MsoNormal" style="margin-left: 36.85pt;"><br />
</div><div class="MsoNormal" style="margin-left: 36.85pt; text-indent: -17pt;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan diagnostik :</div><div class="MsoNormal" style="margin-left: 54.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Laboratorium (HCt, Hb, Leukosit, LED)</div><div class="MsoNormal" style="margin-left: 54.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>R<span style="font-size: 9pt;">Ö</span></div><div class="MsoNormal" style="margin-left: 54.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>CT-Scan</div><div class="MsoNormal" style="margin-left: 36.85pt;"><br />
</div><div class="MsoNormal" style="margin-left: 36.85pt; text-indent: -17pt;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Obat-obatan : golongan antibiotika gram (+) dan gram (-)</div><div class="MsoNormal" style="margin-left: 37.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Penyakit yang dapat memperberat dan mempermudah terjadinya fraktur :</div><div class="MsoNormal" style="margin-left: 57.55pt; text-indent: -19.85pt;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Osteomyelitis acut</div><div class="MsoNormal" style="margin-left: 57.55pt; text-indent: -19.85pt;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Osteomyelitis kronik</div><div class="MsoNormal" style="margin-left: 57.55pt; text-indent: -19.85pt;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Osteomalacia</div><div class="MsoNormal" style="margin-left: 57.55pt; text-indent: -19.85pt;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Osteoporosis</div><div class="MsoNormal" style="margin-left: 57.55pt; text-indent: -19.85pt;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gout</div><div class="MsoNormal" style="margin-left: 57.55pt; text-indent: -19.85pt;"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rhematoid arthritis</div><div class="MsoSubtitle">PENGKAJIAN SISTEM MUSKULOSKELETAL</div><div class="MsoSubtitle">DATA SUBYEKTIF</div><div class="MsoNormal" style="margin-left: 37.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Data biografi</div><div class="MsoNormal" style="margin-left: 37.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Adanya nyeri, kekakuan, kram, sakit pinggang, kemerahan, pembengkakan, deformitas, ROM, gangguan sensasi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 37.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Cara PQRST :</div><div class="MsoNormal" style="margin-left: 74pt; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Provikatif (penyebab)</div><div class="MsoNormal" style="margin-left: 74pt; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Quality (bagaimana rasanya, kelihatannya)</div><div class="MsoNormal" style="margin-left: 74pt; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Region/radiation (dimana dan apakah menyebar)</div><div class="MsoNormal" style="margin-left: 74pt; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Severity (apakah mengganggu aktivitas sehari-hari)</div><div class="MsoNormal" style="margin-left: 74pt; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Timing (kapan mulainya)</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 37.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Pengkajian pada sistem lain</div><div class="MsoNormal" style="margin-left: 74pt; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Riwayat sistem muskuloskeletal, tanyakan juga tentang riwayat kesehatan masa lalu.</div><div class="MsoNormal" style="margin-left: 74pt; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Riwayat dirawat di RS</div><div class="MsoNormal" style="margin-left: 74pt; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Riwayat keluarga, diet.</div><div class="MsoNormal" style="margin-left: 74pt; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Aktivitas sehari-hari, jenis pekerjaan, jenis alas kaki yang digunakan</div><div class="MsoNormal" style="margin-left: 74pt; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Permasalahan dapat saja baru diketahui setelah klien ganti baju, membuka kran dll.</div><div class="MsoNormal"><br />
</div><div class="MsoSubtitle">DATA OBYEKTIF</div><div class="MsoNormal" style="margin-left: 37.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Inspeksi dan palpasi ROM dan kekuatan otot</div><div class="MsoNormal" style="margin-left: 37.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Bandingakan dengan sisi lainnya.</div><div class="MsoNormal" style="margin-left: 37.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Pengukuran kekuatan otot (0-5)</div><div class="MsoNormal" style="margin-left: 37.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Duduk, berdiri dan berjalan kecuali ada kontra indikasi.</div><div class="MsoNormal" style="margin-left: 37.7pt; text-indent: -17.85pt;"><span style="font-family: Wingdings;"><span>§<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Kyposis, scoliosis, lordosis.</div><div class="MsoNormal"><br />
</div><div class="MsoSubtitle">PROSEDUR DIAGNOSTIK</div><ol start="1" style="margin-top: 0in;" type="1"><li class="MsoNormal">X-ray dan radiography</li>
<li class="MsoNormal">Arthrogram (mendiagnosa trauma pada kapsul di persendian atau ligamen). Anestesi lokal sebelum dimasukkan cairan kontras/udara ke daerah yang akan diperiksa.</li>
<li class="MsoNormal">Lamnograph (untuk mengetahui lokasi yang mengalami destruksi atau mengevaluasi bone graf).</li>
<li class="MsoNormal">Scanograph (mengetahui panjang dari tulang panjang, sering dilakukan pada anak-anak sebelum operasi epifisis).</li>
<li class="MsoNormal">Bone scanning (cairan radioisotop dimasukkan melalui vena, sering dilakukan pada tumor ganas, osteomyelitis dan fraktur).</li>
<li class="MsoNormal">MRI</li>
<li class="MsoNormal">Arthroscopy (tindakan peneropongan di daerah sendi)</li>
<li class="MsoNormal">Arthrocentesis (metode pengambilan cairan sinovial)</li>
</ol><div class="MsoNormal"><br />
</div><div class="MsoSubtitle">MASALAH-MASALAH YANG UMUM TERJADI </div><ol start="1" style="margin-top: 0in;" type="1"><li class="MsoNormal">Gangguan dalam melakukan ambulasi.</li>
</ol><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Berdampak luas pada aspek psikososial klien.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Klien membutuhkan imobilisasi → menyebabkan spasme otot dan kekakuan sendi</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Perlu dilakukan ROM untuk menguragi komplikasi :</div><div class="MsoNormal" style="margin-left: 34.15pt; text-indent: 19.85pt;">-<span> </span>Kaki (fleksi, inverse, eversi, rotasi)</div><div class="MsoNormal" style="margin-left: 34.15pt; text-indent: 19.85pt;">-<span> </span>Pinggul (abduksi, adduksi, fleksi, ekstensi, rotasi)</div><div class="MsoNormal" style="margin-left: 34.15pt; text-indent: 19.85pt;">-<span> </span>Lutut (ekstensi)</div><div class="MsoNormal" style="margin-left: 0.75in;">-<span> </span>Jari-jari kaki (ektensi, fleksi)</div><div class="MsoNormal"><br />
</div><ol start="2" style="margin-top: 0in;" type="1"><li class="MsoNormal">Nyeri; tindakan keperawatan :</li>
</ol><div class="MsoNormal" style="margin-left: 57.7pt; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Merubah posisi pasien</div><div class="MsoNormal" style="margin-left: 57.7pt; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Kompres hangat, dingin</div><div class="MsoNormal" style="margin-left: 57.7pt; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Pemijatan</div><div class="MsoNormal" style="margin-left: 57.7pt; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Menguragi penekanan dan support social</div><div class="MsoNormal" style="margin-left: 39.7pt;"><br />
</div><div class="MsoNormal" style="margin-left: 57.7pt; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Apabila nyeri di sendi, perlu dikaji :</div><div class="MsoNormal" style="margin-left: 133.55pt; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kejadian sebelum terjadinya nyeri</div><div class="MsoNormal" style="margin-left: 133.55pt; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Derajat nyeri pada saat nyeri pertama timbul</div><div class="MsoNormal" style="margin-left: 133.55pt; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Penyebaran nyeri</div><div class="MsoNormal" style="margin-left: 133.55pt; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lamanya nyeri</div><div class="MsoNormal" style="margin-left: 133.55pt; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Intensitas nyeri, apakah menyertai pergerakan</div><div class="MsoNormal" style="margin-left: 133.55pt; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sumber nyeri</div><div class="MsoNormal" style="margin-left: 133.55pt; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Hal-hal yang dapat mengurangi nyeri.</div><div class="MsoNormal" style="margin-left: 60pt;"><br />
</div><ol start="3" style="margin-top: 0in;" type="1"><li class="MsoNormal">Spasme otot</li>
</ol><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Spasme otot (kram/kontraksi otot involunter)</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Spasme otot dapat disebabkan iskemi jaringan dan hipoksia.</div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tindakan keperawatan :</div><div class="MsoNormal" style="margin-left: 87.3pt; text-indent: -21.8pt;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rubah posisi</div><div class="MsoNormal" style="margin-left: 87.3pt; text-indent: -21.8pt;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Letakkan guling kecil di bawah pergelangan kaki dan lutut</div><div class="MsoNormal" style="margin-left: 87.3pt; text-indent: -21.8pt;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berikan ruangan yang cukup hangat</div><div class="MsoNormal" style="margin-left: 87.3pt; text-indent: -21.8pt;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Hindari pemberian obat sedasi berat → dapat menurunkan aktivitas pergerakan selama tidur</div><div class="MsoNormal" style="margin-left: 87.3pt; text-indent: -21.8pt;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Beri latihan aktif dan pasif sesuai program</div><div class="MsoNormal"><br />
</div><div class="MsoSubtitle">INTERVENSI</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Istirahat</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Istirahat adalah intervensi utama</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Membantu proses penyembuhan dan meminimalkan inflamasi, pembengkakan dan nyeri.</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Pemasangan bidai/gips.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -17.15pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kompres hangat</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Rendam air hangat/kantung karet hangat</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Diikuti dengan latihan pergerakan/pemijatan</div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Dampak fisiologis dari kompres hangat adalah :</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Perlunakan jaringan fibrosa</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Membuat relaks otot dan tubuh</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Menurunkan atau menghilangkan nyeri</div><div class="MsoNormal" style="margin-left: 1.25in; text-indent: -0.25in;"><span style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Meningkatkan suplai darah/melancarkan aliran darah.</div><div class="MsoNormal" style="margin-left: 1in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -17.15pt;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kompres dingin</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Metoda tidak langsung seperti cold pack</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Dampak fisiologis adalah vasokonstriksi dan penerunan metabolic</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Membantu mengontrol perdarahan dan pembengkakan karena trauma </div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Nyeri dapat berkurang, dapat menurunkan aktivitas ujung saraf pada otot</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Harus hati-hati, dapat menyebabkan jaringan kulit nekrosis</div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -0.25in;"><span style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Tidak sampai > 30 menit.</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-74010293415571184792012-01-02T17:09:00.003-08:002012-01-02T17:09:19.780-08:00Fraktur Humerus<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowComments/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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<div class="Section1"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="EN-GB">BAB<span> </span>II</span></b></div><h1 style="line-height: normal;">TINJAUAN<span> </span>PUSTAKA</h1><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><h2 style="line-height: normal;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>KONSEP DASAR</h2><h3 style="line-height: normal; margin-left: 36.85pt; text-indent: -19.85pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengertian</h3><div class="MsoNormal" style="margin-left: 51.05pt; text-align: justify; text-indent: -14.2pt;"><span lang="EN-GB"><span>a<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur </span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-align: justify; text-indent: 21.3pt;"><span lang="EN-GB">Adalah<span> </span>terputusnya kontinuitas jaringan tulang yang umumnya disebabkan oleh rudapaksa (Mansjoer, Arif, et al, 2000). Sedangkan menurut Linda Juall C. dalam buku Nursing Care Plans and Dokumentation menyebutkan bahwa Fraktur adalah rusaknya kontinuitas tulang yang disebabkan tekanan eksternal yang datang lebih besar dari yang dapat diserap oleh tulang. Pernyataan ini sama yang diterangkan dalam buku Luckman and Sorensen’s Medical Surgical Nursing. </span></div><div class="MsoNormal" style="margin-left: 51.05pt; text-align: justify; text-indent: -14.2pt;"><span lang="EN-GB"><span>b<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Patah Tulang Tertutup</span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-align: justify; text-indent: 21.3pt;"><span lang="EN-GB">Didalam buku Kapita Selekta Kedokteran tahun 2000, diungkapkan bahwa patah tulang tertutup adalah patah tulang dimana tidak terdapat hubungan antara fragmen tulang dengan dunia luar. Pendapat lain menyatidakan bahwa patah tulang tertutup adalah suatu fraktur yang bersih (karena kulit masih utuh atau tidak robek) tanpa komplikasi (Handerson, M. A, 1992). </span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-align: justify; text-indent: 21.3pt;"><br />
</div><div class="MsoNormal" style="margin-left: 56.7pt; text-align: justify; text-indent: 21.3pt;"><br />
</div><div class="MsoNormal" style="margin-left: 51.05pt; text-align: justify; text-indent: -14.2pt;"><span lang="EN-GB"><span>c<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Patah Tulang Humerus</span></div><div class="MsoBodyTextIndent" style="line-height: normal;">Adalah diskontinuitas atau hilangnya struktur dari tulang humerus yang terbagi atas : </div><div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 79.4pt; text-indent: -19.85pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Fraktur Suprakondilar Humerus</div><div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 79.4pt; text-indent: -19.85pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Fraktur Interkondiler Humerus </div><div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 79.4pt; text-indent: -19.85pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Fraktur Batang Humerus</div><div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 79.4pt; text-indent: -19.85pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Fraktur Kolum Humerus</div><div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 59.55pt; text-indent: 0in;">Berdasarkan mekanisme terjadinya fraktur :</div><div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 147.75pt; text-indent: -91.05pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span> </span>Tipe Ekstensi</div><div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 78pt; text-indent: 0in;">Trauma terjadi ketika siku dalam posisi hiperekstensi, lengan bawah dalam posisi supinasi.</div><div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 147.75pt; text-indent: -91.05pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span> </span>Tipe Fleksi</div><div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 78pt; text-indent: 0in;">Trauma terjadi ketika siku dalam posisi fleksi, sedang lengan dalam posisi pronasi.</div><div class="MsoBodyTextIndent" style="line-height: normal; margin-left: 78pt; text-indent: 0in;">(Mansjoer, Arif, et al, 2000)</div><div class="MsoNormal" style="margin-left: 51.05pt; text-align: justify; text-indent: -14.2pt;"><span lang="EN-GB"><span>d<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Platting</span></div><div class="MsoBodyTextIndent" style="line-height: normal;">Adalah salah satu bentuk dari fiksasi internal menggunakan plat yang terletidak sepanjang tulang dan berfungsi sebagai jembatan yang difiksasi dengan sekrup. </div><div class="MsoNormal" style="margin-left: 56.7pt; text-align: justify;"><span lang="EN-GB">Keuntungan :</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Tercapainya kestabilan dan perbaikan tulang seanatomis mungkin yang sangat<span> </span>penting bila ada cedera vaskuler, saraf, dan lain-lain.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Aliran darah ke tulang yang patah baik sehingga mempengaruhi proses penyembuhan tulang.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Klien tidak akan tirah baring lama.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kekakuan dan oedema dapat dihilangkan karena bagian fraktur bisa segera digerakkan.<span> </span></span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-align: justify;"><span lang="EN-GB">Kerugian :</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fiksasi interna berarti suatu anestesi, pembedahan, dan jaringan parut.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kemungkinan untuk infeksi jauh lebih besar.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Osteoporosis bisa menyebabkan terjadinya fraktur sekunder atau berulang.<span> </span></span></div><div class="MsoNormal" style="margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><b><span lang="EN-GB"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="EN-GB">Anatomi Dan Fisiologi</span></b></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>a<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB"><span> </span>Struktur Tulang</span></div><div class="MsoNormal" style="margin-left: 63.8pt; text-align: justify; text-indent: 21.25pt;"><span lang="EN-GB">Tulang sangat bermacam-macam baik dalam bentuk ataupun ukuran, tapi mereka masih punya struktur yang sama. Lapisan yang paling luar disebut Periosteum<span> </span>dimana terdapat pembuluh darah dan saraf. Lapisan dibawah periosteum<span> </span>mengikat tulang dengan benang kolagen disebut benang sharpey, yang masuk ke tulang disebut korteks. Karena itu korteks sifatnya keras dan tebal sehingga disebut tulang kompak. Korteks tersusun solid dan sangat kuat<span> </span>yang disusun dalam unit struktural yang disebut Sistem Haversian. Tiap sistem terdiri atas kanal utama yang disebut Kanal Haversian. Lapisan melingkar dari matriks tulang disebut Lamellae, ruangan sempit antara lamellae disebut Lakunae (didalamnya terdapat osteosit) dan Kanalikuli. Tiap sistem kelihatan seperti lingkaran yang menyatu. Kanal Haversian terdapat sepanjang tulang panjang dan di dalamnya terdapat pembuluh darah dan saraf yang masuk ke tulang melalui Kanal Volkman. Pembuluh darah inilah yang mengangkut nutrisi untuk tulang dan membuang sisa metabolisme keluar tulang. Lapisan tengah tulang merupakan akhir dari sistem Haversian, yang didalamnya terdapat Trabekulae (batang) dari tulang.Trabekulae ini terlihat seperti spon tapi kuat sehingga disebut Tulang Spon yang didalam nya terdapat bone marrow yang membentuk sel-sel darah merah. Bone Marrow ini terdiri atas dua macam yaitu bone marrow merah yang memproduksi sel darah merah melalui proses hematopoiesis dan bone marrow kuning yang terdiri atas sel-sel lemak dimana jika dalam proses fraktur bisa menyebabkan Fat Embolism Syndrom (FES). </span></div><div class="MsoNormal" style="margin-left: 63.8pt; text-align: justify; text-indent: 21.25pt;"><span lang="EN-GB">Tulang terdiri dari tiga sel yaitu osteoblast, osteosit, dan osteoklast. Osteoblast merupakan<span> </span>sel pembentuk tulang yang berada di bawah tulang baru. Osteosit adalah osteoblast yang ada pada matriks. Sedangkan<span> </span>osteoklast adalah sel penghancur tulang dengan menyerap kembali sel tulang yang rusak maupun yang tua. Sel tulang ini diikat<span> </span>oleh elemen-elemen ekstra seluler yang disebut matriks. Matriks ini dibentuk oleh benang kolagen, protein, karbohidrat, mineral, dan substansi dasar (gelatin) yang berfungsi sebagai media dalam difusi nutrisi, oksigen, dan sampah metabolisme antara tulang daengan pembuluh darah. Selain itu, didalamnya terkandung garam kalsium organik (kalsium dan fosfat) yang menyebabkan tulang keras.sedangkan<span> </span>aliran darah dalam tulang antara 200 – 400 ml/ menit melalui proses vaskularisasi tulang (Black,J.M,et al,1993 dan Ignatavicius, Donna. D,1995).<span> </span></span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>b</span></span><span dir="LTR"></span><span lang="EN-GB">Tulang Panjang</span></div><div class="MsoBodyTextIndent2" style="line-height: normal;">Adalah tulang yang panjang berbentuk silinder dimana ujungnya bundar dan sering menahan beban berat (Ignatavicius, Donna. D, 1995). Tulang panjang terdiriatas epifisis, tulang rawan, diafisis, periosteum, dan medula tulang. Epifisis (ujung tulang) merupakan tempat menempelnya tendon dan mempengaruhi kestabilan sendi. Tulang rawan menutupi seluruh sisi dari ujung tulang dan mempermudah pergerakan, karena tulang rawan sisinya halus dan licin. Diafisis adalah bagian utama dari tulang panjang yang memberikan struktural tulang. Metafisis merupakan bagian yang melebar dari tulang panjang antara epifisis dan diafisis. Metafisis ini merupakan daerah pertumbuhan tulang<span> </span>selama masa pertumbuhan. Periosteum merupakan penutup tulang sedang rongga medula (marrow) adalah pusat dari diafisis (Black, J.M, et al, 1993)</div><div class="MsoNormal" style="margin-left: 63.8pt; text-align: justify; text-indent: 21.25pt;"><span lang="EN-GB"><span> </span></span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>c<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB"><span> </span>Tulang Humerus</span></div><div class="MsoBodyTextIndent2" style="line-height: normal;">Tulang humerus terbagi menjadi tiga bagian yaitu kaput (ujung atas), korpus, dan ujung bawah. </div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kaput </span></div><div class="MsoBodyTextIndent3" style="line-height: normal;">Sepertiga dari ujung atas humerus terdiri atas sebuah kepala, yang membuat sendi dengan rongga glenoid dari skapla dan merupakan bagian dari banguan sendi bahu. Dibawahnya terdapat bagian yang lebih ramping disebut leher anatomik. Disebelah luar ujung atas dibawah leher anatomik terdapat sebuah benjolan, yaitu Tuberositas Mayor dan disebelah depan terdapat sebuah benjolan lebih kecil yaitu Tuberositas Minor. Diantara tuberositas terdapat celah bisipital (sulkus intertuberkularis) yang membuat tendon dari otot bisep. Dibawah tuberositas terdapat leher chirurgis yang mudah terjadi fraktur. </div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Korpus</span></div><div class="MsoBodyTextIndent3" style="line-height: normal;">Sebelah atas berbentuk silinder tapi semakin kebawah semakin pipih. Disebelah lateral batang, tepat diatas pertengahan disebut tuberositas deltoideus (karena menerima insersi otot deltoid). Sebuah celah benjolan oblik melintasi sebelah belakang,<span> </span>batang, dari sebelah medial ke sebelah lateral dan memberi jalan kepada saraf radialis atau saraf muskulo-spiralis sehingga disebut celah spiralis atau radialis.</div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Ujung Bawah</span></div><div class="MsoNormal" style="margin-left: 81pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Berbentuk lebar dan agak pipih dimana permukaan bawah sendi dibentuk bersama tulang lengan bawah. Trokhlea yang terlatidak di sisi sebelah dalam berbentuk gelendong-benang<span> </span>tempat persendian dengan ulna dan disebelah luar etrdapat kapitulum yang bersendi dengan radius. Pada kedua sisi persendian ujung bawah humerus terdapat epikondil yaitu epikondil lateral dan medial. (Pearce, Evelyn C, 1997)</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>d<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fungsi Tulang</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Memberi kekuatan pada kerangka tubuh.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Tempat mlekatnya otot.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Melindungi organ penting.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Tempat pembuatan sel darah.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Tempat penyimpanan garam mineral.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify;"><span lang="EN-GB">(Ignatavicius, Donna D, 1993)<span> </span></span></div><div class="MsoNormal" style="margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><b><span lang="EN-GB"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="EN-GB">Etiologi</span></b></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kekerasan langsung</span></div><div class="MsoBodyTextIndent2" style="line-height: normal;">Kekerasan langsung menyebabkan patah tulang pada titik terjadinya kekerasan. Fraktur demikian demikian sering bersifat fraktur terbuka dengan garis patah melintang atau miring. </div><div class="MsoBodyTextIndent2" style="line-height: normal;"><br />
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</div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kekerasan tidak langsung</span></div><div class="MsoBodyTextIndent" style="line-height: normal;">Kekerasan tidak langsung menyebabkan patah tulang ditempat yang jauh dari tempat terjadinya kekerasan. Yang patah biasanya adalah bagian yang paling lemah dalam jalur hantaran vektor kekerasan.</div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kekerasan akibat tarikan otot</span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-align: justify; text-indent: 28.35pt;"><span lang="EN-GB">Patah tulang akibat tarikan otot sangat jarang terjadi.</span></div><div class="MsoBodyTextIndent2" style="line-height: normal;">Kekuatan dapat berupa pemuntiran, penekukan, penekukan dan penekanan, kombinasi dari ketiganya, dan penarikan.</div><div class="MsoNormal" style="margin-left: 63.8pt; text-align: justify;"><span lang="EN-GB">(Oswari E, 1993)</span></div><div class="MsoNormal" style="margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><b><span lang="EN-GB"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="EN-GB">Patofisiologi</span></b></div><div class="MsoNormal" style="margin-left: 35.45pt; text-align: justify; text-indent: 21.25pt;"><span lang="EN-GB">Tulang bersifat rapuh namun cukup mempunyai kekeuatan dan gaya pegas untuk menahan tekanan (Apley, A. Graham, 1993). Tapi apabila tekanan eksternal yang datang lebih besar dari yang dapat diserap tulang, maka terjadilah trauma pada tulang yang mengakibatkan rusaknya atau terputusnya kontinuitas tulang (Carpnito, Lynda Juall, 1995). Setelah terjadi fraktur, periosteum dan pembuluh darah serta saraf dalam korteks, marrow, dan jaringan lunak yang membungkus tulang rusak. Perdarahan terjadi karena kerusakan tersebut dan terbentuklah hematoma di rongga medula tulang. Jaringan tulang segera berdekatan ke bagian tulang yang patah. Jaringan yang mengalami nekrosis ini menstimulasi terjadinya respon inflamasi yang ditandai denagn vasodilatasi, eksudasi plasma dan leukosit, dan infiltrasi sel darah putih. Kejadian inilah yang merupakan dasar dari proses penyembuhan tulang nantinya<span> </span>(Black, J.M, et al, 1993)</span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-align: justify; text-indent: -21.25pt;"><span lang="EN-GB"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Faktor-faktor yang mempengaruhi fraktur</span></div><div class="MsoNormal" style="margin-left: 73.7pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Faktor Ekstrinsik</span></div><div class="MsoNormal" style="margin-left: 78pt; text-align: justify; text-indent: 21pt;"><span lang="EN-GB">Adanya tekanan dari luar yang bereaksi pada tulang yang tergantung terhadap besar, waktu, dan arah tekanan yang dapat menyebabkan fraktur. </span></div><div class="MsoNormal" style="margin-left: 73.7pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Faktor Intrinsik</span></div><div class="MsoNormal" style="margin-left: 78pt; text-align: justify; text-indent: 21pt;"><span lang="EN-GB">Beberapa sifat yang terpenting dari tulang yang menentukan daya tahan untuk timbulnya fraktur seperti kapasitas absorbsi dari tekanan, elastisitas, kelelahan, dan kepadatan atau kekerasan tulang.</span></div><div class="MsoNormal" style="margin-left: 78pt; text-align: justify;"><span lang="EN-GB">( Ignatavicius, Donna D, 1995 )<span> </span></span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-align: justify; text-indent: -21.25pt;"><span lang="EN-GB">b.<span> </span>Biologi penyembuhan tulang</span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-align: justify; text-indent: 24.3pt;"><span lang="EN-GB">Tulang bisa beregenerasi sama seperti jaringan tubuh yang lain. Fraktur merangsang tubuh untuk menyembuhkan tulang yang patah dengan jalan membentuk tulang baru diantara ujung patahan tulang. Tulang baru dibentuk oleh aktivitas sel-sel tulang. Ada lima stadium penyembuhan tulang, yaitu:</span></div><div class="MsoNormal" style="margin-left: 78.45pt; text-align: justify; text-indent: -21.75pt;"><span lang="EN-GB"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Stadium Satu-Pembentukan Hematoma</span></div><div class="MsoNormal" style="margin-left: 78pt; text-align: justify; text-indent: 21pt;"><span lang="EN-GB">Pembuluh darah robek dan terbentuk hematoma disekitar daerah fraktur. Sel-sel darah membentuk fibrin guna melindungi tulang yang rusak dan sebagai tempat tumbuhnya kapiler baru dan fibroblast. Stadium ini berlangsung 24 – 48 jam dan perdarahan berhenti sama sekali.<span> </span></span></div><div class="MsoNormal" style="margin-left: 78.45pt; text-align: justify; text-indent: -21.75pt;"><span lang="EN-GB"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Stadium Dua-Proliferasi Seluler<span> </span></span></div><div class="MsoNormal" style="margin-left: 78pt; text-align: justify; text-indent: 21pt;"><span lang="EN-GB">Pada stadium initerjadi proliferasi dan differensiasi sel menjadi fibro kartilago yang berasal dari periosteum,`endosteum,dan bone marrow yang telah mengalami trauma. Sel-sel yang mengalami proliferasi ini terus masuk ke dalam lapisan yang lebih dalam dan disanalah osteoblast beregenerasi dan terjadi proses osteogenesis. Dalam beberapa hari terbentuklah tulang baru yang menggabungkan kedua fragmen tulang yang patah. Fase ini berlangsung selama 8 jam setelah fraktur sampai selesai, tergantung frakturnya.<span> </span></span></div><div class="MsoNormal" style="margin-left: 78.45pt; text-align: justify; text-indent: -21.75pt;"><span lang="EN-GB"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Stadium Tiga-Pembentukan Kallus</span></div><div class="MsoNormal" style="margin-left: 78pt; text-align: justify; text-indent: 21pt;"><span lang="EN-GB">Sel–sel yang berkembang memiliki potensi yang kondrogenik dan osteogenik, bila diberikan keadaan yang tepat, sel itu akan mulai membentuk tulang dan juga kartilago. Populasi sel ini dipengaruhi oleh kegiatan osteoblast dan osteoklast mulai berfungsi dengan mengabsorbsi sel-sel tulang yang mati. Massa sel yang tebal dengan tulang yang imatur dan kartilago, membentuk kallus atau bebat pada</span></div><div class="MsoNormal" style="margin-left: 78pt; text-align: justify;"><span lang="EN-GB">permukaan endosteal dan periosteal. Sementara tulang yang imatur (anyaman tulang ) menjadi lebih padat sehingga gerakan pada tempat fraktur berkurang pada 4 minggu setelah fraktur menyatu.<span> </span></span></div><div class="MsoNormal" style="margin-left: 78.45pt; text-align: justify; text-indent: -21.75pt;"><span lang="EN-GB"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Stadium Empat-Konsolidasi</span></div><div class="MsoNormal" style="margin-left: 78pt; text-align: justify; text-indent: 21pt;"><span lang="EN-GB">Bila aktivitas osteoclast dan osteoblast berlanjut, anyaman tulang berubah menjadi lamellar. Sistem ini sekarang cukup kaku dan memungkinkan<span> </span>osteoclast menerobos melalui reruntuhan pada garis fraktur, dan tepat dibelakangnya osteoclast mengisi celah-celah yang tersisa diantara fragmen dengan tulang yang baru. Ini adalah proses yang lambat dan mungkin perlu beberapa bulan sebelum tulang kuat untuk membawa beban yang normal.<span> </span></span></div><div class="MsoNormal" style="margin-left: 78.45pt; text-align: justify; text-indent: -21.75pt;"><span lang="EN-GB"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Stadium Lima-Remodelling</span></div><div class="MsoNormal" style="margin-left: 78.45pt; text-align: justify; text-indent: 20.55pt;"><span lang="EN-GB">Fraktur telah dijembatani oleh suatu manset tulang yang padat. Selama beberapa bulan atau tahun, pengelasan kasar ini dibentuk ulang oleh proses resorbsi dan pembentukan tulang yang terus-menerus. Lamellae yang lebih tebal diletidakkan pada tempat yang tekanannya lebih tinggi, dinding yang tidak dikehendaki dibuang, rongga sumsum dibentuk, dan akhirnya dibentuk struktur yang mirip dengan normalnya.</span></div><div class="MsoNormal" style="margin-left: 78.45pt; text-align: justify;"><span lang="EN-GB">(Black, J.M, et al, 1993 dan Apley, A.Graham,1993)<span> </span></span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-align: justify; text-indent: -21.25pt;"><span lang="EN-GB">c.<span> </span>Komplikasi fraktur</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Komplikasi Awal</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kerusakan Arteri</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Pecahnya arteri karena trauma bisa ditandai dengan tidak adanya nadi, CRT menurun, cyanosis bagian distal, hematoma yang lebar, dan dingin pada ekstrimitas yang disebabkan oleh tindakan emergensi splinting, perubahan posisi pada yang sakit, tindakan reduksi, dan pembedahan.</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kompartement Syndrom</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Kompartement Syndrom merupakan komplikasi serius yang terjadi karena terjebaknya otot, tulang, saraf, dan pembuluh darah dalam jaringan parut. Ini disebabkan oleh oedema atau perdarahan yang menekan otot, saraf, dan pembuluh darah. Selain itu karena tekanan dari luar seperti gips dan embebatan yang terlalu kuat.</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fat Embolism Syndrom</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Fat Embolism Syndrom (FES) adalah komplikasi serius yang sering terjadi pada kasus fraktur tulang panjang. FES terjadi karena sel-sel lemak yang dihasilkan bone marrow kuning masuk ke aliran darah dan menyebabkan tingkat oksigen dalam darah rendah yang ditandai dengan gangguan pernafasan, tachykardi, hypertensi, tachypnea, demam.</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Infeksi </span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">System pertahanan tubuh rusak bila ada trauma pada jaringan. Pada trauma orthopedic infeksi dimulai pada kulit (superficial) dan masuk ke dalam. Ini biasanya terjadi pada kasus fraktur terbuka, tapi bisa juga karena penggunaan bahan lain dalam pembedahan seperti pin dan plat.</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 27pt;"><br />
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</div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Avaskuler Nekrosis</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Avaskuler Nekrosis (AVN) terjadi karena aliran darah ke tulang rusak atau terganggu yang bisa menyebabkan<span> </span>nekrosis tulang dan diawali dengan adanya Volkman’s Ischemia.</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Shock</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Shock terjadi karena kehilangan banyak darah dan meningkatnya permeabilitas kapiler yang bisa menyebabkan menurunnya oksigenasi. Ini biasanya terjadi pada fraktur.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Komplikasi Dalam Waktu Lama</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Delayed Union</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Delayed Union merupakan kegagalan fraktur berkonsolidasi sesuai dengan waktu yang dibutuhkan tulang untuk menyambung. Ini disebabkan karenn\a penurunan supai darah ke tulang.</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Nonunion</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Nonunion merupakan kegagalan fraktur berkkonsolidasi dan memproduksi sambungan yang lengkap, kuat, dan stabil setelah 6-9 bulan. Nonunion ditandai dengan adanya pergerakan yang berlebih pada sisi fraktur yang membentuk sendi palsu atau pseudoarthrosis. Ini juga disebabkan karena aliran darah yang kurang. </span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 27pt;"><br />
</div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Malunion</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Malunion merupakan penyembuhan tulang ditandai dengan meningkatnya tingkat kekuatan dan perubahan bentuk (deformitas). Malunion dilakukan dengan pembedahan dan reimobilisasi yang baik.</span></div><div class="MsoNormal" style="margin-left: 81pt; text-align: justify;"><span lang="EN-GB">(Black, J.M, et al, 1993) </span></div><div class="MsoNormal" style="margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><b><span lang="EN-GB"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="EN-GB">Klasifikasi Fraktur</span></b></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Penampikan fraktur dapat sangat bervariasi tetapi untuk alasan yang praktis , dibagi menjadi beberapa kelompok, yaitu:</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Berdasarkan sifat fraktur.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Faktur Tertutup (Closed), bila tidak terdapat hubungan antara fragmen tulang dengan dunia luar, disebut juga fraktur bersih (karena kulit masih utuh) tanpa komplikasi. </span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Terbuka (Open/Compound),<span> </span>bila terdapat hubungan antara hubungan antara fragmen tulang dengan dunia luar karena adanya perlukaan kulit.</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Berdasarkan komplit atau ketidakklomplitan fraktur.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Komplit, bila garis patah melalui seluruh penampang tulang atau melalui kedua korteks tulang seperti terlihat pada foto.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktru Inkomplit, bila garis patah tidak melalui seluruh penampang tulang seperti:</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Hair Line Fraktur (patah retidak rambut)</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Buckle atau Torus Fraktur, bila terjadi lipatan dari satu korteks dengan kompresi tulang spongiosa di bawahnya.</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Green Stick Fraktur, mengenai satu korteks dengan angulasi korteks lainnya yang terjadi pada tulang panjang.</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Berdasarkan bentuk garis patah dan hubbungannya dengan mekanisme trauma.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Transversal: fraktur yang arahnya melintang pada tulang dan merupakan akibat trauma angulasi atau langsung.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Oblik: fraktur yang arah garis patahnya membentuk sudut terhadap sumbu tulang dan meruakan akibat trauma angulasijuga.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Spiral: fraktur yang arah garis patahnya berbentuk spiral yang disebabkan trauma rotasi.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>4).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Kompresi: fraktur yang terjadi karena trauma aksial fleksi yang mendorong tulang ke arah permukaan lain.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>5).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Avulsi: fraktur yang diakibatkan karena trauma tarikan atau traksi otot pada insersinya pada tulang.</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Berdasarkan jumlah garis patah.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Komunitif: fraktur dimana garis patah lebih dari satu dan saling berhubungan.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Segmental: fraktur dimana garis patah lebih dari satu tapi tidak berhubungan.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Multiple: fraktur dimana garis patah lebih dari satu tapi tidak pada tulang yang sama.</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Berdasarkan pergeseran fragmen tulang.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Undisplaced (tidak bergeser): garis patah lengkap ttetapi kedua fragmen tidak bergeser dan periosteum nasih utuh.</span></div><div class="MsoNormal" style="margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Displaced (bergeser): terjadi pergeseran fragmen tulang yang juga disebut lokasi fragmen, terbagi atas:</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Dislokai ad longitudinam cum contractionum (pergeseran searah<span> </span>sumbu dan overlapping).</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Dislokasi ad axim (pergeseran yang membentuk sudut).</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Dislokasi ad latus (pergeseran dimana kedua fragmen saling menjauh).</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Kelelahan: fraktur akibat tekanan yang berulang-ulang.</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fraktur Patologis: fraktur yang diakibatkan karena proses patologis tulang.</span></div><div class="MsoNormal" style="margin-left: 36.85pt; text-align: justify; text-indent: 17.15pt;"><span lang="EN-GB">Pada fraktur tertutup ada klasifikasi tersendiri yang berdasarkan keadaan jaringan lunak sekitar trauma, yaitu:</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Tingkat 0: fraktur biasa dengan sedikit atau tanpa ceddera jaringan lunak sekitarnya.</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Tingkat 1: fraktur dengan abrasi dangkal atau memar kulit dan jaringan subkutan.</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Tingkat 2: fraktur yang lebih berat dengan kontusio jaringan lunak bagian dalam dan pembengkakan.</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Tingkat 3: cedera berat dengan kerusakan jaringan lunak yang nyata ddan ancaman sindroma kompartement.</span></div><div class="MsoNormal" style="margin-left: 36.85pt; text-align: justify;"><span lang="EN-GB">(Apley, A. Graham, 1993, Handerson, M.A, 1992, Black, J.M, 1995, Ignatavicius, Donna D, 1995, Oswari, E,1993, Mansjoer, Arif, et al, 2000, Price, Sylvia A, 1995, dan Reksoprodjo, Soelarto, 1995)</span></div><div class="MsoNormal" style="margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><b><span lang="EN-GB"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="EN-GB">Dampak Masalah</span></b></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.5in; text-indent: 0.25in;">Ditinjau dari anatomi dan patofisiologi diatas, masalah klien yang mungkin timbul terjadi merupakan respon terhadap klien terhadap enyakitnya. Akibat fraktur terrutama pada fraktur hunerus akan menimbulkan dampak baik terhadap klien sendiri maupun keada keluarganya.</div><div class="MsoNormal" style="margin-left: 53.85pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>a<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Terhadap Klien</span></div><div class="MsoNormal" style="margin-left: 73.7pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Bio </span></div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Pada klien fraktur ini terjadi perubahan pada bagian tubuhnya yang terkena trauma, peningkatan metabolisme karena digunakan untuk penyembuhan tulang, terjadi perubahan asupan nutrisi melebihi kebutuhan biasanya terutama kalsium dan zat besi</span></div><div class="MsoNormal" style="margin-left: 59.55pt; text-align: justify; text-indent: 21.45pt;"><br />
</div><div class="MsoNormal" style="margin-left: 73.7pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Psiko</span></div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Klien akan merasakan cemas yang diakibatkan oleh rasa nyeri dari fraktur, perubahan gaya hidup, kehilangan peran baik dalam keluarga maupun dalam masyarakat, dampak dari hospitalisasi rawat inap dan harus beradaptasi dengan lingkungan yang baru serta tuakutnya terjadi kecacatan pada dirinya.</span></div><div class="MsoNormal" style="margin-left: 73.7pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Sosio</span></div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Klien akan kehilangan perannya dalam keluarga dan dalam masyarakat karena harus menjalani perawatan yang waktunya tidak akan sebentar dan juga perasaan akan ketidakmampuan dalam melakukan kegiatan seperti kebutuhannya sendiri seperti biasanya.</span></div><div class="MsoNormal" style="margin-left: 73.7pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Spiritual </span></div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Klien akan mengalami gangguan kebutuhan spiritual sesuai dengan keyakinannya baik dalam jumlah ataupun dalam beribadah yang diakibatkan karena rasa nyeri dan ketidakmampuannya. </span></div><div class="MsoNormal" style="margin-left: 53.85pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>b<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Terhadap Keluarga</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Masalah yang timbul pada keluarga dengan salah satu anggota keluarganya terkena fraktur adalah timbulnya kecemasan akan keadaan klien, apakah nanti akan timbul kecacatan atau akan sembuh total. Koping yang tidak efektif bisa ditempuh keluarga, untuk itu peran perawat disini sangat vital dalam memberikan penjelasan terhadap keluarga. Selain tiu, keluarga harus bisa menanggung semua biaya perawatan dan operasi klien. Hal ini tentunya menambah beban bagi keluarga.</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Masalah-masalah diatas timbul saat klien masuk rumah sakit, sedang masalah juga bisa timbul saat klien pulang dan tentunya keluarga harus bisa merawat, memenuhi kebutuhan klien. Hal ini tentunya menambah beban bagi keluarga dan bisa menimbulkan konflik dalam keluarga.</span></div><h2 style="line-height: normal;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>ASUHAN KEPERAWATAN</h2><div class="MsoBodyText" style="line-height: normal; margin-left: 0.25in; text-indent: 0.25in;">Di dalam memberikan asuhan keperawatan digunakan system atau metode proses keperawatan yang dalam pelaksanaannya dibagi menjadi 5 tahap, yaitu pengkajian, diagnosa keperawatan, perencanaan, pelaksanaan, dan evaluasi.</div><h4 style="line-height: normal; margin-left: 31.2pt; text-indent: -14.2pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengkajian <span style="font-weight: normal;"></span></h4><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 17.85pt;"><span lang="EN-GB">Pengkajian merupakan tahap awal dan landasan dalam proses keperawatan, untuk itu diperlukan kecermatan dan ketelitian tentang masalah-masalah klien sehingga dapat memberikan arah terhadap tindakan keperawatan. Keberhasilan proses keperawatan sangat bergantuang pada tahap ini. Tahap ini terbagi atas:</span></div><div class="MsoNormal" style="margin-left: 53.85pt; text-indent: -17pt;"><span lang="EN-GB"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pengumpulan Data</span></div><div class="MsoNormal" style="margin-left: 76.65pt; text-indent: -22.65pt;"><span lang="EN-GB"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB"><span> </span>Anamnesa </span></div><div class="MsoNormal" style="margin-left: 99.25pt; text-indent: -19.85pt;"><span lang="EN-GB"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Identitas Klien</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Meliputi nama, jenis kelamin, umur, alamat, agama, bahasa yang dipakai, status perkawinan, pendidikan, pekerjaan, asuransi, golongan darah, no. register, tanggal MRS, diagnosa medis.</span></div><div class="MsoNormal" style="margin-left: 99.25pt; text-indent: -21.05pt;"><span lang="EN-GB"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Keluhan Utama</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Pada umumnya keluhan utama pada kasus fraktur adalah rasa nyeri. Nyeri tersebut bisa akut atau kronik tergantung dan lamanya serangan. Untuk memperoleh pengkajian yang lengkap tentang rasa nyeri klien digunakan:</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -22.7pt;"><span lang="EN-GB"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Provoking Incident: apakah ada peristiwa yang menjadi yang menjadi faktor presipitasi nyeri.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -23.95pt;"><span lang="EN-GB"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB"><span> </span>Quality of Pain: seperti apa rasa nyeri yang dirasakan atau digambarkan klien. Apakah seperti terbakar, berdenyut, atau menusuk.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -23.95pt;"><span lang="EN-GB"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB"><span> </span>Region : radiation, relief: apakah rasa sakit bisa reda, apakah rasa sakit menjalar atau menyebar, dan dimana rasa sakit terjadi.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -23.95pt;"><span lang="EN-GB"><span>(4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB"><span> </span>Severity (Scale) of Pain: seberapa jauh rasa nyeri yang dirasakan klien, bisa berdasarkan<span> </span>skala nyeri atau klien menerangkan seberapa jauh rasa sakit mempengaruhi kemampuan fungsinya.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -23.95pt;"><span lang="EN-GB"><span>(5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB"><span> </span>Time: berapa lama nyeri berlangsung, kapan, apakah bertambah buruk pada malam hari atau siang hari.</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify;"><span lang="EN-GB">(Ignatavicius, Donna D, 1995)</span></div><div class="MsoNormal" style="margin-left: 102.05pt; text-align: justify;"><br />
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</div><div class="MsoNormal" style="margin-left: 99.25pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Riwayat Penyakit Sekarang</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Pengumpulan data yang dilakukan untuk menentukan sebab dari fraktur, yang nantinya membantu dalam membuat rencana tindakan terhadap klien. Ini bisa berupa kronologi terjadinya penyakit tersebut sehingga nantinya bisa ditentukan kekuatan yang terjadi dan bagian tubuh mana yang terkena. Selain itu, dengan mengetahui mekanisme terjadinya kecelakaan bisa diketahui luka kecelakaan yang lain (Ignatavicius, Donna D, 1995).</span></div><div class="MsoNormal" style="margin-left: 99.25pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Riwayat Penyakit Dahulu</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Pada pengkajian ini ditemukan kemungkinan penyebab fraktur dan memberi petunjuk berapa lama tulang tersebut akan menyambung. Penyakit-penyakit tertentu seperti kanker tulang dan penyakit paget’s yang menyebabkan fraktur patologis yang sering sulit untuk menyambung. Selain itu, penyakit diabetes dengan luka di kaki sanagt beresiko terjadinya osteomyelitis akut maupun kronik dan juga diabetes menghambat proses penyembuhan tulang (Ignatavicius, Donna D, 1995).</span></div><div class="MsoNormal" style="margin-left: 99.25pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Riwayat Penyakit Keluarga</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Penyakit keluarga yang berhubungan dengan penyakit tulang merupakan salah satu faktor predisposisi terjadinya fraktur, seperti diabetes, osteoporosis yang sering terjadi pada beberapa keturunan, dan kanker tulang yang cenderung diturunkan secara genetik (Ignatavicius, Donna D, 1995).</span></div><div class="MsoNormal" style="margin-left: 99.25pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Riwayat Psikososial</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Merupakan respons emosi klien terhadap penyakit yang dideritanya dan peran klien dalam keluarga dan masyarakat serta respon atau pengaruhnya dalam kehidupan sehari-harinya baik dalam keluarga ataupun dalam masyarakat (Ignatavicius, Donna D, 1995).</span></div><div class="MsoNormal" style="margin-left: 99.25pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>g)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pola-Pola Fungsi Kesehatan</span></div><div class="MsoNormal" style="margin-left: 116.25pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pola Persepsi dan Tata Laksana Hidup Sehat</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Pada kasus fraktur akan timbul ketidakutan akan terjadinya kecacatan pada dirinya dan harus menjalani penatalaksanaan kesehatan untuk membantu penyembuhan tulangnya. Selain itu, pengkajian juga meliputi kebiasaan hidup klien seperti penggunaan obat steroid yang dapat mengganggu metabolisme kalsium, pengkonsumsian alkohol yang bisa mengganggu keseimbangannya dan apakah klien melakukan olahraga atau tidak.(Ignatavicius, Donna D,1995).</span></div><div class="MsoNormal" style="margin-left: 116.25pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pola Nutrisi dan Metabolisme</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Pada klien fraktur harus mengkonsumsi nutrisi melebihi kebutuhan sehari-harinya seperti kalsium, zat besi, protein, vit. C dan lainnya untuk membantu proses penyembuhan tulang. Evaluasi terhadap pola nutrisi klien bisa membantu menentukan penyebab masalah muskuloskeletal dan mengantisipasi komplikasi dari nutrisi yang tidak adekuat terutama kalsium atau protein dan terpapar sinar matahari yang kurang merupakan faktor predisposisi masalah muskuloskeletal terutama pada lansia. Selain itu juga obesitas juga menghambat degenerasi dan mobilitas klien.</span></div><div class="MsoNormal" style="margin-left: 116.25pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pola Eliminasi</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Untuk kasus fraktur humerus tidak ada gangguan pada pola eliminasi, tapi walaupun begitu perlu juga dikaji frekuensi, konsistensi, warna serta bau feces pada pola eliminasi alvi. Sedangkan pada pola eliminasi uri dikaji frekuensi, kepekatannya, warna, bau, dan jumlah. Pada kedua pola ini juga dikaji ada kesulitan atau tidak. (Keliat, Budi Anna, 1991)</span></div><div class="MsoNormal" style="margin-left: 116.25pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>(4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pola Tidur dan Istirahat</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Semua klien fraktur timbul rasa nyeri, keterbatasan gerak, sehingga hal ini dapat mengganggu pola dan kebutuhan tidur klien. Selain itu juga, pengkajian dilaksanakan pada lamanya tidur, suasana lingkungan, kebiasaan tidur, dan kesulitan tidur serta penggunaan obat tidur (Doengos. Marilynn E, 1999).</span></div><div class="MsoNormal" style="margin-left: 116.25pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>(5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pola Aktivitas</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Karena timbulnya nyeri, keterbatasan gerak, maka semua bentuk kegiatan klien menjadi berkurang dan kebutuhan klien perlu banyak dibantu oleh orang lain. Hal lain yang perlu dikaji adalah bentuk aktivitas klien terutama pekerjaan klien. Karena ada beberapa bentuk pekerjaan beresiko untuk terjadinya fraktur dibanding pekerjaan yang lain (Ignatavicius, Donna D, 1995).</span></div><div class="MsoNormal" style="margin-left: 116.25pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>(6)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pola Hubungan dan Peran</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Klien akan kehilangan peran dalam keluarga dan dalam masyarakat. Karena klien harus menjalani rawat inap<span> </span>(Ignatavicius, Donna D, 1995).</span></div><div class="MsoNormal" style="margin-left: 116.25pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>(7)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pola Persepsi dan Konsep Diri</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Dampak yang timbul pada klien fraktur yaitu timbul ketidakutan akan kecacatan akibat frakturnya, rasa cemas, rasa ketidakmampuan untuk melakukan aktivitas secara optimal, dan pandangan terhadap dirinya yang salah (gangguan body image) (Ignatavicius, Donna D, 1995).</span></div><div class="MsoNormal" style="margin-left: 116.25pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>(8)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pola Sensori dan Kognitif</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Pada klien fraktur daya rabanya berkurang terutama pada bagian distal fraktur, sedang pada indera yang lain tidak timbul gangguan.begitu juga pada kognitifnya tidak mengalami gangguan. Selain itu juga, timbul rasa nyeri akibat fraktur (Ignatavicius, Donna D, 1995). </span></div><div class="MsoNormal" style="margin-left: 116.25pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>(9)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pola Reproduksi Seksual</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Dampak pada klien fraktur yaitu, klien tidak bisa melakukan hubungan seksual karena harus menjalani rawat inap dan keterbatasan gerak serta rasa nyeri yang dialami klien. Selain itu juga, perlu dikaji status perkawinannya termasuk jumlah anak, lama perkawinannya (Ignatavicius, Donna D, 1995). </span></div><div class="MsoNormal" style="margin-left: 117.25pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>10)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB"><span> </span>Pola Penanggulangan Stress</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Pada klien fraktur timbul rasa cemas tentang keadaan dirinya, yaitu ketidakutan timbul kecacatan pada diri dan fungsi tubuhnya. Mekanisme koping yang ditempuh klien bisa tidak efektif (Ignatavicius, Donna D, 1995).</span></div><div class="MsoNormal" style="margin-left: 117.25pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>11)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB"><span> </span>Pola Tata Nilai dan Keyakinan</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Untuk klien fraktur tidak dapat melaksanakan kebutuhan beribadah dengan baik terutama frekuensi dan konsentrasi. Hal ini bisa disebabkan karena nyeri dan keterbatasan gerak klien (Ignatavicius, Donna D, 1995). </span></div><div class="MsoNormal" style="margin-left: 76.65pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pemeriksaan<b> </b>Fisik</span></div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Dibagi menjadi dua, yaitu pemeriksaan umum (status generalisata) untuk mendapatkan gambaran umum dan pemeriksaan setempat (lokalis). Hal ini perlu untuk dapat melaksanakan total care karena ada kecenderungan dimana spesialisasi hanya memperlihatkan daerah yang lebih sempit tetapi lebih mendalam. </span></div><div class="MsoNormal" style="margin-left: 99.25pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Gambaran Umum</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify;"><span lang="EN-GB">Perlu menyebutkan:</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Keadaan umum: baik atau buruknya yang dicatat adalah tanda-tanda, seperti:</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kesadaran penderita: apatis, sopor, koma, gelisah, komposmentis tergantung pada keadaan klien.</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kesakitan, keadaan penyakit: akut, kronik, ringan, sedang, berat dan pada kasus fraktur biasanya akut.</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Tanda-tanda vital tidak normal karena ada gangguan baik fungsi maupun bentuk.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Secara sistemik dari kepala sampai kelamin</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Sistem Integumen</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><span lang="EN-GB">Terdapat erytema, suhu sekitar daerah trauma meningkat, bengkak, oedema, nyeri tekan.</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kepala</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><span lang="EN-GB">Tidak ada gangguan yaitu, normo cephalik, simetris, tidak ada penonjolan, tidak ada nyeri kepala.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Leher </span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><span lang="EN-GB">Tidak ada gangguan yaitu simetris, tidak ada penonjolan, reflek menelan ada.</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(d)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Muka</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><span lang="EN-GB">Wajah terlihat menahan sakit, lain-lain tidak ada perubahan fungsi maupun bentuk. Tak ada lesi, simetris, tak oedema.</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(e)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Mata</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><span lang="EN-GB">Tidak ada gangguan seperti konjungtiva tidak anemis (karena tidak terjadi perdarahan)</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(f)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Telinga</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><span lang="EN-GB">Tes bisik atau weber masih dalam keadaan normal. Tidak ada lesi atau nyeri tekan.</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(g)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Hidung</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><span lang="EN-GB">Tidak ada deformitas, tak ada pernafasan cuping hidung.</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(h)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Mulut dan Faring</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><span lang="EN-GB">Tak ada pembesaran tonsil, gusi tidak terjadi perdarahan, mukosa mulut tidak pucat.</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(i)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Thoraks</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><span lang="EN-GB">Tak ada pergerakan otot intercostae, gerakan dada simetris.</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(j)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Paru</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Inspeksi </span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify;"><span lang="EN-GB">Pernafasan meningkat, reguler atau tidaknya tergantung pada riwayat penyakit klien yang berhubungan dengan paru.</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Palpasi </span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify;"><span lang="EN-GB">Pergerakan sama atau simetris, fermitus raba sama.</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Perkusi </span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify;"><span lang="EN-GB">Suara ketok sonor, tak ada erdup atau suara tambahan lainnya.</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Auskultasi </span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify;"><span lang="EN-GB">Suara nafas normal, tak ada wheezing, atau suara tambahan lainnya seperti stridor dan ronchi.</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(k)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Jantung</span></div><div class="MsoNormal" style="margin-left: 154.5pt; text-align: justify; text-indent: -19.5pt;"><span lang="EN-GB"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Inspeksi</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify;"><span lang="EN-GB">Tidak tampak iktus jantung.</span></div><div class="MsoNormal" style="margin-left: 154.5pt; text-align: justify; text-indent: -19.5pt;"><span lang="EN-GB"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Palpasi</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify;"><span lang="EN-GB">Nadi meningkat, iktus tidak teraba.</span></div><div class="MsoNormal" style="margin-left: 154.5pt; text-align: justify; text-indent: -19.5pt;"><span lang="EN-GB"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Auskultasi </span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify;"><span lang="EN-GB">Suara S1 dan S2 tunggal, tak ada mur-mur.</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(l)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Abdomen</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Inspeksi</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify;"><span lang="EN-GB">Bentuk datar, simetris, tidak ada hernia.</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Palpasi</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify;"><span lang="EN-GB">Tugor baik, tidak ada defands muskuler, hepar tidak teraba.</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Perkusi</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify;"><span lang="EN-GB">Suara thympani, ada pantulan gelombang cairan.</span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Auskultasi </span></div><div class="MsoNormal" style="margin-left: 153pt; text-align: justify;"><span lang="EN-GB">Peristaltik usus normal </span><span lang="EN-GB" style="font-family: Symbol;"><span>±</span></span><span lang="EN-GB"> 20 kali/menit.</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(m)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Inguinal-Genetalia-Anus </span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify;"><span lang="EN-GB">Tak ada hernia, tak ada pembesaran lymphe, tak ada kesulitan BAB.</span></div><div class="MsoNormal" style="margin-left: 99.25pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Keadaan Lokal</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Harus diperhitungkan keadaan proksimal serta bagian distal terutama mengenai status neurovaskuler. Pemeriksaan pada sistem muskuloskeletal adalah:</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Look (inspeksi)</span></div><div class="MsoNormal" style="margin-left: 1.75in; text-align: justify; text-indent: -9pt;"><span lang="EN-GB">Perhatikan apa yang dapat dilihat antara lain:</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Cictriks (jaringan parut baik yang alami maupun buatan seperti bekas operasi).</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Cape au lait spot (birth mark).</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Fistulae. </span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(d)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Warna kemerahan atau kebiruan (livide) atau hyperpigmentasi.</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(e)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Benjolan, pembengkakan, atau cekungan dengan hal-hal yang tidak biasa (abnormal).</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(f)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Posisi dan bentuk dari ekstrimitas (deformitas)</span></div><div class="MsoNormal" style="margin-left: 135pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(g)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Posisi jalan (gait, waktu masuk ke kamar periksa)</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Feel (palpasi) </span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Pada waktu akan palpasi, terlebih dahulu posisi penderita diperbaiki mulai dari posisi netral (posisi anatomi). Pada dasarnya ini merupakan pemeriksaan yang memberikan informasi dua arah, baik pemeriksa maupun klien.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify;"><span lang="EN-GB">Yang perlu dicatat adalah:</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Perubahan suhu disekitar trauma (hangat) dan kelembaban kulit.</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Apabila ada pembengkakan, apakah terdapat fluktuasi atau oedema terutama disekitar persendian.</span></div><div class="MsoNormal" style="margin-left: 135.75pt; text-align: justify; text-indent: -18.75pt;"><span lang="EN-GB"><span>(c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Nyeri tekan (tenderness), krepitasi, catat letak kelainan (1/3 proksimal,tengah, atau distal).</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify;"><span lang="EN-GB">Otot: tonus pada waktu relaksasi atau konttraksi, benjolan yang terdapat di permukaan atau melekat pada tulang. Selain itu juga diperiksa status neurovaskuler. Apabila ada benjolan, maka sifat benjolan perlu dideskripsikan permukaannya, konsistensinya, pergerakan terhadap dasar atau<span> </span>permukaannya, nyeri atau tidak, dan ukurannya.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Move (pergeraka terutama lingkup gerak)</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Setelah melakukan pemeriksaan feel, kemudian diteruskan dengan menggerakan ekstrimitas dan dicatat apakah terdapat keluhan nyeri pada pergerakan. Pencatatan lingkup gerak ini perlu, agar dapat mengevaluasi keadaan sebelum dan sesudahnya. Gerakan sendi dicatat dengan ukuran derajat, dari tiap arah pergerakan mulai dari titik 0 (posisi netral) atau dalam ukuran metrik. Pemeriksaan ini menentukan apakah ada gangguan gerak (mobilitas) atau tidak. Pergerakan yang dilihat adalah gerakan aktif dan pasif.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify;"><span lang="EN-GB">(Reksoprodjo, Soelarto, 1995)</span></div><div class="MsoNormal" style="margin-left: 76.65pt; text-align: justify; text-indent: -22.65pt;"><span lang="EN-GB"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pemeriksaan Diagnostik</span></div><div class="MsoNormal" style="margin-left: 99.25pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pemeriksaan Radiologi</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Sebagai penunjang, pemeriksaan yang penting adalah “pencitraan” menggunakan sinar rontgen (x-ray). Untuk mendapatkan gambaran 3 dimensi keadaan dan kedudukan tulang yang sulit, maka diperlukan 2 proyeksi yaitu AP atau PA dan lateral. Dalam keadaan tertentu diperlukan proyeksi tambahan (khusus) ada indikasi untuk memperlihatkan pathologi yang dicari karena adanya superposisi. Perlu disadari bahwa permintaan x-ray harus atas dasar indikasi<span> </span>kegunaan pemeriksaan penunjang dan hasilnya dibaca sesuai dengan permintaan. Hal yang harus dibaca pada x-ray:</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Bayangan jaringan lunak.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Tipis tebalnya korteks sebagai akibat reaksi periosteum atau biomekanik atau juga rotasi.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Trobukulasi ada tidaknya rare fraction.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Sela sendi serta bentuknya arsitektur sendi.</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify;"><span lang="EN-GB">Selain foto polos x-ray (plane x-ray) mungkin perlu tehnik khususnya seperti:</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0in;"><span lang="EN-GB"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Tomografi: menggambarkan tidak satu struktur saja tapi struktur yang lain tertutup yang sulit divisualisasi. Pada kasus ini ditemukan kerusakan struktur yang kompleks dimana tidak pada satu struktur saja tapi pada struktur lain juga mengalaminya.</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0in;"><span lang="EN-GB"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Myelografi: menggambarkan cabang-cabang saraf spinal dan pembuluh darah di ruang tulang vertebrae yang mengalami kerusakan akibat trauma.</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0in;"><span lang="EN-GB"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Arthrografi: menggambarkan jaringan-jaringan ikat yang rusak karena ruda paksa.</span></div><div class="MsoNormal" style="margin-left: 99pt; text-align: justify; text-indent: 0in;"><span lang="EN-GB"><span>(4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Computed Tomografi-Scanning: menggambarkan potongan secara transversal dari tulang dimana didapatkan suatu struktur tulang yang rusak.</span></div><div class="MsoNormal" style="margin-left: 99.25pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pemeriksaan Laboratorium</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Kalsium Serum dan Fosfor Serum meningkat pada tahap penyembuhan tulang.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Alkalin Fosfat meningkat pada kerusakan tulang dan menunjukkan kegiatan osteoblastik dalam membentuk tulang.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify; text-indent: -0.25in;"><span lang="EN-GB"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Enzim otot seperti Kreatinin Kinase, Laktat Dehidrogenase<span> </span>(LDH-5), Aspartat Amino Transferase (AST), Aldolase yang meningkat pada tahap penyembuhan tulang.</span></div><div class="MsoNormal" style="margin-left: 99.25pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pemeriksaan lain-lain</span></div><div class="MsoNormal" style="margin-left: 119.05pt; text-align: justify; text-indent: -19.8pt;"><span lang="EN-GB"><span>(1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Pemeriksaan mikroorganisme kultur dan test sensitivitas: didapatkan mikroorganisme penyebab infeksi.</span></div><div class="MsoNormal" style="margin-left: 119.05pt; text-align: justify; text-indent: -19.8pt;"><span lang="EN-GB"><span>(2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Biopsi tulang dan otot: pada intinya pemeriksaan ini sama dengan pemeriksaan diatas tapi lebih dindikasikan bila terjadi infeksi.</span></div><div class="MsoNormal" style="margin-left: 119.05pt; text-align: justify; text-indent: -19.8pt;"><span lang="EN-GB"><span>(3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Elektromyografi: terdapat kerusakan konduksi saraf yang diakibatkan fraktur.</span></div><div class="MsoNormal" style="margin-left: 119.05pt; text-align: justify; text-indent: -19.8pt;"><span lang="EN-GB"><span>(4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Arthroscopy: didapatkan jaringan ikat yang rusak atau sobek karena trauma yang berlebihan.</span></div><div class="MsoNormal" style="margin-left: 119.05pt; text-align: justify; text-indent: -19.8pt;"><span lang="EN-GB"><span>(5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Indium Imaging: pada pemeriksaan ini didapatkan adanya infeksi pada tulang.</span></div><div class="MsoNormal" style="margin-left: 119.05pt; text-align: justify; text-indent: -19.8pt;"><span lang="EN-GB"><span>(6)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">MRI: menggambarkan semua kerusakan akibat fraktur.</span></div><div class="MsoNormal" style="margin-left: 117pt; text-align: justify;"><span lang="EN-GB">(Ignatavicius, Donna D, 1995)</span></div><div class="MsoNormal" style="margin-left: 53.85pt; text-align: justify; text-indent: -17pt;"><span lang="EN-GB"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Analisa Data</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: 0.25in;"><span lang="EN-GB">Data yang telah dikumpulkan kemudian dikelompokkan dan dianaisa untuk menemukan masalah kesehatan klien. Untuk mengelompokkannya dibagi menjadi dua data yaitu, data sujektif dan data objektif, dan kemudian ditentukan masalah keperawatan yang timbul.</span></div><h4 style="line-height: normal; margin-left: 31.2pt; text-indent: -14.2pt;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Diagnosa Keperawatan</h4><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.25in;"><span lang="EN-GB">Merupakan pernyataan yang menjelaskan status kesehatan baik aktual maupun potensial. Perawat memakai proses keperawatan dalam mengidentifikasi dan mengsintesa data klinis dan menentukan intervensi keperawatan untuk mengurangi, menghilangkan, atau mencegah masalah kesehatan klien yang menjadi tanggung jawabnya.</span></div><h4 style="line-height: normal; margin-left: 31.2pt; text-indent: -14.2pt;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Perencanaan </h4><h4 style="line-height: normal; margin-left: 31.2pt; text-indent: -14.2pt;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pelaksanaan</h4><h4 style="line-height: normal; margin-left: 31.2pt; text-indent: -14.2pt;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi</h4></div><span style="font-family: "Times New Roman","serif"; font-size: 12pt;"><br clear="all" style="page-break-before: always;" /> </span> <div class="MsoTitle"><span style="font-size: 9pt; line-height: 200%;">DAFTAR PUSTAKA</span></div><div class="MsoNormal"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Apley, A. Graham , <i>Buku Ajar Ortopedi dan Fraktur Sistem Apley</i>, Widya Medika, Jakarta, 1995.</span></div><div class="MsoBodyText" style="line-height: normal;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Black, J.M, et al, <i>Luckman and Sorensen’s Medikal Nursing : A Nursing Process</i> <i>Approach, 4 th Edition</i>, W.B. Saunder Company, 1995.</span></div><div class="MsoBodyText" style="line-height: normal;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Carpenito, Lynda Juall, <i>Rencana Asuhan dan Dokumentasi Keperawatan</i>, EGC, Jakarta, 1999.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 56.7pt; text-indent: -56.7pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Dudley, Hugh AF, <i>Ilmu Bedah Gawat Darurat</i>, Edisi II, FKUGM, 1986.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 56.7pt; text-indent: -56.7pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Departemen Kesehatan Republik Indonesia, <i>Sistem Kesehatan Nasional</i>, Jakarta, 1991.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 56.7pt; text-indent: -56.7pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Henderson, M.A, <i>Ilmu Bedah untuk Perawat</i>, Yayasan Essentia Medika, Yogyakarta, 1992.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 56.7pt; text-indent: -56.7pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Hudak and Gallo, <i>Keperawatan Kritis</i>, Volume I EGC, Jakarta, 1994.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 56.7pt; text-indent: -56.7pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Ignatavicius, Donna D<i>, Medical Surgical Nursing : A Nursing Process Approach</i>, W.B. Saunder Company, 1995.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 56.7pt; text-indent: -56.7pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Keliat, Budi Anna, <i>Proses Perawatan</i>, EGC, Jakarta, 1994.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 56.7pt; text-indent: -56.7pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Long, Barbara C, <i>Perawatan Medikal Bedah</i>, Edisi 3 EGC, Jakarta, 1996.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 56.7pt; text-indent: -56.7pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Mansjoer, Arif, et al, <i>Kapita Selekta Kedokteran</i>, Jilid II, Medika Aesculapius FKUI, Jakarta, 2000.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 56.7pt; text-indent: -56.7pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Oswari, E<i>, Bedah dan Perawatannya</i>, PT Gramedia Pustaka Utama, Jakarta, 1993.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 56.7pt; text-indent: -56.7pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 56.7pt; text-indent: -56.7pt;"><span style="font-size: 9pt;">Price, Evelyn C<i>, Anatomi dan Fisiologi Untuk Paramedis</i>, Gramedia, Jakarta 1997.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 56.7pt; text-indent: -56.7pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Reksoprodjo, Soelarto, <i>Kumpulan Kuliah Ilmu Bedah</i> FKUI/RSCM, Binarupa Aksara, Jakarta, 1995.</span></div><div class="MsoBodyText" style="line-height: normal;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><span style="font-size: 9pt;">Tucker, Susan Martin<i>, Standar Perawatan Pasien</i>, EGC, Jakarta, 1998.</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal"><br />
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<div class="MsoTitle" style="line-height: normal;"><span style="font-family: "Arial Black","sans-serif"; font-size: 16pt;">PENGKAJIAN KLINIS </span></div><div class="MsoTitle" style="line-height: normal;"><span style="font-family: "Arial Black","sans-serif"; font-size: 16pt;">KESEIMBANGAN CAIRAN</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 0.5in;">Dua alat yang paling penting untuk pengkajian klinis tentang masalah keseimbangan cairan adalah prosedur keperawatan sederhana yang mungkin dilakukan tanpa pesanan dokter: penimbangan berat badan dan masukan serta haluaran setiap hari. Pemantauan hemodinamik adalah cara invasif dari pengkajian gangguan keseimbangan cairan.</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><h1>Berat Badan setiap hari </h1><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 0.5in;">Perubahan berat badan akut biasanya menandakan perubahan cairan akut. Setiap kilogram dari penurunan berat badan menandakan satu liter cairan hilang atau bertambah. Jadi, 2 kg penurunan berat badab akut sama dengan kehilangan cairan 2 L. Penambahan 2 kg berat badan tidak selalu menandakan peningkatan volume sirkulasi efektif, tetapi lebih pada, peningkatan volume tubuh total yang dapat terletak di mana saja dari kompartemen cairan. Untuk keakuratan dan konsistensi, berat badan harus diukur pada waktu yang sama, paling baik sebelum sarapan pagi.</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><h1>Masukan dan Haluaran</h1><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 0.5in;">Semua masukan dan haluaran secara akurat diukur kapan saja jika mungkin dan semua volume yang tak diukur diperkirakan dan dicatat. Catatan masukan dan haluaran harus meliputi hal berikut:</div><ol start="1" style="margin-top: 0in;" type="1"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">Masukan:</li>
<ul style="margin-top: 0in;" type="disc"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">Cairan oral</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Cairan parenteral</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Makanan per selang</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Irigan kateter</li>
</ul></ol><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><ol start="2" style="margin-top: 0in;" type="1"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">Haluaran</li>
<ul style="margin-top: 0in;" type="disc"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">Haluaran urine</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Feses cair</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Muntah</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Drainase NG</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Berkeringat banyak</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Drainase luka</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Fistula yang mengalir</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Kecepatan pernapasan sulit atau cepat</li>
</ul></ol><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify;"><br />
</div><h1>Suhu Tubuh</h1><div class="MsoNormal" style="line-height: 150%; text-align: justify;">Peningkatan suhu tubuh dapat menimbulkan kehilangan cairan dan elektrolit karena peningkatan kehilangan cairan tak kasat mata. Dehidrasi hipernatremia dapat juga menyebabkan peningkatan suhu.</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span style="font-size: 14pt; line-height: 150%;">PROSEDUR KEPERAWATAN </span></b></div><h2>WATER TEPID SPONGING</h2><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><ol start="1" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">TUJUAN</li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Meningkatkan kontrol panas tubuh melalui evaporasi dan konduksi</div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><br />
</div><ol start="2" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">PERSIAPAN ALAT</li>
</ol><ol start="2" style="margin-top: 0in;" type="1"><ul style="margin-top: 0in;" type="disc"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">Baskom mandi</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Bantalan tahan air</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Air hangat (37<sup>0</sup>C atau 98,6<sup>0</sup>F)</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Selimut mandi </li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Termometer mandi</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Etil alkohol (k/p)</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Lap mandi</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Termometer</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Sarung tangan</li>
</ul></ol><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify;"><br />
</div><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> <ol start="3" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">PROSEDUR TINDAKAN </li>
</ol><ol start="2" style="margin-top: 0in;" type="1"><ul style="margin-top: 0in;" type="disc"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">Cuci tangan dan kenakan sarung tangan</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Jelaskan pada klien tentang tujuan tindakan water tepid sponging</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Tutup tirai atau pintu ruangan </li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Ukur suhu dan nadi klien</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Letakkan bantal tahan air dibawah klien dan lepaskan pakaian</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Pertahankan selimut mandi diatas bagian tubuh yang tidak dikompres. Tutup jendela dan pintu untuk mencegah aliran udara kedalam ruangan</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Periksa suhu air</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Celupkan lap mandi dalam air dan letakkan lap yang sudah basah dimasing-masing aksila dan lipatan paha. Bila menggunakan bak mandi, rendam klien selama 20-30 menit</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Dengan perlahan kompres ekstremitas selama 5 menit. Periksa respon klien. Ekstremitas berlawanan ditutup dengan lap mandi dingin.</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Keringkan ekstremitas dan kaji ulang nadi dan suhu tubuh klien. Observasi respon klien terhadap terapi</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Lanjutkan mengkompres ekstremitas lain, punggung dan bokong selama 3 sampai 5 menit. Kaji ulang suhu dan nadi tiap 5 menit</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Ganti air dan lakukan kembali kompres pada aksila dan lipat paha sesuai kebutuhan</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Bila suhu tubuh turun sedikit diatas normal , hentikan prosedur</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Keringkan ekstremitas dan bagian tubuh secara menyeluruh. Selimuti klien dengan selimut mandi atau selimut</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Ganti peralatan dan linen bila basah</li>
<li class="MsoNormal" style="line-height: 150%; text-align: justify;">Catat pada catatan perawat bahwa prosedur telah dilakukan<span> </span></li>
</ul></ol></span></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-49197203877585044802011-12-29T17:37:00.000-08:002011-12-29T17:37:18.698-08:00Anak Usia Sekolah<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowComments/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-indent: -0.25in;"><b><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Latar Belakang</b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;">Anak usia sekolah merupakan kelompok umur yang masih rawan terhadap masalah kesehatan dimana keadaan kesehatan anak sekolah sangat berpengaruh terhadap prestasi belajar yang akan dicapai oleh peserta didik. Pada sisi lain anak sekolah juga sangat peka untuk ditanamkan pengertian, perilaku dan kebiasaan hidup sehat sehingga anak sekolah sangat efektif untuk dilakukan perubahan terhadap perilaku dan kebiasaan hidup sehatnya (Depkes RI, 2002).</div><div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 0.5in;">Melalui kegiatan pembinaan UKS oleh petugas kesehatan dan peran serta dari lingkungan sekolah (guru dan siswa), diharapkan perilaku dan kebiasaan hidup sehat di lingkungan sekolah dapat dicapai. Upaya-upaya pembinaan dapat diwujudkan dalam bentuk pelayanan promotif dan preventif yang berupa pendidikan kesehatan dan pelatihan kesehatan. Sebagai sasaran dalam pelayanan kegiatan UKS adalah mereka yang hidup di lingkungan sekolah yaitu guru, peserta didik dan lingkungan sekolah (Depkes RI, 2002).</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><span lang="FI">Puskesmas merupakan pangkalan kegiatan usaha kesehatan sekolah. Tugas puskesmas bertanggung jawab atas pelaksanaan program kesehatan sekolah. Program kesehatan sekolah dilaksanakan disekolah- sekolah oleh petugas puskesmas bekerja sama dengan sekolah atau guru-guru, serta pemerintahan setempat. Prioritas harus di berikan kepada pelaksanaan program kesehatan sekolah di sekolah-sekolah dasar maupun menengah (Depkes RI, 2002).</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><span lang="FI">Pembinaan dan pengembangan Usaha Kesehatan Sekolah (UKS) adalah upaya pendidikan dan kesehatan yang dilaksanakan secara terpadu, sadar, berencana, terarah dan bertanggung jawab dalam menanamkan, menumbuhkan, dan mengembangkan serta membimbing untuk menghayati, menyenangi dan melaksanakan prinsip hidup sehat dalam kehidupan peserta didik sehari-hari,untuk mencetak sumber daya manusia yang berkualitas (Depkes RI, 2002).</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><span lang="FI">Pembinaan dan pengembangan Usaha Kesehatan Sekolah (UKS) adalah<span> </span>salah satu upaya pemeliharaan dan peningkatan kesehatan yang ditujukan kepada peserta didik (usia sekolah) yaitu merupakan salah satu mata rantai yang penting dalam kualitas fisik penduduk. Peserta didik merupakan kelompok masyarakat yang mempunyai tingkat kesehatan yang lebih baik bila dibandingkan dengan berbagai kelompok masyarakat lainnya, meskipun demikian kelompok ini merupakan kelompok yang rawan karena berada dalam periode pertumbuhan dan perkembangan (Depkes RI, 2002).</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><span lang="FI">Dari hasil pengkajian<span> </span>dengan menggunakan metode wawancara dan penyebaran angket yang dilaksanakan pada tanggal </span><span lang="IN">8-12 Pebruari 2010</span><span lang="FI"><span> </span>oleh siswa dan guru yang berada di SDN </span><span lang="IN">Ngadirgo 01 </span><span lang="FI">kecamatan </span><span lang="IN">Mijen</span><span lang="FI"> kota Semarang yang mempunyai 14 guru dan 219 siswa.<span> </span>Dari hasil penyebaran angket oleh guru yang ada di SDN </span><span lang="IN">Ngadirgo 01</span><span lang="FI"> didapatkan data bahwa 35,7% responden menyatakan bahwa UKS di SDN </span><span lang="IN">Ngadirgo 01</span><span lang="FI"> belum berfungsi sebagaimana mestinya, sebanyak 25 % siswa mengalami diare, 10,6 % siswa tidak mencuci tangan sebelum makan/jajan dan setelah buang air besar, sebanyak 54,7 % siswa mengatakan mempunyai gigi berlubang, 89,8 % siswa sering mengkonsumsi jajan ( coklat, es, chiki ). </span>Dan dari data wawancara dengan kepala sekolah<span> </span>didapatkan ruang UKS yang masih bergabung dengan mushola, dari hasil observasi di SDN <span lang="IN">Ngadirgo 01</span> didapatkan sebagian siswa ada yang kurang menjaga lingkungan sekitar sekolah misalnya membuang sampah tidak pada tempatnya (Data survey SDN <span lang="IN">Ngadirgo 01</span> Kecamatan <span lang="IN">Mijen</span>).</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-indent: 0.75in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-indent: -0.25in;"><b><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Tujuan </b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 2in; text-indent: -1.75in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan Umum</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 27pt;">Membina dan meningkatkan kesehatah anak-anak sekolah sehingga dapat tumbuh kembang sebaik-baiknya melalui asuhan keperawatan UKS di SDN <span lang="IN">Ngadirgo 01</span> wilayah kerja Puskesmas <span lang="IN">Mijen</span> kecamatan <span lang="IN">Mijen</span> kota Semarang.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 2in; text-indent: -1.75in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan Khusus</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Memahami tentang program UKS.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mendiskripsikan pengkajian asuhan keperawatan UKS di SDN <span lang="IN">Ngadirgo 01</span> wilayah kerja Puskesmas <span lang="IN">Mijen </span>kecamatan <span lang="IN">Mijen</span> kota Semarang</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mendiskripsikan perencanaan asuhan keperawatan UKS di SDN <span lang="IN">Ngadirgo 01</span><span lang="IN"> </span>wilayah kerja Puskesmas <span lang="IN">Mijen</span> kecamatan <span lang="IN">Mijen</span> kota Semarang</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mendiskripsikan pelaksanaan asuhan keperawatan UKS di SDN <span lang="IN">Ngadirgo 01 </span><span> </span>Wilayah kerja Puskesmas <span lang="IN">Mijen</span> kecamatan <span lang="IN">Mijen</span> kota Semarang</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mendiskripsikan evaluasi asuhan keperawatan UKS di SDN <span lang="IN">Ngadirgo 01</span> wilayah kerja Puskesmas <span lang="IN">Mijen</span> kecamatan <span lang="IN">Mijen</span> kota Semarang</div><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowComments/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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</style> <![endif]--> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="FI">BAB II</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="FI">TINJAUAN TEORI</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="FI">A.<span> </span>Usaha Kesehatan Sekolah</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><span lang="FI">Usaha Kesehatan Sekolah (UKS) <span> </span>menurut WHO (2000) adalah bentuk pelayanan kesehatan di suatu institusi yang dapat diterapkan disemua Negara yang berfungsi untuk meningkatkan derajat kesehatan komponen sekolah, pelayanan yang diberikan berupa<span> </span>promosi kesehatan serta pendidikan kesehatan sehingga bisa diterapkan pada semua level baik<span> </span>lokal, regional, nasional maupun global (McMurray, 2003). UKS adalah salah satu contoh penyelenggara pelayanan kesehatan di komunitas yang pelayanannya meliputi pendidikan kesehatan, pencegahan penyakit, peningkatan kesehatan serta pendidikan seks (Mubarok, 2006).</span><span lang="FI"> </span>Usaha Kesehatan Sekolah (UKS) adalah upaya terpadu lintas program dan lintas sektoral dalam rangka meningkatkan derajat kesehatan yang optimal serta membentuk perilaku hidup sehat anak usia sekolah yang ada disekolah (Depkes RI, 2002).<span lang="FI"></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><span lang="FI">UKS adalah praktek keperawatan profesional yang dilakukan di suatu institusi akademik khususnya sekolah, dimana pelayanan yang diberikan meliputi promosi kesehatan dan keselamatan, melakukan penerapan managemen kasus, melakukan advokasi serta melakukan intervensi kesehatan baik kasus-kasus aktual maupun potensial ( McEwen, 2001).</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.25in;"><span lang="FI"><span> </span>Kegiatan UKS merupakan salah satu bentuk pelayanan puskesmas di luar gedung.<span> </span>Kegiatan ini dapat dijadikan wadah atau kendaraan yang dapat digunakan oleh semua program kesehatan, seperti kesehatan ibu dan anak, gizi, P2M, kesehatan lingkungan, pengobatan, promosi kesehatan dan lain-lain. Pelaksanan program kesehatan di sekolah dapat memberikan daya ungkit yang nyata karena selain jumlahnya yang besar, mereka juga merupakan sasaran yang sudah terorganisir dengan baik dan sangat mudah menerima informasi dalam rangka pembentukan perilaku hidup sehat dan bersih (Anderson & Mcfarlane</span><span lang="FI">, 2007).</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.25in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b>B.<span> </span>Ruang Lingkup Kegiatan</b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span> </span></b>Menurut Stanhope (1998), Kegiatan utama UKS disebut Trias UKS, yang terdiri dari :</div><ol start="1" style="margin-top: 0in;" type="1"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">Pelayanan kesehatan</li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Pelayanan kesehatan sekolah meliputi screening kesehatan, perawatan dasar tentang komplikasi ringan, pemberian obat-obatan, survailance status imunisasi, penemuan kasus untuk mengidentifikasi tentang masalah, pengelolaan kasus, konseling kesehatan, pelayanan perawatan pada siswa yang memerlukan kesehatan secara khusus dan pelayanan di beberapa distrik, dan perawatan kesehatan utama. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Kegiatan pelayanan kesehatan di sekolah meliputi : </div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Screening<span> </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 31.5pt;">Tanggung jawab perawat sekolah dalam proses screening adalah bekerja sama dengan keluarga dan anggota tim lainnya dalam hal : menentukan screening apa yang akan dikerjakan, mengembangkan sebuah rencana untuk screening dan system pengelolaan data, mengerjakan pada professional dan tenaga lainnya (termasuk siswa dan tenaga sukarela). Pelaksanaan screening ditentukan dengan menentukan factor-faktor yang mendekati sumber yang menunujukkan diagnosa yang berdasarkan pada gejala dan tanda, merujuk siswa yang membutuhkan evaluasi selanjutnya di sekolah atau di masyarakat dan kolaborasi dengan tim lain dalam pelaksanaan pada evaluasi rencana pengobatan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 31.5pt;">Screening pencegahan terhadap kesehatan mata, telinga, scoliosis, gigi, analisa factor resiko kardiovaskuler dan survey lainnya yang lebih komplek tentang pengetahuan kebiasaan kesehatan orang sebagai perilaku beresiko dalam survey screening yang biasa terjadi bersamaan dengan di mulainya tahun ajaran baru, sehingga memungkinkan untuk membuka masalah.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 31.5pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengelolaan keluhan-keluhan ringan.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: 0.4in;">Setiap<span> </span>bangunan sekolah sebaiknya memiliki paralatan dan P3K dengan petunjuknya yang jelas. Sebuah ruangan yang dibangun khusus untuk tempat memberikan peleyanan pertolongan pertama dan perawatan emergenci harus ada, demikian juga ruangan tempat perawatan keluhan-keluhan ringan seperti nyeri perut, sakit kepela, nyeri telinga, lemah.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemberian obat-obatan.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: 28.35pt;">Dalam hal ini perawat sekolah memerlukan dukungan guna keberhasilan pendekatan tersebut baik dari siswa maupun dari seluruh personil sekolah dengan memperhatikan 5 prasyarat yang mendasar antara lain</div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span> </span>Obat-obatan hanya diberikan kepada anak yang orang tuanya telah diberikan resep </div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span> </span>Setiap obat-obatan memerlukan resep yang diberikan hanya melalui wewenang dokter</div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span> </span>Resep obat tersebut sebaiknya bersifat individual dan jelas labelnya untuk setiap anak/siswa </div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span> </span>Obat-obatan harus dicatat oleh orang yang memberikan (di sekolah) kemudian dalam buku catatan harus jelas status siswa, nama, jenis obat, dosis, waktu dan orang yang memberikan obat tersebut.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span> </span>Obat harus didapatkan dari toko yang jelas, keadaan obat tertutup rapat, tempat bersih dan terbungkus.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Konseling</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 31.05pt;">Konseling adalah membantu orang sampai pada penemuan keputusan untuk permasalahannya atau konflik.<span> </span>Tanggung jawab konselor adalah memberikan informasi, memberikan dukungan, merawat dan dapat dipercaya. <span> </span>Konselor tidak memberikan keputusan tetapi hanya membantu klien untuk menemukan suatu keputusan yang terbaik bagi dirinya.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 31.05pt;">Menurut Stanhope (2004), pemberian konseling pada anak usia sekolah 7-12 tahun antara lain :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Penyebab kematian</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kecelakaan kendaraan bermotor</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Luka-luka yang disebabkan bukan karena kendaraan bermotor</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kelainan bawaan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Leukemia</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pembunuhan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Penyakit jantung</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Penyaringan yang disarankan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tinggi dan berat badan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tekanan darah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Konseling tentang diit dan olah raga</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lemak khususnya lemak jenuh, gula dan makanan kecil, sodium.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Keseimbangan kalori.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemilihan program latihan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pencegahan luka</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sabuk pengaman </div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Alat pendeteksi asap</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Menyimpan senjata, obat-obatan, bahan kimia beracun, korek api</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Bersepeda menggunakan helm pengaman.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kesehatan gigi</div><div class="MsoNormal" style="line-height: 150%; margin-left: 92.7pt; text-align: justify; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Menggosok gigi dan memeriksa secara teratur</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 31.05pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 31.05pt;">Sedangkan menurut McFarlane & Anderson (2007) pelayanan kesehatan sekolah meliputi :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.65pt; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan kesehatan fisik</div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.65pt; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan perkembangan kecerdasan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.65pt; text-align: justify; text-indent: -0.25in;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemberian imunisasi</div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.65pt; text-align: justify; text-indent: -0.25in;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Penemuan kasus-kasus dini</div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.65pt; text-align: justify; text-indent: -0.25in;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengobatan sederhana</div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.65pt; text-align: justify; text-indent: -0.25in;"><span>6)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pertolongan pertama</div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.65pt; text-align: justify; text-indent: -0.25in;"><span>7)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rujukan bila diperlukan untuk kasus yang tidak dapat ditanggulangi di sekolah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 67.65pt; text-align: justify; text-indent: -0.25in;"><span>8)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan dan pemeliharaan kesehatan guru.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;"><br />
</div><ol start="2" style="margin-top: 0in;" type="1"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">Pendidikan kesehatan</li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Komponen pendidikan kesehatan harus memasukkan usaha-usaha yang bersifat pengajaran yang membantu perkembangan dengan baik. Pendidikan kesehatan termasuk juga pendidikan untuk para siswa yang memiliki masalah kesehatan kronik dan mereka harus mengetahui lebih banyak mengenai penyakitnya, perawatan diri sendiri, dan bagaimana menggunakan sistem pelayanan kesehatan secara efektif</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Menurut Stanhope (2004) tiga tujuan umum dari pendidikan kesehatan dalam komponen kesehatan sekolah <span> </span>adalah:</div><div class="MsoNormal" style="line-height: 150%; margin-left: 58.5pt; text-align: justify; text-indent: -22.5pt;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengajarkan semua anak-anak mengenai tubuhnya masing-masing dan bagaimana menjaga tubuh agar tetap sehat</div><div class="MsoNormal" style="line-height: 150%; margin-left: 58.5pt; text-align: justify; text-indent: -22.5pt;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Menanamkan prinsip pada anak laki-laki dan perempuan, tentang kebiasaan hidup sehat dan menanamkan pengetahuan dalam mengambil keputusan yang bertanggung jawab mengenai kesehatan mereka sendiri, kesehatan keluarga mereka ketika mereka dewasa dan kesehatan masyarakat</div><div class="MsoNormal" style="line-height: 150%; margin-left: 58.5pt; text-align: justify; text-indent: -22.5pt;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengajarkan kepada siswa bagaimana menggunakan sistim pelayanan kesehatan dengan bijaksana dan efektif.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Dewasa ini ada sejumlah pendidikan kesehatan yang termasuk dalam kurikulum. Lima buah programnya sudah dikenal dengan baik. Adapun kurikilum ”<i>The Growing Healthty” </i>Pertumbuhan kesehatan untuk tingkat <span> </span>hidup pribadi para siswa.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Sedangkan menurut Anderson & McFarlane (2007) pelaksanan kesehatan sekolah meliputi : </div><ol start="2" style="margin-top: 0in;" type="1"><ol start="1" style="margin-top: 0in;" type="a"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">Pendidikan kesehatan di sekolah </li>
</ol></ol><div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kegiatan intra kulikuler</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify;">Pedidikan kesehatan yang masuk ke dalam kurikulum, meliputi ilmu kesehatan atau disiplin ilmu seperti : olah raga dan kesehatan, dan ilmu pengetahuan alam.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kegiatan Ekstra Kulikuler</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify;">Yaitu pendidikan kesehatan yang dimasukkan ke dalam kegiatan-kegiatan ekstra kulikuler dalam rangka menanamkan perilaku sehat pada peserta didik.</div><ol start="2" style="margin-top: 0in;" type="1"><ol start="2" style="margin-top: 0in;" type="a"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">Kegiatan-kegiatan dalam pendidikan kesehatan di sekolah dapat berupa :</li>
</ol></ol><div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span lang="IN">Pendkes h</span>ygiene perseorangan meliputi pemeliharaan gigi dam mulut, kebersihan kulit dan kuku, mata, telinga dan sebagainya.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pe<span lang="IN">mberian pendkes pencegahan dan pemberantasan penyakit menular melalui penanaman perilaku hidup bersih sehat di sekolah dan di rumah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1.25in; text-align: justify;"><br />
</div><ol start="3" style="margin-top: 0in;" type="1"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">Kesehatan lingkungan</li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Komponen ketiga dari program kesehatan sekolah adalah kesehatan lingkungan, yang meliputi <span lang="IN">aspek fisik dan</span> psik<span lang="IN">is diantaranya p</span>engawasan terhadap alat dan <span lang="IN">keselamatan </span>lingkungan fisik dan <span lang="IN">psiko</span>sosial <span lang="IN">para siswa. Lingkungan jasmani juga harus dievaluasi. Kader UKS sekolah harus belajar secara teliti, bersama dengan pembina UKS untuk menjamin bahwa daerah kesehatan sekolah tidak dilupakan. </span>Program-program keselamatan adalah yang paling penting. Seringkali perawat dilibatkan secara aktif dalam <span lang="IN">mem</span>perkenalkan daerah-daerah yang sering terjadi kecelakaan pada siswa, bahkan perawat juga dilibatkan dalam strategi perencanaan intervensi guna mengurangi resiko tersebut.<span lang="IN"></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Sedangkan menurut Anderson & McFarlane (2007), kesehatan lingkungan sekolah mencakup :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lingkungan fisik, kegiatannya meliputi :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengawasan terhadap sumber air bersih, sampah air limbah, tempat pembuangan tinja dan kebersihan lingkungan sekolah.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengawasan kantin sekolah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengawasan bangunan sekolah yang sehat</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengawasan binatang yang ada di lingkungan sekolah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengawasan terhadap lingkungan tanah, air dan udara di sekitar sekolah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lingkungan Psikis, kegiatannya meliputi :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Memberikan perhatian pada perkembangan peserta didik</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Memberikan perhatian khusus pada anak didik yang bermasalah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Membina hubungan kejiwaan antara guru dan peserta didik</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lingkungan social, kegiatannya meliputi :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Membina hubungan yang harmonis antar guru</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Membina hubungan yang harmonis antara guru dengan peserta didik</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Menbina hubungan yang harmonis antar peserta didik</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify; text-indent: -0.25in;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Membina hubungan yang harmonis antara guru, murid dan karyawan sekolah serta masyarakat sekolah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify;"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 74.7pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify; text-indent: -0.25in;"><b>C.<span> </span>Tujuan Usaha Kesehatan Sekolah</b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 35.4pt;">Menurut UU RI No. 23 tahun 1992 tentang Kesehatan BAB V bagian ke 13 Pasal 45 ayat 1, kesehatan sekolah diselenggarakan untuk meningkatkan kemampuan hidup sehat peserta didik dalam lingkungan hidup sehat sehingga peserta didik dapat belajar, tumbuh dan berkembang secara harmonis dan optimal menjadi sumber daya yang lebih berkualitas (Depkes RI, 2002).</div><div class="MsoNormal" style="line-height: 150%; margin: 12pt 0in 0.0001pt 0.25in; text-align: justify; text-indent: -0.25in;"><b>D.<span> </span>Sasaran</b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 24.55pt;">Sasaran pelayanan UKS menurut Mubarok (2009) adalah seluruh peserta didik dari tingkat pendidikan :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pendidikan dasar</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pendidikan menengah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pendidikan agama</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pendidikan kejuruan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pendidikan khusus (di luar sekolah)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 24.55pt;">Sasaran pembinaan UKS adalah:<span lang="SV"></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Peserta didik</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pembina UKS (teknis dan non teknis)</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sarana dan prasarana pendidikan kesehatan dan pelayanan kesehatan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lingkungan sekolah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b>E.<span> </span>Kegiatan</b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span> </span></b>Menurut Anderson & McFarlane (2007) kegiatan UKS meliputi :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pendidikan kesehatan di sekolah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Pendidikan kesehatan di sekolah meliputi :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kegiatan intra kurikuler</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">Pendidikan kesehatan yang masuk ke dalam kurikulum, meliputi ilmu kesehatan atau disiplin ilmu seperti : oleh raga dan kesehatan, dan ilmu pengetahuan alam.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kegiatan ekstra kurikuler</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">Yaitu pendidikan kesehatan yang dimasukkan ke dalam kegiatan-kegiatan ekstra kurikuler dalam rangka menanamkan perilaku sehat pada peserta didik.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify;">Kegiatan-kegiatan dalam pendidikan kesehatan di sekolah dapat berupa :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -14.2pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Hygiene perseorangan meliputi pemeliharaan gigi dan mulut, kebersihan kulit dan kuku, mata, telinga dan sebagainya.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -14.2pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lomba poster sehat</div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -14.2pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Perlombaan kebersihan kelas.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Sedangkan menurut Stanhope (2004) tiga tujuan umum dari pendidikan kesehatan dalam komponen kesehatan sekolah<span> </span>adalah:</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengajarkan semua anak-anak mengenai tubuhnya masing-masing dan bagaimana menjaga tubuh agar tetap sehat</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Menanamkan prinsip pada anak laki-laki dan perempuan, tentang kebiasaan hidup sehat dan menanamkan pengetahuan dalam mengambil keputusan yang bertanggung jawab mengenai kesehatan mereka sendiri, kesehatan keluarga mereka ketika mereka dewasa dan kesehatan masyarakat</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengajarkan kepada siswa bagaimana menggunakan sistim pelayanan kesehatan dengan bijaksana dan efektif.</div><div class="MsoNormal" style="line-height: 150%; margin: 12pt 0in 0.0001pt 0.5in; text-align: justify; text-indent: -0.25in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeliharaan kesehatan sekolah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 34.9pt;">Kegiatan ini dimaksudkan untuk memelihara, meningkatkan dan menemukan secara dini gangguan kesehatan yang mungkin terjadi terhadap peserta didik maupun gurunya. Pemeliharaan kesehatan sekolah dilakukan oleh petugas puskesmas yang merupakan tim yang dibentuk di bawah koordinator UKS yang terdiri dari, dokter, perawat, juru imunisasi dan sebagainya.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 34.9pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 34.9pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Kegiatan yang dilakukan adalah :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -21.25pt;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan kesehatan fisik</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -21.25pt;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan perkembangan kecerdasan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -21.25pt;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemberian imunisasi</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -21.25pt;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Penemuan kasus-kasus dini</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -21.25pt;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengobatan sederhana</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -21.25pt;"><span>6)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pertolongan pertama</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -21.25pt;"><span>7)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rujukan bila diperlukan untuk kasus yang tidak dapat ditanggulangi di sekolah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify; text-indent: -21.25pt;"><span lang="FI"><span>8)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Pemeriksaan dan pemeliharaan kesehatan guru.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 56.7pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="FI"><span> </span></span>3.<span> </span>Pemeliharaan Lingkungan Sekolah<span> </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Lingkungan kehidupan sekolah yang sehat mencakup :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lingkungan fisik, kegiatannya meliputi :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengawasan terhadap sumber air bersih, sampah air limbah, tempat pembuangan tinja dan kebersihan lingkungan sekolah.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengawasan kantin sekolah.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pengawasan bangunan sekolah yang sehat.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pengawasan binatang yang ada di lingkungan sekolah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pengawasan terhadap pencemaran lingkungan tanah, air dan udara di sekitar sekolah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lingkungan psikis, kegiatannya meliputi :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -0.25in;"><span lang="FI"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Memberikan perhatian pada perkembangan peserta didik.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -0.25in;"><span lang="FI"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Memberikan perhatian khusus pada anak didik yang bermasalah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -0.25in;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Membina hubungan kejiwaan antara guru dan peserta didik.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lingkungan sosial, kegiatannya meliputi :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Membina hubungan yang harmonis antara guru dengan guru.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Membina hubungan yang harmonis antara guru dengan peserta didik.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -0.25in;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Membina hubungan yang harmonis antara peserta didik dengan peserta didik lainnya.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -0.25in;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Membina hubungan yang harmonis antara guru, murid dan karyawan sekolah serta masyarakat sekolah.</div><div class="MsoNormal" style="line-height: 150%; margin: 12pt 0in 0.0001pt 0.5in; text-align: justify;">Pelayanan kesehatan sekolah </div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pendidikan kesehatan, meliputi :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pendidikan seksual</div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan kesehatan gigi</div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan fisik</div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span lang="IT">Pencegahan cidera</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span lang="NL">Mengidentifikasi Penggunaan Zat-zat adiktif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pelayanan kesehatan, meliputi :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Imunisasi</div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Deteksi dini masalah- masalah kesehatan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pelayanan kedaruratan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 78pt; text-align: justify; text-indent: -21.3pt;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Perawatan untuk siswa yang sakit</div><div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;"><br />
</div><div class="MsoListParagraph" style="margin-left: 21.3pt; text-indent: -21.3pt;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>F.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Peran Perawat Dalam Kegiatan Usaha Kesehatan Sekolah</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 28.35pt;"><span>Peran perawat dalam kegiatan UKS menurut Ervin (2002) antara lain :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -0.25in;"><span><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span><span> </span>Sebagai pelaksana</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;"><span><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span>Mengkaji masalah kesehatan dan keperawatan peserta didik dengan melakukan pengumpulan data, analisa data, perumusan masalah dan prioritas masalah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;"><span><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span>Menyusun rencana kegiatan UKS bersama Pembina UKS di sekolah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;"><span><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span>Melaksanakan kegiatan UKS sesuai perencanaan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;"><span><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span>Penilaian dan pemantauan kegiatan UKS</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify; text-indent: -21.25pt;"><span><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span>Pencatatan dan pelaporan sesuai dengan rencana kegiatan yang disusun</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -0.25in;"><span><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span><span> </span>Sebagai pengelola</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;"><span>Perawat yang ditunjuk oleh pihak puskesmas, bertanggung jawab sebagai coordinator dalam mengelola kegiatan UKS.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify; text-indent: -0.25in;"><span><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span><span> </span>Sebagai Penyuluh</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify;"><span>Perawat bertugas memberikan penyuluhan kepada peserta didik yang bersifat umum dan klasikal, atau secara tidak langsung pada saat melaksanakan pemeriksaan fisik peserta didik secara perorangan. </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="FI">G.<span> </span>Asuhan keperawatan Sekolah</span></b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 0.25in;">1. Pengkajian</div><div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 35.45pt;">Area pengkajian UKS menurut Mary, (2003) meliputi biofisikal, psikologis, lingkungan fisik, sosiokultural, perilaku kesehatan dan dimensi sistem kesehatan.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dimensi Biofisikal</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Faktor-faktor yang perlu dikaji adalah kematangan dan usia, warisan genetik dan fungsi fisiologis</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dimensi Psikologis</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Lingkungan psikis dalam sekolah dapat memelihara kesehatan yang baik atau sebaliknya. Sudut pandang ini dapat dikaji melalui komponen :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengorganisasian kegiatan keseharian sekaolah meliputi periode aktifitas fisik, waktu dan pengembangan kemampuan, waktu makan, minum, maupun toileting.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Keindahan <i>(Aesthetic)</i></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">Dapat dilihat dari kebersihan ruangan, suasana kondusif atau bahkan tertekan, gelap terang ruangan.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Hubungan kekeluargaan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">Me<span lang="SV">liputi beberapa besar partisipasi siswa dalam aktivitas kelompok, kepedulian dan hubungan dengan orang lain.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Hubungan guru dengan murid</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">Hubungan yang baik sangat mempengaruhi kondisi psikis di sekolah. Dalam hal ini perawat komunitas mengidentifikasi sikap guru terhadap murid serta penggunaan hukuman terhadap siswa yang salah dengan layak / mendidik.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Hubungan guru dengan guru</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">Hubungan antar guru yang efekti berupa saling sharing, mendukung, kerjasama, dan memberi pedoman terhadap perkembangan guru.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>6)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Disiplin</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">Perawat dapat mengkaji, bagaimana suatu peraturan dapat dikomunikasikan secara jelas dan nyata pada siswa.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>7)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kebijakan peraturan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;">Dapat dikaji bagaimana standar peraturan dilaksanakan secara konsisten.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>8)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Hubungan orang tua dengan sekolah</span></div><div class="MsoListParagraph" style="margin-left: 56.7pt; text-indent: 0in;"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hubungan antar orang tua yang efektif berupa saling sharing, mendukung, kerjasama dan memberi pedoman terhadap perkembangan kemajuan prestasi anak</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>9)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Hubungan masyarakat sekitar dengan sekolah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span lang="SV">Hubungan antara masyarakat dengan sekolah berupa menjaga keamanan dan kenyamanan berlangsungnya proses pembelajaran</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span>Dimensi Fisik<span lang="SV"></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lingkungan Internal</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Bahaya api</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sanitasi</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Zat berbahaya</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Peralatan laboratorium</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Peralatan dapur</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Bahan-bahan kimia</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>g)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Binatang pengerat</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>h)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Suara, cahaya, ventilasi</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lingkungan Eksternal</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>a)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lalu lintas</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>b)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Air berbahaya</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>c)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pestisida</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>d)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Binatang berbahaya</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>e)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Bahaya industri</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>f)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Polusi</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dimensi Sosial</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Dapat dikaji melalui sikap masyarakat terhadap pendidikan dan perawatan, faktor sosial orang tua dan sosial ekonomi keluarga.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dimensi Perilaku</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Meliputi kekakuan peraturan sekolah, perilaku nutrisi (makan pagi / ssiang), rekreasi dan istirahat.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dimensi Sistem Kesehatan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Dipengaruhi oleh idividu dan masyarakat</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Individu<span> </span>:<span> </span>perawatan kesehatan individu dan keluarga</div><div class="MsoNormal" style="line-height: 150%; margin-left: 153pt; text-align: justify; text-indent: -117pt;">Masyarakat<span> </span><span> </span>:<span> </span>pelayanan untuk perawatan kesehatan yang diperlukan populasi sekolah.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 35.45pt;"><span lang="SV">Pengumpulan data dimaksudkan untuk memperoleh informasi mengenai masalah kesehatan pada anak sekolah sehingga dapat ditentukan tindakan yang harus diambil untuk mengatasi masalah tersebut yang menyangkut aspek fisik, psikologis, sosial ekonomi dan spiritual serta faktor lingkungan yang mempengaruhi (Mary, 2003).</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 35.45pt;"><span lang="SV">Menurut Mary (2003) pengumpulan data dapat dilakukan dengan cara sebagai berikut :</span></div><div class="MsoListParagraph" style="text-indent: 0in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Wawancara atau anamnesa</span></div><div class="MsoListParagraph" style="margin-left: 0.75in; text-indent: 27pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Wawancara adalah kegiatan komunikasi timbal balik yang berbentuk tanya jawab antara perawat dengan pasien atau </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">anak sekolah</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> tentang hal yang berkaitan dengan masalah kesehatan </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">anak sekolah</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">. Wawancara harus dilakukan dengan ramah, terbuka, menggunakan bahasa yang sederhana dan mudah dipahami oleh </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">anak sekolah</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> dan selanjutnya hasil wawancara atau anamnesa dicatat dalam format proses keperawatan.</span></div><div class="MsoListParagraph" style="text-indent: 0in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengamatan</span></div><div class="MsoListParagraph" style="margin-left: 0.75in; text-indent: 27pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengamatan dalam keperawatan usaha kesehatan sekolah dilakukan meliputi aspek fisik, psikologis, perilaku dan sikap dalam rangka menegakkan diagnosa keperawatan. Pengamatan dilakukan dengan menggunakan panca indera dan hasilnya dicatat dalam format proses keperawatan.</span></div><div class="MsoListParagraph" style="text-indent: 0in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pemeriksaan fisik</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="margin-left: 0.75in; text-indent: 27pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dalam keperawatan usaha kesehatan sekolah dimana salah satunya asuhan keperawatan yang diberikan adalah asuhan keperawatan UKS, maka pemeriksaan fisik yang dilakukan dalam upaya membantu menegakkan diagnosa keperawatan dengan cara Inspeksi, Perkusi, Auskultasi dan Palpasi.</span></div><div class="MsoListParagraph" style="margin-left: 0.75in; text-indent: 27pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menurut Mary, (2003) pemeriksaan fisik UKS meliputi :</span></div><div class="MsoListParagraph" style="margin-left: 86.2pt; text-indent: -32.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sistem<span> </span>kardiovaskuler</span></div><div class="MsoListParagraph" style="margin-left: 86.2pt; text-indent: -32.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sistem saraf pusat</span></div><div class="MsoListParagraph" style="margin-left: 86.2pt; text-indent: -32.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sistem endokrin</span></div><div class="MsoListParagraph" style="margin-left: 86.2pt; text-indent: -32.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sistem pencernaan</span></div><div class="MsoListParagraph" style="margin-left: 86.2pt; text-indent: -32.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sistem alat reproduksi</span></div><div class="MsoListParagraph" style="margin-left: 86.2pt; text-indent: -32.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>6)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sistem hematologi</span></div><div class="MsoListParagraph" style="margin-left: 86.2pt; text-indent: -32.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>7)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sistem imunologi</span></div><div class="MsoListParagraph" style="margin-left: 86.2pt; text-indent: -32.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>8)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sistem integumen</span></div><div class="MsoListParagraph" style="margin-left: 86.2pt; text-indent: -32.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>9)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sistem muskuloskletal</span></div><div class="MsoListParagraph" style="margin-left: 86.2pt; text-indent: -32.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>10)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sistem pernafasan</span></div><div class="MsoListParagraph" style="margin-left: 86.2pt; text-indent: -32.2pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>11)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Deteksi penyakit / keluhan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoListParagraph"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Diagnosa<span> keperawatan kesehatan sekolah</span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 35.45pt;"><span lang="SV">Diagnosa keperawatan UKS dibagi dua kategori antara lain yang berhubungan dengan individu siswa dan yang berhubungan dengan populasi sekolah. Misalnya diagnosa yang berhubungan dengan individu siswa antara lain ketidakmampuan mengikuti kegiatan fisik berhubungan dengan penyakit yang diderita misalnya asma dan kebutuhan akan perlindungan anak berhubungan dengan kekerasan pada anak, diagnosa yang berhubungan dengan populasi sekolah yaitu resiko cidera pada anak sekolah yang berhubungan dengan kondisi lingkungan sekolah dan kebutuhan pendidikan tentang penyalahgunaan obat adiktif berhubungan dengan pengaruh dari lingkungan masyarakat (Mary, 2003).</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 35.45pt;"><br />
</div><div class="MsoListParagraph"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perencanaan </span><span lang="SV" style="font-family: "Times New Roman","serif";"></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 35.45pt;"><span lang="SV">Perencanaan keperawatan adalah penyusunan rencana tindakan keperawatan yang akan dilaksanakan untuk mengatasi masalah sesui dengan diagnosis keperawatan yang telah ditentukan dengan tujuan terpenuhinya kebutuhan pasien dalam kegiatan UKS dirumuskan perencanaan berdasarkan level tindakan (Stanhope, 1998). </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 35.45pt;">Level tindakan keperawatan menurut Stanhope, (1998) antara lain :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 193.65pt; text-align: justify; text-indent: -157.65pt;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pencegahan primer di sekolah </div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeliharaan kesehatan yang bersifat umum maupun yang khusus untuk penyakit-penyakit tertentu, antara lain demam berdarah, cacingan, muntaber</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Penjaringan (<i>screning</i>) kesehatan bagi anak yang baru masuk sekolah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span lang="IT"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IT">Mengikuti (memonitor / memantau) pertumbuhan peserta didik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span lang="IT"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IT">Imunisasi peserta didik kelas I dan kelas VI di sekolah dasar dan madrasah ibtidaiyah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span lang="IT"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IT">Usaha pencegahan penularan penyakit dengan jalan memberantas sumber infeksi dan pengawasan kebersihan lingkungan sekolah / madrasah dan perguruan agama</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span lang="IT"><span>6)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IT">Konseling kesehatan remaja di sekolah / madrasah dan perguruan agama oleh guru agama dan puskesmas oleh dokter puskesmas<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 193.65pt; text-align: justify; text-indent: -157.65pt;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pencegahan sekunder disekolah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Diagnosa dini</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengobatan ringan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span lang="ES-TRAD"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="ES-TRAD">Pertolongan pertama pada kecelakaan dan pertolongan pertama pada penyakit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rujukan medic</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 193.65pt; text-align: justify; text-indent: -157.65pt;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pencegahan tersier disekolah</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Perawatan anak dengan penyakit kronik</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Keperawatan yang berkelanjutan</div><div class="MsoListParagraph" style="text-indent: 0in;"><br />
</div><div class="MsoListParagraph"><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="font-family: "Times New Roman","serif";">Pelaksanaan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 35.45pt;">Menurut Mary, (2003) implementasi perawatan kesehatan untuk individu atau kelompok sekolah menggambungkan antara perawat UKS dan tim kesehatan lain. Pada level individu sebagai contoh perawat kesehatan komunitas boleh menghubungi dokter spesialis anak dengan penyakit kronis untuk mencari informasi tentang effek pengobatan dan cara pengobatan lebih lanjut tergantung dari kondisi anak. Perawat juga membutuhkan dukungan dari orang tua murid dalam memberikan pelayanan kesehatan, melalui pemeriksaan, penyuluhan atau memberikan pelayanan kesehatan untuk anak mereka. Implementasi untuk kelompok sekolah yaitu kolaborasi antara petugas kesehatan dan tim lainnya. Sebagai contoh, perawat boleh menghubungi polisi untuk berperan dalam pendidikan tentang penyalahgunaan obat terlarang disekolah, perawat bekerjasama dengan guru, ahli gizi untuk program pemberian nutrisi pada semua anak sekolah. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 35.45pt;">Menurut Mary (2003) prinsip yang umum digunakan dalam pelaksanaan atau implementasi pada keperawatan UKS adalah :</div><div class="MsoListParagraph" style="margin-left: 49.65pt; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><i><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Inovative</span></i></div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 28.35pt;">Perawat kesehatan sekolah harus mempunyai wawasan luas dan mampu menyesuaikan diri dengan perkembangan ilmu pengetahuan dan tehnologi dan berdasar pada iman dan taqwa.</div><div class="MsoListParagraph" style="margin-left: 49.65pt; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><i><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Integrated</span></i></div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 28.35pt;">Perawat kesehatan sekolah harus mampu bekerjasama dengan sesama profesi, tim kesehatan lain, individu, keluarga, kelompok dan masyarakat berdasarkan azas kemitraan.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 28.35pt;"><br />
</div><div class="MsoListParagraph" style="margin-left: 49.65pt; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><i><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rasional</span></i></div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 28.35pt;">Perawat kesehatan sekolah dalam melakukan asuhan keperawatan harus menggunakan pengetahuan secara rasional demi tercapainya rencana program yang telah disusun.</div><div class="MsoListParagraph" style="margin-left: 49.65pt; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mampu dan mandiri</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 28.35pt;">Perawat kesehatan sekolah diharapkan mempunyai kemampuan dan kemandirian dalam melaksanakan asuhan keperawatan serta kompeten.</div><div class="MsoListParagraph" style="margin-left: 49.65pt; text-indent: -14.2pt;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kepercayaan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 28.35pt;">Perawat kesehatan masyarakat harus yakin dan percaya atas kemampuannya dan bertindak dengan sikap optimis bahwa asuhan keperawatan yang diberikan akan tercapai. Dalam melaksanakan implementasi yang menjadi fokus adalah program kesehatan sekolah dengan strategi : komuniti organisasi dan <i>partnership in community (model for nursing partnership)</i>.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 49.65pt; text-align: justify; text-indent: 28.35pt;"><br />
</div><div class="MsoListParagraph"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Evaluasi</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraph" style="text-indent: 34.85pt;"><span lang="FI" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Menurut Mary, (2003) evaluasi perawat di sekolah berfokus pada hasil dari perawatan. Perawat menilai evaluasi dari dua level, individu atau total program kesehatan sekolah yang memuat keberhasilan proses dan keberhasilan tindakan keperawatan. Keberhasilan proses dapat dilihat dengan membandingkan antara proses dengan pedoman atau rencana proses tersebut. Sedangkan keberhasilan tindakan dapat dilihat dengan membandingkan antara tingkat kemandirian anak sekolah dalam perilaku kehidupan sehari-hari dan tingkat kemajuan kesehatan anak sekolah komunitas dengan tujuan yang telah ditetapkan atau dirumuskan sebelumnya. </span></div><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowComments/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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</style> <![endif]--> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>BAB III</b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="IN">ASUHAN KEPERAWATAN KOMUNITAS UKS</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="IN">DI SDN NGADIRGO 01 KECAMATAN MIJEN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.7pt; text-align: justify; text-indent: 37.4pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengkajian</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><span lang="IN">Berdasarkan hasil pengkajian atau observasi yang dilakukan di SDN Karang Roto 03 Kecamatan Genuk terdiri dari 6 kelas,1 ruang kepala sekolah, 1 ruang guru, 1 ruang Mushola, 1 ruang UKS, 1 ruang perpustakaan, 3 kamar mandi, dan 1 gudang serta secara keseluruhan siswa sebanyak 219 siswa yang terdiri dari pria 129 dan wanita 90, sedangkan guru dan staff berjumlah 14 orang dan 1 staf administrasi serta 1 penjaga sekolah. Lokasi sekolah berada dipinggir jalan raya. Bangunan sekolah merupakan bangunan permanen, lantai terbuat dari keramik dan fasilitas cuci tangan untuk siswa disetiap kelas ada. </span>Setiap kelas sudah mempunyai tempat pembuangan sampah sementara, namun belum tertata dengan baik. <span lang="SV">Sampah biasanya dibakar, jika hujan, dibiarkan saja tertimbun. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pendidikan Kesehatan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Berdasarkan hasil wawancara dan observasi dengan pihak sekolah SDN <span> </span>Karang Roto 03 didapat hasil :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -21.25pt;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sudah ada mata ajar tentang kesehatan yang diberikan tiap 1 kali dalam seminggu pada siswa kelas 1 sampai 6.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -21.25pt;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Materi penyuluhan kesehatan yang diberikan oleh guru olah raga kepada siswanya, tetapi menurut guru UKS materi yang diberikan kepada siswa masih kurang.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -21.25pt;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Selama ini sekolah juga memasukkan mata ajar Penjaskes sebagai muatan lokal yang dimaksudkan sebagai salah satu usaha agar derajat kesehatan siswa-siswanya meningkat.</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 32.75pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-indent: -0.25in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pelayanan<b> </b>Kesehatan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Dari hasil wawancara dengan guru UKS mengatakan disekolah terdapat UKS (Usaha Kesehatan Sekolah) </div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sekolah sudah ada guru olah raga dan Pembina UKS yang betanggung jawab untuk UKS</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sudah ada ruang khusus untuk kegiatan UKS namun belum berfungsi secara maksimal </div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-indent: -0.25in;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kesehatan<b> </b>Lingkungan</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Berdasarkan hasil wawancara dan observasi dengan pihak sekolah SDN Karang Roto 03 didapat hasil :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Beberapa guru <span style="font-size: 11pt; line-height: 150%;">SDN Karang Roto 03 </span>mengatakan siswa kebanyakan jajan es, permen, coklat.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Guru sekolah mengatakan siswa sakit dan tidak masuk sekolah karena sakit diantaranya ISPA dan Diare.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-indent: -0.25in;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Beberapa siswa mengatakan senang jajan es, coklat dan permen.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kebanyakan siswa yang jajan tidak mencuci tangan saat memegang makanan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Keadaan tempat sampah di lingkungan sekolah terbuka dan berserakan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan hasil penyebaran kuesioner sebanyak 128 siswa yang disebar secara random sampling yaitu pada kelas 1 sampai dengan kelas 6 diperoleh data sebagai berikut : </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah guru berdasarkan perlu UKS</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.1 Distribusi frekuensi guru<span> </span>berdasarkan pendapat guru tentang perlu difungsikan kembali UKS di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tangga 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 140.6pt;" valign="top" width="187"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Perlu UKS</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 140.65pt;" valign="top" width="188"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 140.65pt;" valign="top" width="188"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 140.6pt;" valign="top" width="187"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 140.65pt;" valign="top" width="188"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">14</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">0</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 140.65pt;" valign="top" width="188"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">0</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 140.6pt;" valign="top" width="187"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 140.65pt;" valign="top" width="188"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">14</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 140.65pt;" valign="top" width="188"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa guru di SDN Karang Roto 03 berpendapat perlu di fungsilkan kembali program UKS sebesar 100 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah guru berdasarkan fungsi UKS </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.2<span> </span>Distribusi frekuensi guru<span> </span>berdasarkan pengetahuan guru tentang fungsi UKS di SD Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.15pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Fungsi UKS</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.05pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.5pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.15pt;" valign="top" width="166"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.05pt;" valign="top" width="165"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">9</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">5</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.5pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">64,3</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">35,7</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.15pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.05pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">14</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.5pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan guru di SDN Karang Roto 03 pengetahuan guru tentang fungsi UKS sebesar 64,3 % dan yang tidak mengetahui sebesar 35,7 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah guru berdasarkan program UKS </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.3<span> </span>Distribusi frekuensi guru<span> </span>berdasarkan pengetahuan guru tentang program UKS di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Program UKS</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 122.9pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.8pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124pt;" valign="top" width="165"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tahu </span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak tahu</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 122.9pt;" valign="top" width="164"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">11</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">3</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.8pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">78,6</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">21,4</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 122.9pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">14</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.8pt;" valign="top" width="166"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;"><span> </span>100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan guru di SDN Karang Roto 03 pengetahuan guru tentang program UKS 78,6 % dan yang tidak mengetahui sebesar 21,4 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Jumlah guru berdasarkan kegiatan UKS </div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Diagram 3.4<span> </span>Distribusi frekuensi guru<span> </span>berdasarkan pengetahuan guru tentang kegiatan UKS di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.85pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Kegiatan UKS</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.7pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.15pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.85pt;" valign="top" width="166"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tahu </span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak tahu</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.7pt;" valign="top" width="165"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">5</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">9</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.15pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">35,7</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">64,3</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.85pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.7pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">14</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.15pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan guru di SDN Karang Roto 03 pengetahuan guru tentang kegiatan UKS sebesar 35,7 % dan yang tidak mengetahui sebesar 64,3 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengetahuan guru tentang P3K </div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Diagram 3.5<span> </span>Distribusi frekuensi guru<span> </span>berdasarkan pengetahuan guru tentang P3K di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.85pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Kegiatan UKS</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.7pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.15pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.85pt;" valign="top" width="166"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tahu </span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak tahu</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.7pt;" valign="top" width="165"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">8</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">6</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.15pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">57,1</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">42,9</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.85pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.7pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">14</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.15pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan guru di SDN Karang Roto 03 pengetahuan guru tentang P3K sebesar 57,1 % dan yang tidak mengetahui sebesar 42,9 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah pengetahuan guru tentang penyakit anak sekolah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.6 Distribusi frekuensi guru<span> </span>berdasarkan pengetahuan guru tentang penyakit anak sekolah di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in; width: 499px;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 203.4pt;" valign="top" width="271"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Pengetahuan<span> </span>tentang penyakit</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 203.4pt;" valign="top" width="271"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tahu </span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak tahu</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">11</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">3</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">78,6</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">21,4</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 203.4pt;" valign="top" width="271"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">14</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV" style="font-size: 13pt; line-height: 150%;">Berdasarkan</span><span lang="SV"> </span><span lang="SV" style="font-size: 13pt; line-height: 150%;">tabel</span><span lang="SV"> diatas dapat disimpulkan guru di SDN Karang Roto 03 pengetahuan guru tentang sakit yang diderita siswa sebesar 78,6 % dan yang tidak mengetahui sebesar 21,4 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah guru berdasarkan penyebab penyakit anak sekolah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.7 Distribusi frekuensi guru berdasarkan pengetahuan guru tentang penyebab penyakit anak sekolah di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 125.2pt;" valign="top" width="167"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Penyebab Penyakit</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.55pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 122.95pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 125.2pt;" valign="top" width="167"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tahu </span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak tahu</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.55pt;" valign="top" width="165"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">11</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">3</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 122.95pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">78,6</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">21,4</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 125.2pt;" valign="top" width="167"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.55pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">14</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 122.95pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan guru di SDN Karang Roto 03 pengetahuan guru tentang penyebab penyakit anak sekolah sebesar 78,6 % dan yang tidak mengetahui sebesar 21,4 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah guru berdasarkan cara pencegahan penyakit anak sekolah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.8 Distribusi frekuensi guru<span> </span>berdasarkan pengetahuan guru tentang cara pencegahn penyakit anak sekolah di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in; width: 487px;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 2.45in;" valign="top" width="235"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Cara Pencegahan Penyakit</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.45in;" valign="top" width="235"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tahu </span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak tahu</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">10</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">4</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">71,4</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">28,6</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.45in;" valign="top" width="235"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">14</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan guru di SDN Karang Roto 03 pengetahuan guru tentang cara pencegahan penyakit anak sekolah sebesar 71,4 % dan yang tidak mengetahui sebesar 28,6 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah guru berdasarkan mendeteksi masalah kesehatan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.9 Distribusi frekuensi guru<span> </span>berdasarkan pengetahuan guru tentang cara mendeteksi masalah kesehatan anak sekolah di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in; width: 475px;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 203.4pt;" valign="top" width="271"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Mendeteksi Masalah Kesehatan</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 203.4pt;" valign="top" width="271"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tahu </span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak tahu</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">6</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">8</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">42,9</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">57,1</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 203.4pt;" valign="top" width="271"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">14</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Berdasarkan tabel diatas dapat disimpulkan guru di SDN Karang Roto 03 pengetahuan guru tentang cara mendeteksi masalah kesehatan anak sekolah sebesar 42,9 % dan yang tidak mengetahui sebesar 57,1 %</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="NL-BE"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="NL-BE">Jumlah guru berdasarkan pembinaan kader UKS</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="NL-BE">Diagram 3.10 Distribusi frekuensi guru berdasarkan pendapat guru tentang pembinaan kader UKS di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2008 </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 2.2in;" valign="top" width="211"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Pembinaan Kader UKS</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 99.45pt;" valign="top" width="133"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 107.55pt;" valign="top" width="143"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.2in;" valign="top" width="211"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya </span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 99.45pt;" valign="top" width="133"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">4</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">10</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 107.55pt;" valign="top" width="143"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">28,6</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">71,4</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.2in;" valign="top" width="211"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 99.45pt;" valign="top" width="133"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">14</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 107.55pt;" valign="top" width="143"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa guru di SDN Karang Roto 03<span> </span>berpendapat pembinaan kader UKS besar 28,6 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>11.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah guru berdasarkan penyegaran kader UKS</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.11 Distribusi frekuensi guru berdasarkan pendapat guru tentang penyegaran kader UKS di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009 </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in; width: 487px;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 2.2in;" valign="top" width="211"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Penyegaran Kader UKS</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.2in;" valign="top" width="211"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Perlu<span> </span></span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak perlu</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">6</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">8</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">42,9</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">57,1</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.2in;" valign="top" width="211"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">21</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa guru di SDN Karang Roto 03 berpendapat perlu penyegaran kader UKS sebesar 42,9 %</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>12.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>berdasarkan gosok gigi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.12 Distribusi frekuensi anak sekolah berdasarkan kebiasaan menggosok gigi secara rutin di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in; width: 487px;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 185.4pt;" valign="top" width="247"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Siswa yang menggosok gigi secara rutin</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 185.4pt;" valign="top" width="247"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">80</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">48</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">62,5</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">37,5</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 185.4pt;" valign="top" width="247"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa anak sekolah di SDN Karang Roto 03 melakukan gosok gigi secara rutin sebesar 62,5%</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>13.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>berdasarkan gosok gigi dalam sehari</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.13 Distribusi frekuensi anak sekolah berdasarkan kebiasaan anak sekolah menggosok gigi dalam sehari di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 174.85pt;" valign="top" width="233"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Gosok Gigi dalam Sehari</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 107.35pt;" valign="top" width="143"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 89.5pt;" valign="top" width="119"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 174.85pt;" valign="top" width="233"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">1 kali</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">2 kali</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">3 kali</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 107.35pt;" width="143"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">45</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">60</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">23</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 89.5pt;" valign="top" width="119"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">35,2</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">46,9</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">17,9</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 174.85pt;" valign="top" width="233"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 107.35pt;" width="143"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 89.5pt;" valign="top" width="119"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa anak sekolah di SDN Karang Roto 03 melakukan gosok gigi dalam sehari yaitu 1 kali 35,2<span> </span>%, 2 kali 46,9 % dan 3 kali <span> </span>17,9%.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>14.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>berdasarkan melakukan gosok gigi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.14 Distribusi frekuensi anak sekolah berdasarkan kebiasaan anak sekolah melakukan gosok gigi di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 2.45in;" valign="top" width="235"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Melakukan Gosok Gigi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 82.85pt;" valign="top" width="110"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 106.15pt;" valign="top" width="142"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.45in;" valign="top" width="235"> <div class="MsoNormal" style="line-height: 150%;"><span lang="FI" style="font-size: 10pt; line-height: 150%;">Saat Mandi</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="FI" style="font-size: 10pt; line-height: 150%;">Saat Makan</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="FI" style="font-size: 10pt; line-height: 150%;">Sebelum Tidur</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 82.85pt;" valign="top" width="110"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">61</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">33</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">34</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 106.15pt;" valign="top" width="142"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">47,7</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">25,8</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">26,6</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.45in;" valign="top" width="235"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 82.85pt;" valign="top" width="110"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 106.15pt;" valign="top" width="142"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa anak sekolah di SDN Karang Roto 03 melakukan gosok gigi dalam sehari saat makan 25,8 %, sebelum tidur 26,6 % dan saat mandi 47,7 %.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>15.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>berdasarkan kebiasaan jajan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.15 Distribusi frekuensi anak sekolah berdasarkan kebiasaan anak suka jajan di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-!4 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 127.95pt;" valign="top" width="171"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;"><span> </span>Suka Jajan</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 129.25pt;" valign="top" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 108.2pt;" valign="top" width="144"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 127.95pt;" valign="top" width="171"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 129.25pt;" valign="top" width="172"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">115</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">13</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 108.2pt;" valign="top" width="144"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">89,8</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">10,2</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 127.95pt;" valign="top" width="171"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 129.25pt;" valign="top" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 108.2pt;" valign="top" width="144"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa anak sekolah di SDN Karang Roto 03 melakukan kebiasaan jajan sebesar 89,8 % dan yang tidak suka jajan 10,2 %.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>16.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>berdasarkan gigi berlubang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.16 Distribusi frekuensi anak sekolah berdasarkan gigi berlubang di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009 </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 128.7pt;" valign="top" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Gigi Berlubang</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 127.5pt;" valign="top" width="170"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 115.5pt;" valign="top" width="154"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 128.7pt;" valign="top" width="172"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 127.5pt;" valign="top" width="170"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">70</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">58</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 115.5pt;" valign="top" width="154"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">54,7</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">45,3</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 128.7pt;" valign="top" width="172"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 127.5pt;" valign="top" width="170"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 115.5pt;" valign="top" width="154"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa anak sekolah dengan gigi berlubang di SDN Karang Roto 03 dengan gigi berlubang sebanyak 45,3% dan yang tidak gigi berlubang sebanyak 45,3%. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>17.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>berdasarkan sakit gigi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.17 Distribusi frekuensi guru berdasarkan siswa yang mengalami sakit gigi di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 2.7in;" valign="top" width="259"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Keramas Dalam Seminggu</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 64pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 107pt;" valign="top" width="143"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.7in;" valign="top" width="259"> <div class="MsoNormal" style="line-height: 150%;"><span lang="FI" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="FI" style="font-size: 10pt; line-height: 150%;">Tidak</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 64pt;" valign="top" width="85"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">63</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">65</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 107pt;" valign="top" width="143"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">49,2</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">50,8</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.7in;" valign="top" width="259"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 64pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 107pt;" valign="top" width="143"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa anak sekolah di SDN Karang Roto 03 yang mengalami sakit gigi sebanyak 49,2% dan yang tidak sakit gigi sebanyak 50,8%.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>18.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah berdasarkan batuk-pilek</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.18 Distribusi frekuensi anak sekolah berdasarkan data yang didapat para siswa yang mengalami batuk pilek di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 167.4pt;" valign="top" width="223"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Batuk Pilek</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 89.95pt;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 108.05pt;" valign="top" width="144"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 167.4pt;" valign="top" width="223"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 89.95pt;" valign="top" width="120"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">71</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">57</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 108.05pt;" valign="top" width="144"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">55,5</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">44,5</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 167.4pt;" valign="top" width="223"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 89.95pt;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 108.05pt;" valign="top" width="144"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Berdasarkan tabel diatas dapat disimpulkan wiswa yang mengalami batuk pilek sebanyak 55,5 % dan yang tidak 44,5%.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>19.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah yang sering mengalami demam<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.19 Distribusi frekuensi berdasarkan anak sekolah yang sering mengalami demam di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 160.65pt;" valign="top" width="214"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Demam</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 88.8pt;" valign="top" width="118"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 122.25pt;" valign="top" width="163"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 160.65pt;" valign="top" width="214"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 88.8pt;" valign="top" width="118"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">83</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">45</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 122.25pt;" valign="top" width="163"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">64,8</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">35,2</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 160.65pt;" valign="top" width="214"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 88.8pt;" valign="top" width="118"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 122.25pt;" valign="top" width="163"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa anak sekolah yang sering mengalami demam di SDN Karang Roto 03 sebanyak 64,8% dan yang tidak sakit demam sebanyak 35,2 %.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>20.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>yang sering mengalami diare</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.20 Distribusi frekuensi berdasarkan anak sekolah yang sering mengalami diare dalam 1 bulan terakhir di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2008</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 152.15pt;" valign="top" width="203"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Diare</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 96.3pt;" valign="top" width="128"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.25pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 152.15pt;" valign="top" width="203"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 96.3pt;" valign="top" width="128"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">32</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">96</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.25pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">25</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">75</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 152.15pt;" valign="top" width="203"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 96.3pt;" valign="top" width="128"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.25pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa siswa yang mengalami diare sebanyak 25% dan yang tidak mengalami diare sebanyak 75%.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>21.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>yang mencuci tangan sebelum makan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.21 Distribusi frekuensi anak sekolah berdasarkan mencuci tangan sebelum makan di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 2.7in;" valign="top" width="259"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Mencuci Tangan</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.7in;" valign="top" width="259"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">114</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">14</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">89,1</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">10,9</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.7in;" valign="top" width="259"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa siswa yang mencuci tangan sebelum makan di SDN Karang Roto 03 sebanyak 89,1% dan yang tidak sering mencuci tangan sebelum makan sebanyak 10,9 %.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>22.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>yang rutin memotong kuku</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.22 Distribusi frekuensi anak sekolah berdasarkan jumlah anak usia sekolah yang rutin memotong kuku di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 167.4pt;" valign="top" width="223"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Memotong Kuku</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 90.1pt;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 98.9pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 167.4pt;" valign="top" width="223"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya </span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 90.1pt;" valign="top" width="120"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">74</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">54</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 98.9pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">57,8</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">42,2</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 167.4pt;" valign="top" width="223"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 90.1pt;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 98.9pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa siswa yang rutin memotong kuku di SDN Karang Roto 03 sebanyak 57,8 dan yang tidak 42,2%.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>23.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah yang kukunya bersih</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><span lang="SV">Diagram 3.23 Distribusi frekuensi anak sekolah yang kukunya bersih di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 2.7in;" valign="top" width="259"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Kuku Bersih</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.7in;" valign="top" width="259"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">74</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">54</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">57,8</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">42,2</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.7in;" valign="top" width="259"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa anak sekolah yang kukunya bersih di SDN Karang Roto 03 adalah 57,8 % dan yang tidak bersih sebesar 42,2 %.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>24.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>berdasarkan pengetahuan akibat kuku panjang/kotor</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.24 Distribusi frekuensi anak sekolah berdasarkan pengetahuan akibat kuku panjang/kotor di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in; width: 499px;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 3.45in;" valign="top" width="331"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Akibat Kuku Panjang/Kotor</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 3.45in;" valign="top" width="331"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">103</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">25</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">80,5</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">19,5</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 3.45in;" valign="top" width="331"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa pengetahuan akibat kuku panjang/kotor pada anak sekolah di SDN Karang Roto 03 adalah 80,5 % dan yang tidak tahu sebesar 19,5 %.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>25.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>berdasarkan telinga bersih</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.25 Distribusi frekuensi anak sekolah berdasarkan telinga bersih di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009 </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 203.4pt;" valign="top" width="271"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Telinga Bersih</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 203.4pt;" valign="top" width="271"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">107</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">21</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">83,6</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">16,4</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 203.4pt;" valign="top" width="271"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;">Berdasarkan tabel diatas dapat disimpulkan anak sekolah di SDN Karang Roto 03 yang telinganya bersih adalah 83,6 % dan yang tidak bersih sebesar 16,4 %.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>26.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>berdasarkan cara membersihkan telinga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.26 Distribusi frekuensi anak sekolah berdasarkan cara membersihkan telinga di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 185.4pt;" valign="top" width="247"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;"><span> </span>Cara Membersihkan Telinga</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 185.4pt;" valign="top" width="247"> <div class="MsoHeader" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">104</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">24</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">81,3</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">18,8</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 185.4pt;" valign="top" width="247"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan anak sekolah di SDN Karang Roto 03 yang tahu cara membersihkan telinga sebesar 81,3 % dan yang tidak tahu cara membersihkan telinga sebesar 18,8 %.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>27.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>berdasarkan penggunaan alat pembersih telinga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.27 Distribusi frekuensi anak sekolah berdasarkan penggunaan alat pembersih telinga di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009 </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in; width: 499px;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 247.3pt;" valign="top" width="330"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Alat Pembersih Telinga </span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 64.1pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 247.3pt;" valign="top" width="330"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Cotton Bud</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 64.1pt;" valign="top" width="85"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 247.3pt;" valign="top" width="330"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 64.1pt;" valign="top" width="85"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa penggunaan alat pembersih telinga dengan cotton bud pada anak sekolah di SDN Karang Roto 03 adalah 100 % </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>28.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah yang pernah mengalami pengeluaran cairan telinga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.28 Distribusi frekuensi anak sekolah yang pernah mengalami pengeluaran cairan telinga di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 221.4pt;" valign="top" width="295"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Cairan Telinga</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 221.4pt;" valign="top" width="295"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">9</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">119</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">7</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">93</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 221.4pt;" valign="top" width="295"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa anak sekolah yang pernah mengalami pengeluaran cairan telinga di SDN Karang Roto 03 sebesar 7 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>29.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>berdasarkan kebiasaan mandi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.29 Distribusi frekuensi anak sekolah berdasarkan kebiasaan mandi di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 2.45in;" valign="top" width="235"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Mandi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 1.15in;" valign="top" width="110"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 106.2pt;" valign="top" width="142"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.45in;" valign="top" width="235"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">2 kali sehari</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.15in;" valign="top" width="110"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 106.2pt;" valign="top" width="142"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 2.45in;" valign="top" width="235"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.15in;" valign="top" width="110"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 106.2pt;" valign="top" width="142"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa kebiasaan mandi anak sekolah <span> </span>di SDN Karang Roto 03 adalah 2 kali sehari sebesar 100 %<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>30.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>berdasarkan kebiasaan keramas dalam 1 minggu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.30 Distribusi frekuensi anak sekolah berdasarkan kebiasaan keramas dalam 1 minggu di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 199.7pt;" valign="top" width="266"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Keramas Dalam 1 minggu</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 59.5pt;" valign="top" width="79"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 1.35in;" valign="top" width="130"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 199.7pt;" valign="top" width="266"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak pernah</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Satu kali</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Dua kali</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tiga kali</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 59.5pt;" valign="top" width="79"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">7</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">13</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">83</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">25</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.35in;" valign="top" width="130"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">5,5</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">10,2</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">64,8</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">19,5</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 199.7pt;" valign="top" width="266"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 59.5pt;" valign="top" width="79"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 1.35in;" valign="top" width="130"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa siswa di SDN Karang Roto 03 yang tidak pernah keramas sebesar 5,5%, keramas satu kali sebesar 10,2%, <span> </span>keramas dua kali 64,8% dan yang keramas tiga kali 19,5%</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="SV"><span>31.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jumlah anak sekolah<span> </span>yang pernah mengalami sariawan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Diagram 3.31 Distribusi frekuensi anak sekolah yang pernah mengalami sariawan di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.5pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Sariawan</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.05pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.15pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.5pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.05pt;" valign="top" width="164"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">88</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">40</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.15pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">68,8</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">31,3</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.5pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.05pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.15pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="SV">Berdasarkan tabel diatas dapat disimpulkan bahwa anak sekolah yang pernah mengalami sariawan di SDN Karang Roto 03 adalah sebesar 68,8 % dan yang tidak sebesar 31,3 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="FI"><span>32.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Jumlah anak sekolah<span> </span>yang pernah mengalami kulit gatal</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="FI">Diagram 3.32 Distribusi frekuensi anak sekolah yang pernah mengalami kulit gatal di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.15pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Kulit Gatal</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.05pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.5pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.15pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.05pt;" valign="top" width="165"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">30</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">98</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.5pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">23,4</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">76,6</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.15pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.05pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.5pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="FI">Berdasarkan </span><span lang="SV">tabel</span><span lang="FI"> diatas dapat disimpulkan bahwa anak sekolah yang pernah mengalami kulit gatal di SDN Karang Roto 03 adalah sebesar 23,4 % dan yang tidak pernah sebesar <span> </span>76,6 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="FI"><span>33.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Jumlah anak sekolah<span> </span>yang rambutnya mudah rontok</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="FI">Diagram 3.33 Distribusi frekuensi anak sekolah yang rambutnya mudah rontok di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.4pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Rambut Rontok</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.95pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.35pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.4pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.95pt;" valign="top" width="165"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">26</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">102</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.35pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">20,3</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">79,7</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.4pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.95pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.35pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="FI">Berdasarkan tabel diatas dapat disimpulkan bahwa anak sekolah yang rambutnya mudah rontok di SDN Karang Roto 03 adalah sebesar 20,3 % dan yang tidak sebesar<span> </span>79,7 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="FI"><span>34.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Jumlah anak sekolah<span> </span>yang pernah jatuh di sekolah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="FI">Diagram 3.34 Distribusi frekuensi anak sekolah yang pernah jatuh di sekolah di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.15pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Jatuh</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.05pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.5pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.15pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.05pt;" valign="top" width="165"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">54</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">74</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.5pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">42,2</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">57,8</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.15pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.05pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.5pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="FI">Berdasarkan tabel diatas dapat disimpulkan bahwa anak sekolah yang pernah jatuh di sekolah SDN Karang Roto 03 adalah sebesar 42,2 % dan yang tidak sebesar<span> </span>57,8 %</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.75in;"><span lang="FI"><span>35.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Jumlah anak sekolah<span> </span>waktu jatuh </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="FI">Diagram 3.35 Distribusi frekuensi anak sekolah waktu jatuh di sekolah di SDN Karang Roto 03 Kecamatan Genuk Kota Semarang<span> </span>pada tanggal 03-14 Maret 2009</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.5in;"><tbody>
<tr> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 124.4pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Waktu Jatuh</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.95pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></b></div></td> <td style="background: none repeat scroll 0% 0% rgb(217, 217, 217); border-color: green -moz-use-text-color; border-style: solid none; border-width: 1.5pt medium; padding: 0in 5.4pt; width: 123.35pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.4pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IT" style="font-size: 10pt; line-height: 150%;">Bermain </span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IT" style="font-size: 10pt; line-height: 150%;">Lantai licin</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IT" style="font-size: 10pt; line-height: 150%;">Dikamar mandi</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IT" style="font-size: 10pt; line-height: 150%;">Olah raga</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.95pt;" valign="top" width="165"> <div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">38</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">3</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">2</span></div><div align="center" class="MsoHeader" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">11</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.35pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">70,4</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">5,6</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">3,7</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">20,4</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 124.4pt;" valign="top" width="166"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.95pt;" valign="top" width="165"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color green; border-style: none none solid; border-width: medium medium 1.5pt; padding: 0in 5.4pt; width: 123.35pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: 0.5in;"><span lang="FI">Berdasarkan tabel diatas dapat disimpulkan bahwa waktu anak sekolah jatuh saat dikamar mandi sebanyak 3,7 %, saat lantai licin sebanyak 5,6 %, saat olah raga sebanyak 20,4 % dan saat bermain sebanyak 70,4 %.</span></div><br />
<br />
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</style> <![endif]--> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="IN">BAB IV</span></b></div><div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="IN">PEMBAHASAN</span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: 0.5in;"><span lang="IN">Asuhan keperawatan yang dilaksanakan oleh mahasiswa kelompok IV Program Profesi Ners Fakultas Ilmu Keperawatan dan Kesehatan Universitas Muhammadiyah Semarang di SDN Karang Roto 03, Kecamatan Genuk Semarang, tan</span><span>ggal 3-14 Maret 2009 menggunakan pendekatan proses keperawatan yang meliputi kegiatan persiapan, pengkajian, perencanaan, pelaksanaan, dan evaluasi. Kegiatan-kegiatan tersebut melibatkan guru dan murid SDN Karang Roto 03 dalam setiap usaha penyelesaian masalah kesehatan masyarakat, melalui pendekatan proses keperawatan.</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><b><span lang="SV"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="SV">Persiapan</span></b></div><ol start="1" style="margin-top: 0in;" type="1"><li class="MsoNormal"><span lang="SV">Persiapan ke Sekolah</span></li>
</ol><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><span lang="SV">Kegiatan ini meliputi upaya untuk mengenal secara tidak langsung karakteristik sekolah dengan cara mencari informasi dari berbagai pihak yang terkait, antara lain Puskesmas Bangetayu dan SDN Karang Roto 03<span> </span>Kecamatan Genuk Semarang. Setelah itu diadakan pertemuan informal melalui pendekatan para guru dan kepala sekolah, untuk menjelaskan maksud dan tujuan praktik keperawatan Komunitas dan strategi yang akan dilaksanakan. </span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><br />
</div><ol start="2" style="margin-top: 0in;" type="1"><li class="MsoNormal"><span lang="SV">Persiapan Teknis</span></li>
</ol><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><span lang="SV">Persiapan tersebut dimulai dengan pertemuan pertama dengan kepala sekolah pembina UKS pada tanggal 2 Maret 2009. Tujuan pertemuan ini, adalah perkenalan dengan kepala sekolah dan pembina UKS, mengidentifikasi masalah kesehatan yang ada di area sekolah.<span> </span>Pada pertemuan tersebut telah disepakati bahwa mahasiswa akan melakukan asuhan keperawatan yang di mulai dengan pengumpulan data (<i>tool</i>), penyebaran, identifikasi dan merencanakan data yang terkait dengan masalah kesehatan dan masalah lingkungan di SDN Karang Roto 03<span> </span>Kecamatan Genuk Semarang.</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><span lang="SV">Ada 2 faktor yang dijumpai dalam tahap awal ini, yaitu :</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -14.15pt;"><span lang="IN" style="line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Faktor Pendukung</span></div><div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 0.75in; text-indent: 34.6pt;"><span lang="IN">Kepala sekolah dan pembina UKS menerima dengan baik dan para guru membantu sosialisasi mahasiswa kepada seluruh siswa SDN Karang Roto 03 Kecamatan Genuk. </span></div><div class="MsoNormal" style="margin-left: 0.75in; text-indent: -14.15pt;"><span lang="IN" style="line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Faktor Penghambat </span></div><div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 0.75in; text-indent: 34.6pt;"><span lang="IN">Sibuknya kepala sekolah sehingga mahasiswa harus mencari hari khusus untuk bertemu kepala sekolah.</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><b><span lang="IN"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Tahap</span></b><span lang="IN"> <b>Pengkajian</b></span></div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0.25in; text-indent: 0.5in;"><span lang="IN">Kegiatan yang dilakukan dalam tahap pengkajian antara lain pengkajian data dasar, data lingkungan fisik dan pengkajian data murid SDN Karang Roto 03. Kegiatan pengkajian dilakukan dengan membagikan kuesioner, observasi lingkungan, wawancara dengan guru dan pembina UKS, <span> </span>yang ada di SDN Karang Roto 03 Kecamatan Genuk.</span></div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0.25in; text-indent: 0.5in;"><span lang="IN">Setelah pengumpulan data tersebut, dilakukan pengelompokan data yang sesuai untuk mendukung analisa data. Pada saat melakukan tahap pengkajian ini terdapat faktor pendukung dan faktor penghambat dalam memperoleh data komunitas area sekolah yang diperlukan. </span></div><div class="MsoNormal" style="margin-left: 36.7pt; text-indent: -22.5pt;"><span lang="IN" style="line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Faktor Pendukung</span></div><div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -14.2pt;"><span lang="IN" style="line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Hubungan saling percaya</span></div><div class="MsoNormal" style="margin-left: 42.55pt;"><span lang="IN" style="line-height: 150%;">Hubungan saling percaya dengan masyarakat dapat dijalin sejak pertama kali mahasiswa melakukan kontak langsung saat pengkajian di sekolah.</span></div><div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -14.2pt;"><span lang="IN" style="line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Penerimaan siswa</span></div><div class="MsoNormal" style="margin-left: 42.55pt;"><span lang="IN" style="line-height: 150%;">Pada awal kegiatan penerimaan siswa SDN Karang Roto 03 merespon dengan baik rencana kegiatan yang akan dilakukan. Hal ini dapat dibuktikan siswa kooperatif saat mahasiswa berinteraksi mengumpulkan data baik berupa wawancara atau observasi. </span></div><div class="MsoNormal" style="margin-left: 42.55pt;"><br />
</div><div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -14.2pt;"><span lang="IN" style="line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Peran serta siswa</span></div><div class="MsoNormal" style="margin-left: 42.55pt;"><span lang="IN" style="line-height: 150%;">Setelah dilakukan pendekatan kembali pada siswa melalui kepala sekolah <span> </span>dan para guru, maka siswa mengerti dan menerima kehadiran mahasiswa dan membantu memberikan informasi yang diperlukan dalam pengumpulan data pada tahap pengkajian.</span></div><div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -14.2pt;"><span lang="IN" style="line-height: 150%;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Sumber daya manusia</span></div><div class="MsoNormal" style="margin-left: 42.55pt;"><span lang="IN" style="line-height: 150%;">Tingkat pendidikan sebagian besar guru SDN Karang Roto 03 kecamatan Genuk adalah Diploma sehingga kuesioner yang dibagikan kepada para guru dapat diisi sesuai yang diharapkan.</span></div><div class="MsoNormal" style="margin-left: 42.55pt;"><br />
</div><div class="MsoNormal" style="margin-left: 36.7pt; text-indent: -22.5pt;"><span lang="IN" style="line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Faktor Penghambat</span></div><div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -14.2pt;"><span lang="IN" style="line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Letak geografi area sekolahan SDN Karang Roto 03 Kecamatan Genuk<span> </span>sebelah utara adalah Kebun, sebelah selatan Kelurahan Sembungharjo, sebelah Barat Puskesmas pembantu kudu, dan sebelah timur berbatasan dengan SDN Karang Roto 04. </span></div><div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -14.2pt;"><span lang="IN" style="line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Cuaca</span></div><div class="MsoNormal" style="margin-left: 42.55pt;"><span lang="IN" style="line-height: 150%;">Pengkajian dilakukan pada saat musim hujan.</span></div><div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -14.2pt;"><span lang="IN" style="line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Waktu dan tenaga</span></div><div class="MsoNormal" style="margin-left: 42.55pt;"><span lang="IN" style="line-height: 150%;">Waktu dan tenaga menjadi kendala karena pada saat pelaksanaan pengkajian tidak dapat dilakukan serempak pada hari yang sama, melainkan bertahap.</span></div><div class="MsoNormal" style="margin-left: 42.55pt;"><br />
</div><h2 style="line-height: 150%;"><span lang="IN">C. Diagnosa Keperawatan Komunitas</span></h2><div class="MsoNormal" style="margin-left: 14.2pt; text-indent: 28.35pt;"><span lang="IN" style="line-height: 150%;">Diagnosa keperawatan ditetapkan berdasarkan masalah yang ditemukan. Diagnosa keperawatan merupakan respon siswa terhadap masalah kesehatan baik aktual, resiko maupun potensial yang dapat diantisipasi. Diagnosa keperawatan yang muncul yaitu menggambarkan masalah, respon, kondisi dan mengidentifikasi kemungkinan data penyebab (<i>American Nursing Association</i>). Data yang diperoleh kemudian dianalisa dan ditemukan 3 diagnosa keperawatan, antara lain:</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -21.25pt;"><span lang="IN" style="line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Tingginya kerusakan gigi (caries gigi) pada siswa dilingkungan SDN Karang Roto 03 berhubungan dengan ketidaktahuan siswa tentang manfaat perilaku hidup bersih dan sehat khususnya perawatan diri.</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><span lang="IN" style="line-height: 150%;">Hal ini didukung oleh data yang ada di area sekolah yaitu berdasarkan wawancara dengan kepala sekolah, pembina UKS, dan siswa SDN Karang Roto 03 Kecamatan Genuk bahwa sebagian besar siswa mengalami gigi berlubang. </span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><span lang="IN" style="line-height: 150%;">Masalah kesehatan tersebut dapat dirumuskan dengan beberapa data pendukung yang disajikan dalam bentuk tabel frekuensi sebagai berikut :</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="IN" style="line-height: 150%;">Tabel 1.1 Kebiasaan siswa jajan coklat, permen dan es krim di SDN Karang Roto 03 Kecamatan Genuk</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 40.85pt; width: 481px;"><tbody>
<tr> <td style="border-color: windowtext -moz-use-text-color -moz-use-text-color; border-style: solid none none; border-width: 1pt medium medium; padding: 0in 5.4pt; width: 225.55pt;" width="301"> <div class="MsoNormal"><span lang="NL-BE" style="font-size: 10pt; line-height: 150%;">Kebiasaan<span> </span>siswa jajan coklat, permen dan es krim</span></div></td> <td style="border-color: windowtext -moz-use-text-color -moz-use-text-color; border-style: solid none none; border-width: 1pt medium medium; padding: 0in 5.4pt; width: 65.8pt;" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></div></td> <td style="border-color: windowtext -moz-use-text-color -moz-use-text-color; border-style: solid none none; border-width: 1pt medium medium; padding: 0in 5.4pt; width: 69.2pt;" width="92"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">%</span></div></td> </tr>
<tr> <td style="border-color: windowtext -moz-use-text-color -moz-use-text-color; border-style: solid none none; border-width: 1pt medium medium; padding: 0in 5.4pt; width: 225.55pt;" width="301"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Ya</span></div></td> <td style="border-color: windowtext -moz-use-text-color -moz-use-text-color; border-style: solid none none; border-width: 1pt medium medium; padding: 0in 5.4pt; width: 65.8pt;" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">115</span></div></td> <td style="border-color: windowtext -moz-use-text-color -moz-use-text-color; border-style: solid none none; border-width: 1pt medium medium; padding: 0in 5.4pt; width: 69.2pt;" width="92"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black; font-size: 10pt; line-height: 150%;">89,8</span><span style="font-size: 10pt; line-height: 150%;"></span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 225.55pt;" width="301"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 65.8pt;" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">13</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 69.2pt;" width="92"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">10,2</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 225.55pt;" width="301"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 65.8pt;" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 69.2pt;" width="92"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><span lang="IN" style="line-height: 150%;">Berdasarkan analisa terhadap 128 siswa SDN Karang Roto 03 Kecamatan Genuk diperoleh data bahwa kebiasaan siswa yang suka jajan coklat, permen dan es krim sebanyak 89,8 % siswa dan yang tidak sebanyak 10,2% siswa. </span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="IN" style="line-height: 150%;">Tabel 1.2<span> </span>Siswa yang menggosok gigi secara rutin di SDN Karang Roto 03 Kecamatan Genuk</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 40.1pt; width: 502px;"><tbody>
<tr style="height: 13.65pt;"> <td style="background: none repeat scroll 0% 0% white; border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; height: 13.65pt; padding: 0in 4.65pt; width: 170.8pt;" width="228"> <div class="MsoNormal"><span lang="IN" style="color: black; font-size: 10pt; line-height: 150%;">Siswa yang menggosok gigi secara rutin</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; height: 13.65pt; padding: 0in 4.65pt; width: 106.35pt;" width="142"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black; font-size: 10pt; line-height: 150%;">Frekuensi</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; height: 13.65pt; padding: 0in 4.65pt; width: 99.2pt;" width="132"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black; font-size: 10pt; line-height: 150%;">%</span></div></td> </tr>
<tr style="height: 35pt;"> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; height: 35pt; padding: 0in 4.65pt; width: 170.8pt;" width="228"> <div class="MsoNormal"><span style="color: black; font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal"><span style="color: black; font-size: 10pt; line-height: 150%;">Tidak</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; height: 35pt; padding: 0in 4.65pt; width: 106.35pt;" width="142"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">80</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">48</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; height: 35pt; padding: 0in 4.65pt; width: 99.2pt;" width="132"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">62</span><span lang="IN" style="color: black; font-size: 10pt; line-height: 150%;">,</span><span style="color: black; font-size: 10pt; line-height: 150%;">5</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">37,5</span></div></td> </tr>
<tr style="height: 13.65pt;"> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; height: 13.65pt; padding: 0in 4.65pt; width: 170.8pt;" width="228"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black; font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; height: 13.65pt; padding: 0in 4.65pt; width: 106.35pt;" width="142"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; height: 13.65pt; padding: 0in 4.65pt; width: 99.2pt;" width="132"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black; font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><span lang="SV" style="line-height: 150%;">Berdasarkan analisa terhadap 128 siswa di SDN Karang Roto 03 Kecamatan Genuk diperoleh data bahwa siswa yang menggosok gigi secara rutin sebanyak 62,5 % dan yang tidak menggosok gigi secara rutin sebanyak 37,5 %.</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt;"><span lang="IN" style="line-height: 150%;">Tabel 1.3 </span><span lang="SV" style="line-height: 150%;">Kebiasaan siswa menggosok gigi dalam sehari </span><span lang="IN" style="line-height: 150%;">di SDN Karang Roto 03 Kecamatan Genuk</span><span lang="SV" style="line-height: 150%;"></span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 40.1pt;"><tbody>
<tr style="height: 13.65pt;"> <td style="background: none repeat scroll 0% 0% white; border-color: black -moz-use-text-color; border-style: solid none; border-width: 1pt medium; height: 13.65pt; padding: 0in 4.65pt; width: 178.45pt;" valign="top" width="238"> <div class="MsoNormal"><span lang="SV" style="color: black; font-size: 10pt; line-height: 150%;">Kebiasaan menggosok gigi dalam sehari </span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: black -moz-use-text-color; border-style: solid none; border-width: 1pt medium; height: 13.65pt; padding: 0in 4.65pt; width: 85.5pt;" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">Frekuensi</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: black -moz-use-text-color; border-style: solid none; border-width: 1pt medium; height: 13.65pt; padding: 0in 4.65pt; width: 92.15pt;" width="123"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">%</span></div></td> </tr>
<tr style="height: 52pt;"> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color black; border-style: none none solid; border-width: medium medium 1pt; height: 52pt; padding: 0in 4.65pt; width: 178.45pt;" valign="top" width="238"> <div align="left" class="MsoNormal" style="text-align: left;"><span style="color: black; font-size: 10pt; line-height: 150%;">1 kali</span></div><div align="left" class="MsoNormal" style="text-align: left;"><span style="color: black; font-size: 10pt; line-height: 150%;">2 kali</span></div><div align="left" class="MsoNormal" style="text-align: left;"><span style="color: black; font-size: 10pt; line-height: 150%;">3 kali</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color black; border-style: none none solid; border-width: medium medium 1pt; height: 52pt; padding: 0in 4.65pt; width: 85.5pt;" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">45</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">60</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">23</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color black; border-style: none none solid; border-width: medium medium 1pt; height: 52pt; padding: 0in 4.65pt; width: 92.15pt;" width="123"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">35,2</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">46,9</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">18</span></div></td> </tr>
<tr style="height: 13.65pt;"> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color black; border-style: none none solid; border-width: medium medium 1pt; height: 13.65pt; padding: 0in 4.65pt; width: 178.45pt;" valign="top" width="238"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black; font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color black; border-style: none none solid; border-width: medium medium 1pt; height: 13.65pt; padding: 0in 4.65pt; width: 85.5pt;" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color black; border-style: none none solid; border-width: medium medium 1pt; height: 13.65pt; padding: 0in 4.65pt; width: 92.15pt;" width="123"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black; font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><span lang="IN" style="line-height: 150%;">Berdasarkan analisa terhadap 128 siswa di SDN Karang Roto 03 Kecamatan Genuk diperoleh data bahwa siswa yang menggosok gigi 1 kali dalam sehari sebanyak 35,2 %, menggosok gigi 2 kali 46,9 % dan menggosok gigi 3 kali 18 %.</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt;"><span lang="IN" style="line-height: 150%;">Tabel 1.4 </span><span style="line-height: 150%;">Sakit gigi </span><span lang="IN" style="line-height: 150%;">di SDN Karang Roto 03 Kecamatan Genuk</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 40.1pt;"><tbody>
<tr style="height: 13.65pt;"> <td style="background: none repeat scroll 0% 0% white; border-color: black -moz-use-text-color; border-style: solid none; border-width: 1pt medium; height: 13.65pt; padding: 0in 4.65pt; width: 153.55pt;" valign="top" width="205"> <div class="MsoNormal"><span style="color: black; font-size: 10pt; line-height: 150%;">Sakit gigi</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: black -moz-use-text-color; border-style: solid none; border-width: 1pt medium; height: 13.65pt; padding: 0in 4.65pt; width: 94.5pt;" width="126"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">Frekuensi</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: black -moz-use-text-color; border-style: solid none; border-width: 1pt medium; height: 13.65pt; padding: 0in 4.65pt; width: 92.15pt;" width="123"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">%</span></div></td> </tr>
<tr style="height: 35.25pt;"> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color black; border-style: none none solid; border-width: medium medium 1pt; height: 35.25pt; padding: 0in 4.65pt; width: 153.55pt;" valign="top" width="205"> <div align="left" class="MsoNormal" style="text-align: left;"><span style="color: black; font-size: 10pt; line-height: 150%;">Ya</span></div><div align="left" class="MsoNormal" style="text-align: left;"><span style="color: black; font-size: 10pt; line-height: 150%;">Tidak</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color black; border-style: none none solid; border-width: medium medium 1pt; height: 35.25pt; padding: 0in 4.65pt; width: 94.5pt;" width="126"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">63</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">65</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color black; border-style: none none solid; border-width: medium medium 1pt; height: 35.25pt; padding: 0in 4.65pt; width: 92.15pt;" width="123"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">49,2</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black; font-size: 10pt; line-height: 150%;">6</span><span style="color: black; font-size: 10pt; line-height: 150%;">0,8</span></div></td> </tr>
<tr style="height: 13.65pt;"> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color black; border-style: none none solid; border-width: medium medium 1pt; height: 13.65pt; padding: 0in 4.65pt; width: 153.55pt;" valign="top" width="205"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black; font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color black; border-style: none none solid; border-width: medium medium 1pt; height: 13.65pt; padding: 0in 4.65pt; width: 94.5pt;" width="126"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="background: none repeat scroll 0% 0% white; border-color: -moz-use-text-color -moz-use-text-color black; border-style: none none solid; border-width: medium medium 1pt; height: 13.65pt; padding: 0in 4.65pt; width: 92.15pt;" width="123"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black; font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -21.25pt;"><span lang="IN" style="line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Risiko tinggi terjadi peningkatan angka ISPA di lingkungan SDN Karang Roto 03 berhubungan dengan lingkungan yang tidak sehat dan ketidaktahuan siswa tentang akibat yang dapat ditimbulkan oleh perilaku hidup yang kurang bersih dan sehat. </span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 0.5in;"><span lang="IN" style="line-height: 150%;">Hal ini didukung oleh data yang ada di SDN Karang Roto 03 Kecamatan Genuk yaitu berdasarkan wawancara dengan kepala sekolah, Pembina UKS, Guru dan siswa sebagian besar siswa mengalami batuk pilek. Masalah kesehatan tersebut dapat dirumuskan dengan beberapa data pendukung yang disajikan dalam bentuk tabel frekuensi sebagai berikut:</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt;"><span lang="IN" style="line-height: 150%;">Tabel 2.1 Siswa yang mengalami batuk pilek setiap bulan di SDN Karang Roto 03 Kecamatan Genuk</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 47.75pt; width: 412px;"><tbody>
<tr> <td style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; padding: 0in 5.4pt; width: 308.65pt;" valign="top" width="412"> <div class="MsoNormal"><span lang="PT-BR" style="font-size: 10pt; line-height: 150%;">Batuk pilek<span> </span></span><span lang="SV" style="font-size: 10pt; line-height: 150%;">Frekuensi</span><span lang="PT-BR" style="font-size: 10pt; line-height: 150%;"><span> </span></span><span lang="SV" style="font-size: 10pt; line-height: 150%;">%</span><span lang="PT-BR" style="font-size: 10pt; line-height: 150%;"></span></div></td> </tr>
<tr style="height: 35pt;"> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; height: 35pt; padding: 0in 5.4pt; width: 308.65pt;" valign="top" width="412"> <div class="MsoNormal"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Ya<span> </span>71<span> </span>55,5</span></div><div class="MsoNormal"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Tidak<span> </span>57<span> </span><span> </span>44,5</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 308.65pt;" valign="top" width="412"> <div class="MsoNormal"><span lang="SV" style="font-size: 10pt; line-height: 150%;">Total<span> </span>128<span> </span>100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 0.5in;"><span lang="IN" style="line-height: 150%;">Berdasarkan analisa terhadap 128 siswa di SDN Karang Roto 03 Kecamatan Genuk diperoleh data bahwa siswa yang mengalami batuk pilek setiap bulan sebanyak 55,5 %.</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt;"><span lang="IN" style="line-height: 150%;">Tabel 2.2 Siswa suka jajan (es, chiki, gorengan) di SDN Karang Roto 03 Kecamatan Genuk</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.45in; width: 444px;"><tbody>
<tr> <td style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; padding: 0in 5.4pt; width: 333pt;" valign="top" width="444"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Siswa suka jajan<span> </span></span><span lang="IN" style="font-size: 10pt; line-height: 150%;">Frekuensi</span><span style="font-size: 10pt; line-height: 150%;"><span> </span></span><span lang="IN" style="font-size: 10pt; line-height: 150%;">%</span><span style="font-size: 10pt; line-height: 150%;"></span></div></td> </tr>
<tr style="height: 35pt;"> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; height: 35pt; padding: 0in 5.4pt; width: 333pt;" valign="top" width="444"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Ya<span> </span><span> </span>115<span> </span>89,8<span> </span></span></div><div class="MsoNormal"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Tida</span><span style="font-size: 10pt; line-height: 150%;">k<span> </span>13<span> </span>10,2</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 333pt;" valign="top" width="444"> <div class="MsoNormal"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Total<span> </span><span> </span></span><span style="font-size: 10pt; line-height: 150%;">128</span><span lang="IN" style="font-size: 10pt; line-height: 150%;"><span> </span>100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 0.5in;"><span lang="IN" style="line-height: 150%;">Berdasarkan analisa terhadap 128 siswa di SDN Karang Roto 03 Kecamatan Genuk diperoleh data bahwa 89,8 % siswa suka jajan ( es, chiki, gorengan ).</span></div><div class="MsoNormal" style="margin-left: 35.45pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -21.25pt;"><span lang="IN" style="line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Risiko terjadinya peningkatan angka diare di lingkungan SDN Karang Roto 03 berhubungan dengan lingkungan yang tidak sehat dan ketidak tahuan siswa tentang akibat yang dapat ditimbulkan oleh perilaku hidup yang kurang bersih dan sehat.</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 0.5in;"><span lang="IN" style="line-height: 150%;">Hal ini didukung oleh data yang ada di SDN Karang Roto 03 Kecamatan Genuk yaitu berdasarkan wawancara dengan kepala sekolah, Pembina UKS, Guru, dan siswa <span> </span>bahwa setiap bulan banyak anak mengalami diare.</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><span lang="IN" style="line-height: 150%;">Masalah kesehatan tersebut dapat dirumuskan dengan beberapa data pendukung yang disajikan dalam bentuk tabel frekuensi sebagai berikut:</span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt;"><span lang="IN" style="line-height: 150%;">Tabel 3.1 </span><span style="line-height: 150%;">Diare dalam 1 bulan </span><span lang="IN" style="line-height: 150%;">di SDN Karang Roto 03 Kecamatan Genuk</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.45in; width: 504px;"><tbody>
<tr> <td style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; padding: 0in 5.4pt; width: 5.25in;" valign="top" width="504"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Diare dalam 1 bulan<span> </span></span><span lang="IN" style="font-size: 10pt; line-height: 150%;">Frekuensi</span><span style="font-size: 10pt; line-height: 150%;"><span> </span></span><span lang="IN" style="font-size: 10pt; line-height: 150%;">%</span><span style="font-size: 10pt; line-height: 150%;"></span></div></td> </tr>
<tr style="height: 35pt;"> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; height: 35pt; padding: 0in 5.4pt; width: 5.25in;" valign="top" width="504"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Ya<span> </span><span> </span>32<span> </span>25</span></div><div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Tidak<span> </span></span><span lang="IN" style="font-size: 10pt; line-height: 150%;">96</span><span style="font-size: 10pt; line-height: 150%;"><span> </span>75</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 5.25in;" valign="top" width="504"> <div class="MsoNormal"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Total<span> </span><span> </span></span><span style="font-size: 10pt; line-height: 150%;">128</span><span lang="IN" style="font-size: 10pt; line-height: 150%;"><span> </span>100</span></div></td> </tr>
</tbody></table><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><span lang="IN" style="line-height: 150%;">Berdasarkan analisa terhadap 128 siswa di SDN Karang Roto 03 Kecamatan Genuk diperoleh data bahwa siswa yang mengalami diare dalam 1 bulan sebanyak 25 %. </span></div><div class="MsoNormal" style="margin-left: 35.45pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt;"><span lang="IN" style="line-height: 150%;">Tabel 3.2 Rutin memotong kuku di SDN Karang Roto 03 Kecamatan Genuk</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.45in; width: 504px;"><tbody>
<tr> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Rutin memotong kuku</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></div></td> <td style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">%</span></div></td> </tr>
<tr style="height: 35pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35pt; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Tidak</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35pt; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">83</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">45</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; height: 35pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">64,</span><span lang="IN" style="font-size: 10pt; line-height: 150%;">8</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">35,2</span><span lang="IN" style="font-size: 10pt; line-height: 150%;"></span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><span lang="IN" style="line-height: 150%;">Berdasarkan analisa terhadap 128 siswa di SDN Karang Roto 03 Kecamatan Genuk bahwa siswa yang tidak rutin memotong kuku sebanyak 35,2 %.</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt;"><span lang="IN" style="line-height: 150%;">Tabel 3.3 </span><span lang="SV" style="line-height: 150%;">Cuci tangan sebelum makan </span><span lang="IN" style="line-height: 150%;">di SDN Karang Roto 03 Kecamatan Genuk</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.45in; width: 504px;"><tbody>
<tr> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span lang="IN" style="font-size: 10pt; line-height: 150%;">C</span><span style="font-size: 10pt; line-height: 150%;">uci tangan sebelum makan</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></div></td> <td style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">%</span></div></td> </tr>
<tr style="height: 35pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35pt; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Ya</span></div><div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Tidak</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35pt; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">114</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">14</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; height: 35pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">8</span><span style="font-size: 10pt; line-height: 150%;">9,1</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">10,9</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><span lang="IN" style="line-height: 150%;">Berdasarkan analisa terhadap 128 di SDN Karang Roto 03 Kecamatan Genuk diperoleh data bahwa siswa yang tidak mencuci tangan sebelum makan sebanyak 10,9%.</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt;"><span lang="IN" style="line-height: 150%;">Tabel 3.4 Siswa suka jajan (es, chiki, gorengan) di SDN Karang Roto 03 Kecamatan Genuk</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.45in; width: 504px;"><tbody>
<tr> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Siswa suka jajan</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></div></td> <td style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">%</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Ya</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">115</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">89,8</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Tida</span><span style="font-size: 10pt; line-height: 150%;">k</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">13</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">10,2</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 0.5in;"><span lang="IN" style="line-height: 150%;">Berdasarkan analisa terhadap 128 siswa di SDN Karang Roto 03 Kecamatan Genuk diperoleh data bahwa 89,8 % siswa suka jajan ( es, chiki, gorengan ).</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt;"><span lang="IN" style="line-height: 150%;">Tabel 3.5 </span><span lang="NL-BE" style="line-height: 150%;">Pengetahuan siswa akibat kuku panjang dan kotor </span><span lang="IN" style="line-height: 150%;">di SDN Karang Roto 03 Kecamatan Genuk </span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.45in; width: 504px;"><tbody>
<tr> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span lang="NL-BE" style="font-size: 10pt; line-height: 150%;">Pengetahuan siswa akibat kuku panjang dan kotor</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></div></td> <td style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">%</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Ya</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">103</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">80,5</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Tidak </span><span style="font-size: 10pt; line-height: 150%;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">25</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">19,5</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><span lang="IN" style="line-height: 150%;">Berdasarkan analisa terhadap 128 siswa di SDN Karang Roto 03 Kecamatan Genuk diperoleh data bahwa siswa yang tahu akibat kuku panjang dan kotor sebanyak 80,5 %.</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt;"><span lang="IN" style="line-height: 150%;">Tabel 3.6 </span><span style="line-height: 150%;">Kuku bersih</span><span lang="IN" style="line-height: 150%;"></span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.45in; width: 504px;"><tbody>
<tr> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Kuku bersih</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Frekuensi</span></div></td> <td style="border-color: windowtext -moz-use-text-color; border-style: solid none; border-width: 1pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">%</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span style="font-size: 10pt; line-height: 150%;">Ya</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">74</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">57,8</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div class="MsoNormal"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Tidak </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">54</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">42,2</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 202.85pt;" valign="top" width="270"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">Total</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.15pt;" valign="top" width="114"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 10pt; line-height: 150%;">128</span></div></td> <td style="border-color: -moz-use-text-color -moz-use-text-color windowtext; border-style: none none solid; border-width: medium medium 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="font-size: 10pt; line-height: 150%;">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><span lang="IN" style="line-height: 150%;">Berdasarkan analisa terhadap 128 siswa di SDN Karang Roto 03 Kecamatan Genuk diperoleh data bahwa siswa yang kukunya kotor sebanyak 42,2 %. </span></div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: 0.5in;"><span lang="IN" style="line-height: 150%;">Masalah keperawatan komunitas area sekolah tersebut merupakan hasil identifikasi antara mahasiswa </span><span lang="IN">dengan</span><span lang="IN" style="line-height: 150%;"> kepala sekolah serta Pembina UKS. </span><span lang="SV">Ada 2 faktor yang dijumpai dalam tahap awal ini, yaitu:</span><span lang="IN" style="line-height: 150%;"></span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -21.25pt;"><span lang="IN" style="line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Faktor pendukung</span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-indent: -21.25pt;"><span lang="IN" style="line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Data secara nyata dan valid ditemukan dari hasil pengkajian komunitas area sekolah , hasil <i>windshield survey</i>, hasil <i>focus group discussion</i> dan <i>indep interview</i> di SDN Karang Roto 03 Kecamatan Genuk.</span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-indent: -21.25pt;"><span lang="IN" style="line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Dukungan </span><span lang="SV" style="line-height: 150%;">kepala sekolah, Pembina UKS dan guru </span><span lang="IN" style="line-height: 150%;"></span></div><div class="MsoNormal" style="margin-left: 56.7pt;"><span lang="IN" style="line-height: 150%;">Kepala sekolah, Pembina UKS dan guru sekolah telah menyadari dan merasakan adanya masalah kesehatan yang ada di SDN Karang Roto 03 Kecamatan Genuk, sehingga pihak dari sekolah mengharapkan untuk dilakukan pendidikan kesehatan tentang masalah kesehatan yang ada.</span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-indent: -21.25pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -21.25pt;"><span lang="IN" style="line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Faktor penghambat</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><span lang="IN" style="line-height: 150%;">Beberapa faktor penghambat yang mempengaruhi saat merumuskan masalah kesehatan komunitas diarea sekolah adalah penyesuaian jadwal penyuluhan kesehatan dengan jadwal pelajaran. </span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 28.35pt;"><br />
</div><h2 style="line-height: 150%;"><span lang="IN">D. Tahap<span> </span>Perencanaan</span></h2><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 14.2pt; text-indent: 30.95pt;"><span lang="IN">Pada tahap perencanaan ini meliputi kegiatan memprioritaskan masalah kesehatan yang muncul, merumuskan tujuan jangka panjang dan pendek, menetapkan rencana tindakan serta merumuskan rencana evaluasi. Masalah keperawatan komunitas area sekolah yang telah teridentifikasi kemudian diprioritaskan sebagai berikut :</span></div><div class="MsoListParagraphCxSpFirst" style="margin-left: 35.45pt; text-indent: -21.25pt;"><span lang="IN" style="line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Tingginya kerusakan gigi (caries gigi) pada siswa dilingkungan SDN Karang Roto 03 berhubungan dengan ketidaktahuan siswa tentang manfaat perilaku hidup bersih dan sehat khususnya perawatan diri.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin-left: 35.45pt; text-indent: -21.25pt;"><span lang="IN" style="line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Risiko tinggi terjadi peningkatan angka ISPA di lingkungan SDN Karang Roto 03 berhubungan dengan lingkungan yang tidak sehat dan ketidaktahuan siswa tentang akibat yang dapat ditimbulkan oleh perilaku hidup yang kurang bersih dan sehat. </span></div><div class="MsoListParagraphCxSpLast" style="margin-left: 35.45pt; text-indent: -21.25pt;"><span lang="IN" style="line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Risiko terjadinya peningkatan angka diare di lingkungan SDN Karang Roto 03 berhubungan dengan lingkungan yang tidak sehat dan ketidak tahuan siswa tentang akibat yang dapat ditimbulkan oleh perilaku hidup yang kurang bersih dan sehat.</span></div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 14.2pt; text-indent: 30.95pt;"><span lang="IN">Dalam membuat perencanaan kegiatan keperawatan komunitas area sekolah melibatkan peran serta kepala sekolah dan Pembina UKS. Hal ini dilakukan dalam upaya pemberdayaan siswa untuk memecahkan masalah kesehatan yang ada di area sekolah. Perencanaan asuhan keperawatan komunitas area sekolah ini telah disesuaikan dengan sumber daya yang ada di SDN Karang Roto 03 Kecamatan Genuk.</span></div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 14.2pt; text-indent: 30.95pt;"><span lang="IN">Perumusan tujuan disesuaikan dengan masalah yang akan ditindak lanjuti dengan rumusan tujuan jangka panjang yang berorientasi pada perubahan perilaku baik secara kognitif, afektif dan psikomotor, serta rumusan tujuan jangka pendek yang merupakan tujuan antara dalam rangka mencapai tujuan jangka panjang atau hasil akhir yang diharapkan pada setiap kegiatan tertentu. Rencana kegiatan yang dirumuskan dalam mengatasi masalah kesehatan di sekolah dengan melibatkan kepala sekolah dan Pembina UKS. </span></div><div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 14.2pt; text-indent: 30.95pt;"><span lang="IN">Rencana evaluasi telah dideskripsikan dalam pernyataan kriteria evaluasi yang merupakan tolak ukur dari kegiatan dan standar yang harus dicapai dari kegiatan tersebut.</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -21.25pt;"><span lang="IN" style="line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Faktor Pendukung<span> </span></span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="IN" style="line-height: 150%;">Faktor pendukung dalam perencanaan adalah adanya UKS, adanya peralatan dan faktor penunjang UKS. </span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -21.25pt;"><span lang="IN" style="line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Faktor Penghambat</span></div><div class="MsoNormal" style="margin-left: 0.5in;"><span lang="IN" style="line-height: 150%;">Masih ada beberapa kader kesehatan sekolah yang belum aktif, ruang UKS masih menjadi satu dengan ruang lainya. </span></div><div class="MsoNormal" style="margin-left: 0.5in;"><br />
</div><h2 style="line-height: 150%;"><span lang="IN">E.<span> </span>Tahap Implementasi</span></h2><div class="MsoNormal" style="margin-left: 18.7pt; text-indent: 34.6pt;"><span lang="IN" style="line-height: 150%;">Implementasi merupakan tahap realisasi dari rencana asuhan keperawatan komunitas area sekolah yang telah disusun. Implementasi diberikan secara langsung (Penyuluhan kesehatan dan demonstrasi) maupun tidak langsung (pemberian leaflet yang berkaitan dengan masalah kesehatan yang ada) kepada siswa SDN Karang Roto 03 sesuai dengan kebutuhan sekolah. </span></div><div class="MsoNormal"><br />
</div><div class="MsoListParagraphCxSpFirst" style="margin-left: 35.45pt; text-indent: -14.15pt;"><span lang="DE" style="line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Tingginya kerusakan gigi (caries gigi) pada siswa dilingkungan SDN Karang Roto 03 berhubungan dengan ketidaktahuan siswa tentang manfaat perilaku hidup bersih dan sehat khususnya perawatan diri.</span><span lang="DE" style="line-height: 150%;"> </span></div><div class="MsoListParagraphCxSpLast" style="margin-left: 56.7pt; text-indent: -21.25pt;"><span lang="DE" style="line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;">Pendidikan kesehatan</span></div><div class="MsoNormal" style="margin-left: 56.7pt; text-indent: 28.35pt;"><span lang="DE" style="line-height: 150%;">Pendidikan</span><span lang="IN" style="line-height: 150%;"> kesehatan tentang </span><span lang="DE" style="line-height: 150%;">caries gigi</span><span lang="IN" style="line-height: 150%;"> dan pencegahannya</span><span lang="DE" style="line-height: 150%;"> yang meliputi perilaku hidup bersih dan sehat (</span><span lang="IN" style="line-height: 150%;">PHBS</span><span lang="DE" style="line-height: 150%;">), </span><span lang="IN" style="line-height: 150%;">melakukan penyebaran leaflet tentang </span><span lang="DE" style="line-height: 150%;">kesehatan gigi dan mulut (caries gigi) (</span><span lang="IN" style="line-height: 150%;">PHBS</span><span lang="DE" style="line-height: 150%;">) Dilakukan mulai tanggal 17 & 19 Maret 2009.</span></div><div class="MsoNormal" style="margin-left: 56.7pt;"><span lang="DE" style="line-height: 150%;">Pelaksanaan pendidikan kesehatan tentang caries gigi dan pencegahannya kepada siswa dapat dilakukan dengan beberapa faktor yang mendukung, antara lain :</span></div><div class="MsoListParagraphCxSpFirst" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;"><span> </span>Siswa dapat mengetahui pengertian caries gigi sebanyak 75%</span></div><div class="MsoListParagraphCxSpMiddle" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;"><span> </span>Siswa dapat menyebutkan tanda dan gejala caries gigi sebayak 87%</span></div><div class="MsoListParagraphCxSpMiddle" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;"><span> </span>Siswa dapat menyebutkan penyebab caries gigi sebanyak 83%</span></div><div class="MsoListParagraphCxSpMiddle" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;"><span> </span>Siswa<span> </span>dapat menyebutkan cara pencegahan caries gigi sebanyak 91%</span></div><div class="MsoListParagraphCxSpLast" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="IN" style="line-height: 150%;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;"><span> </span>Siswa dapat mendemonstrasikan cara menggosok gigi dengan benar sebanyak 95%</span><span lang="IN" style="line-height: 150%;"></span></div><div class="MsoNormal" style="margin-left: 56.7pt;"><br />
</div><div class="MsoListParagraph" style="margin-left: 56.7pt; text-indent: -21.25pt;"><span lang="SV" style="line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="line-height: 150%;">Pelaksanaan kegiatan gosok gigi bersama</span></div><div class="MsoNormal" style="margin-left: 56.7pt;"><span lang="SV" style="line-height: 150%;">Kegiatan gosok gigi bersama dilaksanakan pada tanggal 20 maret 2009 yang dilakukan siswa SDN Karang Roto 03 dihalaman sekolah. </span></div><div class="MsoNormal" style="margin-left: 56.7pt;"><span lang="SV" style="line-height: 150%;">Adapun beberapa faktor yang mendukung pelaksanaan kegiatan kerja bakti gosok gigi bersama tersebut antara lain :</span></div><div class="MsoListParagraphCxSpFirst" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;">100% warga hadir untuk mengikuti acara gosok gigi bersama di halaman sekolah. </span></div><div class="MsoListParagraphCxSpMiddle" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;"><span> </span>Dukungan positif dari sekolah untuk pelaksanaan kegiatan gosok gigi bersama.</span></div><div class="MsoListParagraphCxSpLast"><br />
</div><div class="MsoNormal" style="margin-left: 56.7pt;"><span lang="DE" style="line-height: 150%;">Sedangkan faktor yang menghambat pelaksanaan kegiatan goso gigi bersama antara lain: w</span><span lang="IN" style="line-height: 150%;">aktu mulai </span><span lang="DE" style="line-height: 150%;">gosok gigi bersama</span><span lang="IN" style="line-height: 150%;"> tidak tepat waktu</span><span lang="DE" style="line-height: 150%;">.</span></div><div class="MsoNormal" style="margin-left: 56.7pt;"><br />
</div><div class="MsoListParagraphCxSpFirst" style="margin-left: 35.45pt; text-indent: -14.15pt;"><span lang="DE" style="line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Risiko tinggi terjadi peningkatan </span><span lang="DE" style="line-height: 150%;">angka ISPA di lingkungan SDN Karang Roto 03 berhubungan dengan lingkungan yang tidak sehat dan ketidaktahuan siswa tentang akibat yang dapat ditimbulkan oleh perilaku hidup yang kurang bersih dan sehat.</span></div><div class="MsoListParagraphCxSpMiddle" style="margin-left: 49.65pt; text-indent: -14.2pt;"><span lang="DE" style="line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;"><span> </span>Pendidikan kesehatan tentang ISPA dilaksanakan mulai pada tanggal 19 Maret sampai 2009</span></div><div class="MsoListParagraphCxSpLast" style="margin-left: 56.7pt;"><span lang="DE" style="line-height: 150%;">Adapun beberapa faktor yang mendukung pelaksanaan pendidikan kesehatan adalah:</span></div><div class="MsoNormal" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;">Siswa dapat mengetahui pengertian ISPA sebanyak 75%</span></div><div class="MsoNormal" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;">Siswa dapat menyebutkan tanda dan gejala ISPA sebanyak 87%<span> </span></span></div><div class="MsoNormal" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;">Siswa dapat menyebutkan penyebab ISPA sebanyak 83%</span></div><div class="MsoNormal" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;">Siswa dapat menyebutkan cara pencegahan ISPA sebanyak 91%</span></div><div class="MsoListParagraphCxSpFirst" style="margin-left: 56.7pt; text-indent: 28.35pt;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="margin-left: 35.45pt; text-indent: -14.15pt;"><span lang="IN" style="line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;">Risiko </span><span lang="DE" style="line-height: 150%;">terjadinya peningkatan angka diare di lingkungan SDN Karang Roto 03 berhubungan dengan lingkungan yang tidak sehat dan ketidak tahuan siswa tentang akibat yang dapat ditimbulkan oleh perilaku hidup yang kurang bersih dan sehat.</span><span lang="IN" style="line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="margin-left: 49.65pt; text-indent: -14.2pt;"><span lang="DE" style="line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="line-height: 150%;"><span> </span>Pelaksanaan pendidikan kesehatan </span><span lang="SV" style="line-height: 150%;">tentang diare</span><span lang="IN" style="line-height: 150%;"> pada tanggal </span><span lang="SV" style="line-height: 150%;">19</span><span lang="IN" style="line-height: 150%;"> maret </span><span lang="SV" style="line-height: 150%;"><span> </span>2009</span><span lang="IN" style="line-height: 150%;">.</span><span lang="DE" style="line-height: 150%;"></span></div><div class="MsoListParagraphCxSpLast" style="margin-left: 56.7pt;"><span lang="DE" style="line-height: 150%;">Adapun beberapa faktor yang mendukung pelaksanaan pendidikan kesehatan adalah:</span></div><div class="MsoNormal" style="margin-left: 70.9pt; text-indent: -14.2pt;"><span lang="DE" style="line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;">Siswa dapat mengetahui pengertian diare sebanyak 75%</span></div><div class="MsoNormal" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;">Siswa dapat menyebutkan tanda dan gejala diare sebanyak 87%<span> </span></span></div><div class="MsoNormal" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;">Siswa dapat menyebutkan penyebab diare sebanyak 83%</span></div><div class="MsoNormal" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;">Siswa dapat menyebutkan cara pencegahan diare sebanyak 91%</span></div><div class="MsoNormal" style="margin-left: 78pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;">Siswa dapat mendemontrasikan cara cuci tangan yang benar sebanyak 70%</span></div><div class="MsoListParagraph" style="margin-left: 49.65pt; text-indent: -14.2pt;"><span lang="SV" style="line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="line-height: 150%;">Pelaksanaan kegiatan cuci tangan bersama</span></div><div class="MsoNormal" style="margin-left: 49.65pt;"><span lang="SV" style="line-height: 150%;">Kegiatan cuci tangan bersama dilaksanakan pada tanggal 19 maret 2009 yang dilakukan siswa SDN Karang Roto 03 dihalaman sekolah. </span></div><div class="MsoNormal" style="margin-left: 49.65pt;"><span lang="SV" style="line-height: 150%;">Adapun beberapa faktor yang mendukung pelaksanaan kegiatan kerja bakti gosok gigi bersama tersebut antara lain :</span></div><div class="MsoListParagraphCxSpFirst" style="margin-left: 70.9pt; text-indent: -21.25pt;"><span lang="DE" style="line-height: 150%;"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;">100% warga hadir untuk mengikuti acara cuci tangan bersama di halaman sekolah. </span></div><div class="MsoListParagraphCxSpLast" style="margin-left: 70.9pt; text-indent: -21.3pt;"><span lang="DE" style="line-height: 150%;"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="DE" style="line-height: 150%;"><span> </span>Dukungan positif dari sekolah untuk pelaksanaan kegiatan cuci tangan bersama.</span></div><div align="left" class="MsoNormal" style="margin-left: 56.7pt; text-align: left;"><br />
</div><h2 style="line-height: 150%;"><span lang="IN">F.<span> </span>Tahap Evaluasi</span></h2><div class="MsoNormal" style="margin-left: 18.7pt; text-indent: 34.6pt;"><span lang="IN" style="line-height: 150%;">Evaluasi merupakan tahap akhir proses keperawatan yang digunakan untuk menilai tingkat keberhasilan dari pemecahan masalah keperawatan komunitas di area sekolah. Dari evaluasi yang dilaksanakan dapat diketahui masalah kesehatan komunitas di area sekolah bisa terpecahkan seluruh, sebagian, atau tidak terpecahkan tetapi menimbulkan masalah baru. Kegiatan evaluasi adalah mengukur keberhasilan dengan mengumpulkan data dan menganalisanya. Kegiatan ini dilakukan bersama siswa dan pembina UKS. Evaluasi ini dijadikan dasar untuk menyusun rencana tindakan selanjutnya. Pasa pelaksanaan kegiatan komunitas di area sekolah, evaluasi dilakukan sesuai teori dengan menggunakan konsep evaluasi struktur, evaluasi proses, dan evaluasi hasil kerja. Tindakan keperawatan yang telah dilakukan sebagian besar telah dilakukan dengan baik oleh mahasiswa bekerja sama dengan Pembina UKS. Selain itu ada kegiatan yang perlu ditindaklanjuti dan dibicarakan bersama – sama antara mahasiswa, kepala sekolah dan Pembina UKS.</span></div><div class="MsoNormal" style="margin-left: 18.7pt; text-indent: 34.6pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -14.15pt;"><span style="line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="line-height: 150%;">Evaluasi struktur</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 21.25pt;"><span style="line-height: 150%;">Evaluasi struktur berupa evaluasi terhadap persiapan – persiapan yang diperlukan selama pelaksanaan kegiatan meliputi pre planning, kontrak waktu dan media. Dari 5 kegiatan yang telah dilaksanakan, secara struktur sebelum kegiatan telah mempersiapkan pre planning, kontrak waktu dengan wali kelas, murid dan media yang akan digunakan.</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 21.25pt;"><span style="line-height: 150%;">Dengan adanya evaluasi terhadap struktur kegiatan akan memberi arah pada kemantapan persiapan yang harus dilakukan sehingga perencanaan kegiatan akan lebih matang, dapat memilih waktu yang tepat serta media yang digunakan sesuai dengan jumlah dan karakteristik sasaran.</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 21.25pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -14.15pt;"><span style="line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="line-height: 150%;">Evaluasi proses</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 21.25pt;"><span style="line-height: 150%;">Pentingnya melaksanakan evaluasi proses kerja untuk mengetahui suatu kegiatan yang dilakukan dari beberapa besar partisipasi audiens atau sasaran dalam mengikuti suatu kegiatan, hal ini sangat erat hubungannya dengan topik yang tertuang, kebutuhan masyarakat serta media yang digunakan.</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 21.25pt;"><span style="line-height: 150%;">Pada setiap kegiatan yang telah dilaksanakan sebagian besar telah ditentukan topiknya dengan mempertimbangkan kebutuhan sekolah, saat pengkajian<span> </span>yang dilaksanakan secara sistematis berdasarkan prioritas masalah yang ditemukan, sedangkan penggunaan media telah disesuaikan dengan jumlah audiens dan tingkat pendidikan serta usia rata-rata audiens/ sasaran.</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 21.25pt;"><span style="line-height: 150%;">Akan tetapi<span> </span>evaluasi proses yang dilaksanakan menonjolkan kuantitasnya saja, karena batasan evalausi lebih condong pada ada tidaknya kriteria yang ditentukan saat sebelum pelaksaanaan kegiatan, namun evaluasi ini akan lebih sempurna apabila diukur juga secara kualitasnya dengan cara mengobservasi lebih lanjut terhadap setiap item yang terdapat pada evaluasi proses.</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 21.25pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -14.15pt;"><span style="line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="line-height: 150%;">Evaluasi hasil</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 21.25pt;"><span style="line-height: 150%;">Dari hasil evalausi melalui prngamatan langsung yang dilakukan pada tahap akhir setiap kegiatan dapat dinyatakan bahwa hampir rata-rata mencapai 80 % telah terjadi peningkatan pengetahuan. Pada siswa sebagai sasaran utama kegiatan.</span></div><div class="MsoNormal" style="margin-left: 35.45pt;"><br />
</div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 21.25pt;"><span style="line-height: 150%;"><span> </span>Pada setiap item kegiatan yang telah dilaksanakan masih ada sebagian yang belum dapat mencapai hasil yang maksimal, hal ini karena adanya beberapa faktor penghambat sebagaimana yang dijelaskan pada evaluasi hasil kegiatan, sehingga dalam kegiatan ini masih memerlukan adanya tindak lanjut agar tidak mengalami kemunduran atau kembalinya pada keadaan semula, sebelum dilakukan tindakan.</span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 21.25pt;"><span style="line-height: 150%;">Salah satu tingkat perubahan paling akhir dalam suatu kegiatan dapat diukur dari adanya rencana tindak lanjut dalam kegiatan tersebut. Perubahan pada tahap ketiga akan dicapainya suaatu tingkat atau tahapan baru dimana akan terdapat suatu keseimbangan baru atau tidak mengalami kemunduran atau kembali seperti semula, oleh karena itu harus adanya upaya umpan balik, kritik yang konstruktif dan upaya pembinaan yang terus menerus. </span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 21.25pt;"><span style="line-height: 150%;">Rencana tindak lanjut yang disepakati mencakup rencana tindak lanjut untuk pihak Puskesmas Bangetayu Wetan, rencana tindak lanjut untuk sekolah. Rencana tindak lanjut untuk puskesmas bangetayu wetan meliputi: pemberian penyuluhan kesehatan, pemeriksaan gigi sebulan sekali dan pelatihan kader kecil.<span> </span>Rencana tindak lanjut untuk sekolah meliputi : UKS tetap berjalan aktif dan lebih mengaktifkan UKS dalam kurikulum.</span><span lang="IN" style="line-height: 150%;"></span></div><div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 21.25pt;"><span lang="IN" style="line-height: 150%;">Sedangkan untuk mengetahui perkembangan dari hasil tindak lanjut yang telah disusun masih memerlukan waktu yang cukup lama untuk evaluasi, sehingga perlu untuk didelegasikan pada pihak-pihak yang terkait seperti Puskesmas, kepala sekolah, Pembina UKS dan siswa sendiri untuk mengevaluasinya. </span></div><div class="MsoNormal" style="margin-left: 56.7pt;"><br />
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</div><h1 style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.5in;"><span lang="FI" style="font-size: 12pt; line-height: 150%; text-decoration: none;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="font-size: 12pt; line-height: 150%; text-decoration: none;">Kesimpulan</span></h1><div class="MsoBodyTextIndent" style="line-height: 150%; text-align: justify; text-indent: 39.85pt;"><span lang="FI">Pembangunan kesehatan di bidang kesehatan pada hakekatnya menitikberatkan pada peran serta masyarakat secara aktif untuk memandirikan masyarakat. Kemandirian dan keterlibatan aktif dari masyarakat, diharapkan mampu memecahkan dan menangani masalah kesehatan baik kesehatan individu, keluarga dan masyarakat. Dasar dari keterlibatan masyarakat ini dengan alasan bahwa kesehatan bukan hanya merupakan tanggung jawab petugas kesehatan saja, melainkan masyarakat juga memiliki hak dan potensi untuk mengenal dan mengatasi masalah kesehatan. </span></div><div class="MsoBodyTextIndent" style="line-height: 150%; text-align: justify; text-indent: 39.85pt;"><span lang="FI">Praktek asuhan keperawatan UKS yang dilakukan oleh mahasiswa profesi Ners FIKKES Unimus di SDN Karang Roto 03 Kecamatan Genuk menggunakan pendekatan terhadap guru, siswa serta penjaga sekolah tersebut. </span></div><div class="MsoBodyTextIndent" style="line-height: 150%; text-align: justify;"><span lang="FI">Dalam pelaksanaan asuhan keperawatan UKS, mahasiswa menggunakan ilmu keperawatan dengan didukung oleh ilmu lainnya. Selain itu, mahasiswa menggunakan sumber daya manusia dan fasilitas yang ada di sekolah untuk mendukung kelancaran kegiatan. Hal ini merupakan suatu upaya untuk memandirikan sekolah dalam pencegahan dan peningkatan kesehatan.</span></div><div class="MsoBodyTextIndent" style="line-height: 150%; text-align: justify; text-indent: 39.85pt;"><span lang="FI">Upaya melibatkan guru dan siswa dilakukan dengan membina kerjasama dengan Dinas Pendidikan kecamatan Genuk, melakukan identifikasi masalah UKS secara umum yang dilakukan dengan <i>windshield survey</i> dan kuesioner pada siswa dan guru menetapkan masalah dan menentukan prioritas masalah,antara lain :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="FI"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Tingginya kerusakan gigi (caries gigi) pada siswa dilingkungan SDN Karang Roto 03 berhubungan dengan ketidaktahuan siswa tentang manfaat perilaku hidup bersih dan sehat khususnya perawatan diri.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="FI"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Risiko tinggi terjadi peningkatan </span><span lang="IN">angka ISPA di lingkungan SDN Karang Roto 03 berhubungan dengan lingkungan yang tidak sehat dan ketidaktahuan siswa tentang akibat yang dapat ditimbulkan oleh perilaku hidup yang kurang bersih dan sehat. </span><span lang="FI"></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="FI"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Risiko </span><span lang="IN">terjadinya peningkatan angka diare di lingkungan SDN Karang Roto 03 berhubungan dengan lingkungan yang tidak sehat dan ketidak tahuan siswa tentang akibat yang dapat ditimbulkan oleh perilaku hidup yang kurang bersih dan sehat.</span><span lang="FI"></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><br />
</div><h1 style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.5in;"><span lang="FI" style="font-size: 12pt; line-height: 150%; text-decoration: none;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="font-size: 12pt; line-height: 150%; text-decoration: none;">Saran</span></h1><div class="MsoBodyTextIndent" style="line-height: 150%; text-align: justify; text-indent: 39.85pt;"><span lang="FI">Setelah semua kegiatan dilakukan bersama dengan guru dan siswa, sebaiknya guru mempunyai rencana tindak lanjut yang akan dilakukan oleh sekolah terhadap kegiatan yang telah dilakukan oleh mahasiswa selama praktek. Hal tersebut dilakukan dengan tujuan<span> </span>agar kegiatan yang telah dilaksanakan oleh mahasiswa dapat berkelanjutan dan berkesinambungan. Rencana tindak lanjut meliputi dua topik yaitu kesehatan lingkungan dan pelaksanaan UKS yang optimal. Pada kegiatan kesehatan lingkungan direncanakan akan dilakukan kerja bakti bersama guru dan siswa sebulan sekali dan penyampaian informasi tentang masalah kesehatan pada siswa dalam setiap mata ajar olah raga dan kesehatan.</span><span lang="IN"></span></div><div class="MsoNormal" style="line-height: 150%;"><br />
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</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-49108612351528888542011-12-14T17:15:00.000-08:002011-12-14T17:15:34.494-08:00ASUHAN KEPERAWATAN PADA TN.P DENGAN ANEMIA DENGAN INDIKASI MELENA DI RUANG FLAMBOYAN RSU KUDUS<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if !mso]> <style>
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</style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="1033"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> <div class="separator" style="clear: both; text-align: center;"><a href="http://2.bp.blogspot.com/-AbWxrfAuyFA/TulKIRSIKOI/AAAAAAAAACU/gRIHo6WiFSg/s1600/BMW-i8_Concept_2011_1280x960_wallpaper_02.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://2.bp.blogspot.com/-AbWxrfAuyFA/TulKIRSIKOI/AAAAAAAAACU/gRIHo6WiFSg/s320/BMW-i8_Concept_2011_1280x960_wallpaper_02.jpg" width="320" /></a></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="IN">ASUHAN KEPERAWATAN PADA TN.P DENGAN</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="IN">ANEMIA DENGAN INDIKASI MELENA</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="IN">DI RUANG FLAMBOYAN</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="IN">RSU KUDUS</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><b><span lang="IN"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Pengkajian</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;"><span lang="IN">Pengkajian dilakukan oleh Sulimah NIM 03.0341 pada hari rabu tanggal <span> </span>19 Juli 2006 pada pukul 08.00 WIB. Di <span style="text-transform: uppercase;">r</span>uang <span style="text-transform: uppercase;">f</span>lamboyan RSUD Kudus. Informasi didapat dari allou, anamnesa, autoanamnese, catatan medis dan petugas RS.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><b><span lang="IN">Biodata</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Identitas Klien</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Nama<span> </span>:<span> </span>Tn.P</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Umur<span> </span>:<span> </span>51 tahun</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Jenis kelamin<span> </span>:<span> </span>Laki-laki</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Alamat<span> </span>:<span> </span>Mejobo Kudus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Pendidikan<span> </span>:<span> </span>SD</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Pekerjaan<span> </span>:<span> </span>Swasta</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Status<span> </span>:<span> </span>Menikah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Agama<span> </span>:<span> </span>Islam</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">No.Registrasi<span> </span>:<span> </span>500100</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Tanggal masuk<span> </span>:<span> </span>17 Juli 2006</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Diagnosa medis<span> </span>:<span> </span>Anemia dengan indikasi Melena</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Identitas Penanggungjawab </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Nama<span> </span>:<span> </span>Ny.S</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Umur<span> </span>:<span> </span>45 tahun</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Jenis kelamin<span> </span>:<span> </span>Perempuan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Alamat<span> </span>:<span> </span>Mejobo Kudus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Pekerjaan<span> </span>:<span> </span>Ibu Rumah tangga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Hub. dg keluarga<span> </span>:<span> </span>Istri klien</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><b><span lang="IN"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Riwayat Kesehatan</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Keluhan utama</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Klien lemas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Riwayat penyakit sekarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><u><span lang="IN">+</span></u><span lang="IN"> 4 hari yang lalu klien datang ke RSU Kudus dnegan keluhan lemas BAB hitam cair oleh dokter disarankan untuk rawat inap</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Riwayat penyakit yang lalu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Klien sudah pernah diobname di RS <span style="text-transform: uppercase;">m</span>ardi <span style="text-transform: uppercase;">r</span>ahayu 1x dengan penyakit yang sama. (Anemia)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Riwayat kesehatan keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Keluarga tidak ada yang menderita penyakit anemia, hipertensi, DM, asma</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="text-transform: uppercase;">p</span><span lang="IN">ola fungsional menurut <span style="text-transform: uppercase;">g</span>ordon</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="IN"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pola persepsi kesehatan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;"><span lang="IN">Menurut klien kesehatan sangat penting dan berharga, jika klien mengalami gangguan klien langsung berobat ke dokter umum</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="IN"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pola nutrisi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Sebelum sakit<span> </span>:<span> </span>Klien makan 3x sehari, makan nasi, lauk, sayur, minum <u>+</u> 8 gelas (2000 cc) per hari</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Selama sakit <span> </span>:<span> </span>Klien makan 3x sehari makan bubur, minum 5 gelas (1250 cc)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="IN"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pola eliminasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Sebelum sakit<span> </span>:<span> </span>Klien BAB 1x sehari dengan konsistensi lembek warna kuning. Klien BAK 4-5 x sehari dengan warna kuning jernih dan bau yang khas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Selama sakit <span> </span>:<span> </span>Klien BAB 3x sehari dengan konsistensi cair warna hitam. Klien BAK 4-5x sehari dengan warna kuning jernih dan bau yang khas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="IN"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pola aktivitas dan latihan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Sebelum sakit<span> </span>:<span> </span>Sebelum sakit klien melakukan aktivitas sehari-hari dengan mandiri</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Selama sakit <span> </span>:<span> </span>Klien melakukan aktivitas dibantu keluarga dan perawat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="IN"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pola kognitif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Sebelum sakit<span> </span>:<span> </span>Klien memandang kesehatan adalah hal yang penting. Klien bisa berfikir dan bertindak dan bisa menyelesaikan masalahnya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Selama sakit <span> </span>:<span> </span>Klien masih bisa berpikir dan mengambil keputusan jika ada sesuatu masalah klien membicarakannya dengan perawat dan petugas Rumah Sakit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="IN"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pola istirahat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;"><span lang="IN">Sebelum sakit<span> </span>:<span> </span>Klien tidur mulai jam 21.00-05.00 WIB</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Selama sakit <span> </span>:<span> </span>Selama sakit klien tidur mulai jam 21-00 sebentar-sebentar bangun karena perut mules</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="IN"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pola konsep diri</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Identitas diri<span> </span>:<span> </span>Klien adalah seorang kepala rumah tangga yang bekerja di sebuah kota</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Ideal diri <span> </span>:<span> </span>Harapan klien setelah pulang dari RS klien dapat bekerja lagi untuk menafkahi keluarganya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Harga diri<span> </span>:<span> </span>Klien tidak malu dengan keadaan di RS sekarang ini.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;"><span lang="IN">Gambaran diri<span> </span>:<span> </span>Klien merasa sedih tentang penyakitnya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="IN"><span>h.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pola hubungan dan peran</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;"><span lang="IN">Sebelum sakit<span> </span>:<span> </span>Hubungan dengan keluarga baik dan harmonis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 150pt; text-align: justify; text-indent: -90.45pt;"><span lang="IN">Selama sakit <span> </span>:<span> </span>Hubungan dengan keluarga baik dengan perawat dan dengan pasien di sekitarnya baik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="IN"><span>i.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pola reproduksi dan seksual</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;"><span lang="IN">Klien menikah dan mempunyai anak 5</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="IN"><span>j.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Koping terhadap stres</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;"><span lang="IN">Klien setiap ada masalah dibicarakan dengan keluarga dan perawat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="IN"><span>k.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Keyakinan / kepercayaan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify;"><span lang="IN">Klien beragama <span style="text-transform: uppercase;">i</span>slam dan selalu berdoa untuk kesembuhannya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>C.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Pemeriksaan Fisik</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Keadaan umum lemah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tingkat kesadaran composmentis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanda-tanda vital : TD 100/60 mmHg, suhu 37<sup>0</sup>C, N : 80 x/mnt,<span> </span>RR : 20 x/mnt</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kepala : mesochepal</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Rambut<span> </span>:<span> </span>Beruban, tidak berketombe, tidak berminyak</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 156pt; text-align: justify; text-indent: -120pt;"><span lang="IN">Mata<span> </span>:<span> </span>Konjungtiva anemis, sklera mata tidak ikteris, reflek pupil terhadap cahaya baik dan tidak menggunakan alat bantu pengelihatan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 156pt; text-align: justify; text-indent: -120pt;"><span lang="IN">Hidung<span> </span>:<span> </span>Simetris, tidak ada sekret</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 156pt; text-align: justify; text-indent: -120pt;"><span lang="IN">Telinga<span> </span>:<span> </span><span style="text-transform: uppercase;">s</span>imetris, bersih tidak ada serumen</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 156pt; text-align: justify; text-indent: -120pt;"><span lang="IN">Mulut<span> </span>:<span> </span>Bibir lembab, tidak ada sariawan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 156pt; text-align: justify; text-indent: -120pt;"><span lang="IN">Leher dan tenggorok <span> </span>:<span> </span>Tidak ada pembesaran kelenjar tiroid</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Dada dan thorak</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><b><span lang="IN">Paru-paru <span> </span></span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Inspeksi<span> </span>:<span> </span>Pengembangan nafas kanan dan kiri simetris </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Perkusi<span> </span>:<span> </span>Sonor</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Palpitasi <span> </span>:<span> </span>Tidak ada krepitasi paru</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Auskultasi<span> </span>:<span> </span>Vesikuler</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><b><span lang="IN">Jantung</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Inspeksi<span> </span>:<span> </span><i>Ictus cordis</i> tidak tampak</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Perkusi<span> </span>:<span> </span>Pekak</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 156pt; text-align: justify; text-indent: -120pt;"><span lang="IN">Palpitasi <span> </span>:<span> </span>Ictus cordis teraba pada IC-5 garis tengah klavikula kiri</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Auskultasi<span> </span>:<span> </span>S1-S2 murni</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><b><span lang="IN">Abdomen <span> </span><span> </span></span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Inspeksi<span> </span>:<span> </span>Perut cembung</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Perkusi<span> </span>:<span> </span>Pekak</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Palpitasi <span> </span>:<span> </span>Teraba nyeri pada ulu hati</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Auskultasi<span> </span>:<span> </span>Bunyi normal</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Genital bersih</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="height: 100px; left: 0px; margin-left: 53px; margin-top: 49px; position: absolute; width: 100px; z-index: 251654656;"> <table cellpadding="0" cellspacing="0"><tbody>
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</div></div></td> </tr>
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</tbody></table></span><span lang="IN">Ekstremitas : tidak ada oedema, ektremitas atas karena terpasang infus normal saline + drip ranitidin 20 tts/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="6" width="69"><br />
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</tbody></table></span><span lang="IN"> </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
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</div><br clear="ALL" /> <div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>D.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Data <span style="text-transform: uppercase;">p</span>enunjang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Laboratorium dilakukan tanggal 17 Juli 2006</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><b><span lang="IN">Darah rutin</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">WBC<span> </span>:<span> </span>8,7<span> </span>10<sup>3</sup>/mm<sup>3<span> </span></sup>(3,5-10,0)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">RBC<span> </span>:<span> </span>2,87<span> </span>10<sup>6</sup>/mm<sup>3</sup><span> </span>(3,80-5,80)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">HGB<span> </span>:<span> </span>7,9<span> </span>g/dl<span> </span>(11,0-16,5)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">HCT<span> </span>:<span> </span>25,1<span> </span>%<span> </span>(35,0-50,0)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">PLT<span> </span>:<span> </span>173<span> </span>10<sup>3</sup>/mm<sup>3</sup><span> </span>(150-390)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">PCT<span> </span>:<span> </span>153<span> </span>%<span> </span>(100-500)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><b><span lang="IN">Kimia darah</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">GDS<span> </span>:<span> </span>149<span> </span>mg/dl<span> </span>(70-150)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Ureum:<span> </span>:<span> </span>29,5<span> </span>mg/dl<span> </span>(11,0-55,0)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Creatinin<span> </span>:<span> </span>1,5<span> </span><span> </span>mg/dl<span> </span>(0,6-1,36)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN" style="text-transform: uppercase;">s</span><span lang="IN">GOT<span> </span>:<span> </span>34<span> </span>U/L<span> </span>(<37)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">SGPT<span> </span>:<span> </span>28<span> </span>U/L<span> </span>(<41)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Uric acid<span> </span>:<span> </span>6,7 <span> </span>mg/dl<span> </span>(2,6-7,2)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Therapi lain</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Ulsidex 3 x 2 tablet (oral, jam 08.00, 16.00, 24.00 WIB)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Ranitidin 2 x 1 ampul drip 1 jam</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN">Infus NS (Normal salin)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><b><span lang="IN"><span>C.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Analisa Data</span></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt; width: 504px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 183.7pt;" valign="top" width="245"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="IN">Data</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 106.15pt;" valign="top" width="142"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="IN">Etiologi</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 88.15pt;" valign="top" width="118"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="IN">Problem</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 183.7pt;" valign="top" width="245"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">DS : Klien mengatakan lemas</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">DO : Klien terlihat pucat</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN"><span> </span>Hb (7,9) g/dl</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN"><span> </span>Capiler refil < 2 detik</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN"><span> </span>Turgor kulit <</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 106.15pt;" valign="top" width="142"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Hb turun</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 88.15pt;" valign="top" width="118"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Gangguan perfusi jaringan</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 183.7pt;" valign="top" width="245"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span lang="IN">DS</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien mengatakan perut merasa sebah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien mengatakan nyeri pada waktu BAB, nyeri seperti ditusuk-tusuk pada ulu hati dengan skala 4. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien mengatakan nyerinya kira-kira 2 menit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span lang="IN">DO</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">BAB klien 3x sehari</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Skala nyeri 4</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien tampak lemah</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 106.15pt;" valign="top" width="142"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Iritasi pada mukosa lambung</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 88.15pt;" valign="top" width="118"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Nyeri</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 183.7pt;" valign="top" width="245"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span lang="IN">DS</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien mengatakan lemas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien mengatakan pandangan kabur</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span lang="IN">DO</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien tampak pucat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien tampak lemah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hb (7,9) g/dl</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 106.15pt;" valign="top" width="142"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Ketidakseimbangan antara suplai O<sub>2</sub> dengan kebutuhan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 88.15pt;" valign="top" width="118"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Intoleransi aktifitas</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><b><span lang="IN"><span>D.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Diagnosa Keperawatan</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Gangguan perfusi jaringan berhubungan dengan Hb turun</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Nyeri berhubungan dengan iritasi pada mukosa lambung</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Intoleransi aktivitas berhubungan dengan ketidakseimbangan antara suplai O<sub>2</sub> dengan kebutuhan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><b><span lang="IN"><span>E.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Intervensi</span></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt; width: 502px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 25.5pt;" width="34"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">No</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 48.15pt;" width="64"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Hari/tgl</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 28.35pt;" width="38"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">No</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">dx</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 120pt;" width="160"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Tujuan dan kreteria hasil</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 120pt;" width="160"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Intervensi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 34.15pt;" width="46"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">TTD</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 25.5pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 48.15pt;" valign="top" width="64"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Rabu</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">19 juli</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">2006</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Jam </span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">11.00</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">WIB</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 28.35pt;" valign="top" width="38"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">I</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 120pt;" valign="top" width="160"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Setelah dilakukan tindakan keperawatan selama 1x24 jam agar sirkulasi darah klien ke organ tubuh meningkat</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span lang="IN">Kreteria Hasil</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Warna kulit tidak pucat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hb meningkat (11,0-16,5)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 120pt;" valign="top" width="160"> <div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor TTV</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Jaga kehangatan klien</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Bantu dan anjurkan pasien untuk merubah posisi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor Hb</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ambil sampel darah </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kolaborasi pemberian tramfusi darah</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 34.15pt;" valign="top" width="46"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 25.5pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 48.15pt;" valign="top" width="64"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Rabu</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">19 juli</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">2006</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Jam</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">11.30</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">WIB</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 28.35pt;" valign="top" width="38"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">II</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 120pt;" valign="top" width="160"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Setelah dilakukan tindakan keperawatan selama 1 x 24 jam nyeri berkurang / hilang.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Kreteria Hasil</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Keluhan nyeri berkurang</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ekpresi wajah tenang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Tanda-tanda vital normal</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 120pt;" valign="top" width="160"> <div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kaji karakteristik nyeri</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Anjurkan teknik relaksasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor TTV</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Berikan posisi yang nyaman</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Libatkan keluarga dalam mengatur posisi yang nyaman</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 34.15pt;" valign="top" width="46"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 25.5pt;" valign="top" width="34"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 48.15pt;" valign="top" width="64"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Rabu</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">19 juli</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">2006</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Jam</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">11.45</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">WIB</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 28.35pt;" valign="top" width="38"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">III</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 120pt;" valign="top" width="160"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Setelah dilakukan tindakan keperawatan selama 1x24 jam intoleransi aktivitas teratasi</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span lang="IN">Kreteria Hasil</span></b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Klien ke kamar mandi sendiri tanpa bantuan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 120pt;" valign="top" width="160"> <div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Anjurkan klien beraktivitas secara bertahap</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Anjurkan duduk saat klien pusing</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Libatkan keluarga dalam pemenuhan aktivitas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Ciptakan lingkungan yang tenang dan nyaman</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 34.15pt;" valign="top" width="46"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><b><span lang="IN"><span>F.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN">Implementasi</span></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt; width: 504px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 40.8pt;" width="54"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Hari/tgl</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 46.6pt;" width="62"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">No dx</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 144.65pt;" valign="top" width="193"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Implementasi<span style="text-transform: uppercase;"></span></span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 111.8pt;" valign="top" width="149"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Respon</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 34.15pt;" valign="top" width="46"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">TTD</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 40.8pt;" valign="top" width="54"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Rabu</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">19 juli</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">2006</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Jam</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">11.00</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">WIB</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.6pt;" valign="top" width="62"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">I</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 144.65pt;" valign="top" width="193"> <div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memonitor TTV</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Membantu dan menganjurkan klien untuk merubah posisi</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memonitor warna kulit</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memonitor Hb</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mengambil sampel darah</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kolaborasi pemberian tranfusi darah</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 111.8pt;" valign="top" width="149"> <div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">TTV</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify;"><span lang="IN">TD : 100/60 mmHg</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify;"><span lang="IN">S : 37<sup>0</sup>C</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify;"><span lang="IN">N : 80 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17.85pt; text-align: justify;"><span lang="IN">RR : 20 x/menit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien mau melakukan perubahan posisi miring kanan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Warna kulit klien tampak pucat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hb 7,9 g/dl</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien mau diambil darahnya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien mendapat tranfusi darah PRC</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 34.15pt;" valign="top" width="46"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 40.8pt;" valign="top" width="54"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Rabu</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">19 juli</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">2006</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Jam</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">11.30</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">WIB</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.6pt;" valign="top" width="62"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">II</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 144.65pt;" valign="top" width="193"> <div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mengkaji karakteristik nyeri</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Mengajarkan teknik relaksasi</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Memberikan posisi yang nyaman</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Melibatkan keluarga dalam mengatur posisi yang nyaman</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 111.8pt;" valign="top" width="149"> <div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien merasa nyeri di ulu hati</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien mau melakukan tarik nafas dalam</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien dalam posisi nyaman duduk</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Keluarga mau membantu klien</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 34.15pt;" valign="top" width="46"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 40.8pt;" valign="top" width="54"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Rabu</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">19 juli</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">2006</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Jam</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">11.45</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">WIB</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.6pt;" valign="top" width="62"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">III</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 144.65pt;" valign="top" width="193"> <div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menganjurkan klien beraktivitas secara bertahap</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menganjurkan klien duduk saat pusing</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Menciptakan lingkungan yang tenang dan nyaman </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 111.8pt;" valign="top" width="149"> <div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien mengatakan mau beraktivitas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Klien terlihat duduk</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Membatasi pengunjung </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 34.15pt;" valign="top" width="46"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="IN"><span>G.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Evaluasi </span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt; width: 504px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 48pt;" width="64"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Hari/tgl</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 42pt;" width="56"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">No dx</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 3.5in;" valign="top" width="336"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">Evaluasi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">TTD</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 48pt;" valign="top" width="64"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Kamis</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">20 juli</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">2006</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Jam</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">11.00</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">WIB</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 42pt;" valign="top" width="56"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">I</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 3.5in;" valign="top" width="336"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">S : Klien mengatakan mau diambil darahnya</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">O : Darah sudah diambil 2 cc</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">A : Masalah teratasi sebagian</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">P : Lanjutkan intervensi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Hb</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Monitor</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Warna kulit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="IN"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Kolaborasi pemberian tranfusi darah</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 48pt;" valign="top" width="64"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Kamis</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">20 juli</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">2006</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Jam</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">11.30</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">WIB</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 42pt;" valign="top" width="56"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">II</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 3.5in;" valign="top" width="336"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.45pt; text-align: justify; text-indent: -18.45pt;"><span lang="IN">S : Klien mengatakan sudah nyaman dalam posisi duduk</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">O : Wajah klien tampak rilek</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">A : Masalah teratasi sebagian</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">P : Lanjutkan intervensi</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN"><span> </span>Lanjutkan teknik relaksasi </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 48pt;" valign="top" width="64"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Kamis</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">20 juli</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">2006</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">Jam</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">11.45</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">WIB</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 42pt;" valign="top" width="56"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN">III</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 3.5in;" valign="top" width="336"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">S : Klien mengatakan mau beraktivitas</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">O : Klien terlihat duduk</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">A : Masalah teratasi sebagian</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN">P : Lanjutkan intervensi</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="IN"><span> </span>Batasi pengunjung</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;"><br />
</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com1tag:blogger.com,1999:blog-1429001556594676224.post-86770475844048588472011-12-14T17:10:00.000-08:002011-12-14T17:10:17.162-08:00ADAPTASI FISIOLOGI IBU HAMIL<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowComments/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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</style> <![endif]--> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>BAB I</b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b>ADAPTASI FISIOLOGI IBU HAMIL</b></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-indent: -17pt;"><b><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>PENGERTIAN</b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;">Pengertian ibu hamil adalah Suatu proses fisiologis yang normal, terjadi bila ada pertemuan dan persenyawaan antara ovum dan sperma yang dalam pembuahan tersebut menghasilkan zigot yang dalam perjalanannya mengalami pembelahan melalui beberapa stadium.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;">Keadaan kesehatan fisik dan mental ibu sebelum dan selama hamil berpengaruh terhadap keadaan jasmani dan waktu melahirkan. Banyaknya perubahan-perubahan pada waktu kehamilan muda dan rangka mempersiapkan kebutuhan untuk mempersiapkan pertumbuhan janin.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><b><span lang="SV">B. PERUBAHAN FISIOLOGIS PADA IBU HAMIL</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sistem reproduksi</div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Suplai darah </span><span style="font-family: Wingdings;"><span>à</span></span><span lang="SV"> meningkat disebabkan oleh peningkatan kadar hormon steroid seksual.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Vaskulasi tersebut memberikan suplai darah yang banyak bagi perkembangan janin, tanda-tanda khas pada organ dan berbagai gejala pada wanita.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Serviks </span><span style="font-family: Wingdings;"><span>à</span></span><span lang="SV"> lebih lunak (tanda Goodell’s) dan dipenuhi dengan mukus (operkulum) berubah menjadi bentuk oval setelah kehamilan pertama.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Uterus </span><span lang="SV" style="font-family: Wingdings;"><span>à</span></span><span lang="SV"> perubahan yang sangat dalam bentuk, ukuran, dan kekebalan dinding disokong oleh Ligamen yang menahan ditempatnya, melemah pada minggu ke-8 (tanda Hegar’s)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Vagina </span><span lang="SV" style="font-family: Wingdings;"><span>à</span></span><span lang="SV"> bercak keunguan (tanda chadwick) pada minggu ke-8 disebabkan oleh, meningkatnya Vaskularisasi, sebagai Leukorrhea kehamilan dan meningkatkan rangsangan seksual.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sistem Integumen</div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Payudara </span><span style="font-family: Wingdings;"><span>à</span></span><span lang="SV"> nyeri tekan, membesar, kolostrum, areola menjadi lebih gelap</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kulit</div><div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Steriae gravidarum </span><span style="font-family: Wingdings;"><span>à</span></span><span lang="SV"> peregangan jaringan yang menyebabkan rasa gatal dan meninggalkan bekas</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="FI"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Pigmentasi </span><span lang="SV" style="font-family: Wingdings;"><span>à</span></span><span lang="FI"> terjadi penumpukan sementara pada midline abdomen (linea nigra), pada wajah (chloasma), dan pada areola</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span>3).<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span lang="FI">Sekresi kelenjar lemak dan perspirasi meningkat selama kehamilan, memerlukan mandi lebih sering</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sistem Endokrin</div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Ovarium dan Plasenta </span><span style="font-family: Wingdings;"><span>à</span></span><span lang="SV"> Korpus luteum membentuk estrogen dan progresteron, plasenta membentuk juga h<span style="text-transform: uppercase;">CG</span>, hPL dan hCT.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="FI"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Kelenjar tiroid </span><span lang="SV" style="font-family: Wingdings;"><span>à</span></span><span lang="FI"> membesar selama kehamilan, tetapi jumlah tiroksin tetap konstan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pankreas </span><span lang="SV" style="font-family: Wingdings;"><span>à</span></span><span lang="SV"> pembentukan Insulin meningkat selama kehamilan, tetapi jumlah glikogen terbatas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kelenjar Pituitari </span><span lang="SV" style="font-family: Wingdings;"><span>à</span></span><span lang="SV"> FSH ditekan oleh hCG yang dihasilkan plasenta, prolaktin meningkat selama kehamilan dan laktasi, oksitosin meningkat dan menstimuli kontraksi otot uterus.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kelenjar adrenal </span><span lang="SV" style="font-family: Wingdings;"><span>à</span></span><span lang="SV"> kortin meningkat tetapi epineprin tetap konstan.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Sistem Kardiovaskuler</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Volume darah meningkat 30% sampai 50% tetapi tekanan darah tidak berubah. Pembentukan sel-sel darah merah meningkat tetapi karena terjadi hemodilalussi, maka berkembang psedoanemia : penekanan pada Vena kava menyebabkan gejala sindrom supine hipotensi : stasis Vena dan Vibrin meningkat membuat wanita lebih mudah mengalami trombosit.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><span lang="SV"><span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Sistem Muskulo Skeletal</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Gigi, tulang dan sendi – kebutuhan kalium dan natrium</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Meningkat : karies gigi tidak disebabkan oleh dekolsifikasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Otot-otot yang kram merupakan masalah umum</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Sistem Pernafasan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Paru : dan pernafasan – letak diafragma berubah karena pertumbuhan janin : tidal meningkat, meningkat O<sub>2</sub> dalam darah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Membran mukosa – pembengkakan umum terjadi, menyebabkan hidung tersumbat, serak, disprea.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Sistem Gastrointestinal</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Asam lambung menurun : mual muntah merupakan hal umum pada awal kehamilan; melambatnya peristaltik menyebabkan lambung , konstipasi dan nyeri ulu hati umum terjadi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Sistem Perkemihan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Ginjal yang normal mampu mengatasi kerja tambahan tanpa menyebabkan masalah tekanan karena pertumbuhan janin menyebabkan stosis urin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Sering berkemih pada awal masa kehamilan disebabkan karena penekanan uterus pada kandung kemih</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Sistem Persyarafan </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Saraf perifer</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Tidak terdapat perub</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Otak</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Tidak terdapat perubahan fisik, tetapi dipertimbangkan penyesuaian psikis</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Penambahan BB (berat badan)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Berat badan bertambah 25-40- pon</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span lang="SV">C. Perubahan Psikologis pada ibu hamil</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Menerima kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kesiapan menyambut kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify;"><span lang="SV">Wanita yang siap menerima suatu kehamilan akan dipicu gejala-gejala awal untuk mencari validansi medis tentang kehamilannya. Beberapa wanita yang memiliki perasaan kuat, seperti ”tidak senang”, bukan saya dan tidak yakin, mungkin menunda mencari pengawasan dan perawatan. Namun, beberapa wanita menunda validasi medis karena akses keperawatan terbatas, merasa malu, atau karena alasan budaya, kehamilan dipandang sebagai suatu peristiwa alami, sehingga tidak perlu mencari validasi medis dini.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify;"><span lang="SV">Setelah kehamilan dipastikan, respons emosi wanita dapat bervariasi, dari perasaan sangat gembira sampai syok, tidak yakin dan putus asa. Reaksi yang diperhatikan banyak wanita ialah respons ”suatu hari nanti, tetapi tidak sekarang”.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Respon emosional</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify;"><span lang="SV">Wanita yang bahagia dan senang dengan kehamilannya sering memandang hal tersebut sebagai pemenuhan biologis dan merupakan bagian dari rencana hidupnya. Rasa senang yang timbul karena memikirkan anak yang lahir dan perasaan dekat dengan anak membantu Ibu menyesuaikan diri terhadap rasa tidak nyaman.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Respon terhadap perubahan citra tubuh</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify;"><span lang="SV">Selama trimester pertama bentuk tubuh sedikit berubah. Sikap wanita terhadap tubuhnya diduga dipengaruhi oleh nilai-nilai yang diyakininya dan sifat pribadinya. Sikap ini sering berubah seiring kemajuan kehamilan. Pada kebanyakan wanita perasaan suka atau tidak suka terhadap tubuh mereka dalam keadaan hamil bersifat sementara dan tidak menyebabkan perubahan persepsi yang permanen tentang diri mereka.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Ambivalensi selama masa hamil</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify;"><span lang="SV">Ambivalensi didefinisikan sebagai konflik perasaan yang simultan, seperti cinta dan benci terhadap seseorang, sesuatu atau suatu keadaan. Ambivalensi adalah respon normal yang dialami individu yang mempersiapkan diri untuk suatu peran baru. Kebanyakan wanita memiliki sedikit perasaan ambivalen selama kehamilan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Upacara tanda kedewasaan </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify;"><span lang="SV">Kehamilan berfungsi sebagai upacara tanda kedewasaan tanda bahwa seseorang mencapai maturitas dalam suatu masyarakat yang tidak memiliki upacara lain. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Mengenal peran ibu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Proses mengidentifikasi peran ibu dimulai pada awal setiap kehidupan seorang wanita, yakni melalui memori-memori dan ketika ia sebagai anak, diasuh oleh ibunya. Banyak wanita selalu menginginkan seorang bayi, menyukai anak-anak, dan menanti untuk menjadi orang tua. Hal ini mempengaruhi penerimaan mereka terhadap kehamilan dan akhirnya terhadap adaptasi prenatal dan adaptasi menjadi orang tua.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Hubungan ibu-anak perempuan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV">Hubungan antara wanita dan ibunya terbukti signifikan dalam adaptasi terhadap kehamilan dan menjadi Ibu. Keberadaan Ibu disisi anak perempuannya selama selama masa kanak-kanak sering kali berarti ibu juga akan hadir dan mendukung selama anaknya hamil. Dengan ikatan keibuan yang sama dan sikap siap membantu satu sama lain, subjek yang sering dideskripsikan sebagai, keakraban timbul dan memfasilitasi perkembangan dan adaptasi kedua individu.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 35pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Hubungan dengan pasangan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Hubungan seksual</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify;"><span lang="SV">Ekspresi seksual selama masa hamil bersifat individual. Beberapa pasangan menyatakan puas dengan hubungan seksual mereka, sedangkan yang lain mengatakan sebaliknya. Perasaan yang berbeda dipengaruhi oleh faktor-faktor fisik emosi dan interaksi, termasuk takhayul tentang seks masa hamil, masalah disfungsi seksual dan perubahan fisik pada wanita.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kekhawatiran tentang janin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 63pt; text-align: justify;"><span lang="SV">Kekhawatiran pertama timbul pada trimester I dan berkaitan dengan kemungkinan terjadinya keguguran. Ketika janin semakin menjadi jelas, yang terlihat dengan adanya gerakan dan denyut jantung, kecemasan orang tua yang terutama ialah kemungkinan cacat pada anaknya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><b><span lang="SV"><span>C.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="SV">TANDA- TANDA DUGAAN KEHAMILAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Amenorea (terlambat datang bulan)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Konsepsi dan nidasi menyebabkan tidak terjadi pembentukan folikel degraf dan ovulasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Mengetahui tanggal haid terakhir ditentukan perkiraan persalinan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="EN-GB"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="EN-GB">Mual (Nausea) dan muntah (emesis)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pengaruh estrogen dan progesteron terjadi pengeluaran asam lambung yang berlebih</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Menimbulkan mual dan muntah terutama pagi hari (morning sickness)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Dalam batas yang fisiologis keadaan ini dapat diatasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Akibat mual muntah nafsu makan berlebihan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Ngidam </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify;"><span lang="SV">Wanita hamil sering menginginkan makanan tertentu, keinginan yang demikian disebut Ngidam</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Sinkope atau Pingsan </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Terjadinya gangguan sirkulasi ke darah kepala (sentral) menyebabkan iskemia susunan saraf pusat dan menimbulkan sinkop / pingsan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="FI"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Keadaan ini menghilang setelah umur kehamilan 16 minggu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Payudara tegang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pengaruh estrogen-progresteron dan somatomamotropin menimbulkan lemak, air dan garam payudara</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Payudara membesar dan tegang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Ujung syaraf tertekan menyebabkan rasa sakit terutama pada hamil pertama</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Sering miksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Desakan rahim kedepan menyebabkan kandung kemih cepat terasa penuh dan sering miksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pada triwulan ke-2 sudah hilang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Konstipasi atau obstipasi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify;"><span lang="SV">Pengaruh progresteron dapat menghambat peristaltik usus menyebabkan kesulitan buang air besar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pigmentasi kulit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Sekitar pipi : Chiloasoma gravidarum</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Keluarnya ”melaphorne stimulating hormone” hipofisis anterior menyebabkan pigmentasi kulit pada kulit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Dinding perut</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Striae lividae</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Striae nigra</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Linea alba makin hitam</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Sekitar payudara</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Hiperpigmentasi areola mamae</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Puting susu makin menonjol</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kelenjar montgomery menonjol pembuluh darah manifes sekitar payudara</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Epulsi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify;"><span lang="SV">Hipertrofi gusi (epulsi) dapat terjadi bila hamil</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>12.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Varices / penampakan pembuluh darah vena</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Karena pengaruh dari estrogen dan progresteron terjadi penampakan pembuluh darah vena, terutama bagi mereka yang mempunyai bakat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Penampakan pembuluh darahh itu terjadi di sekitar genetala eksterna, kaki, betis dan payudara</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Penampakan pembuluh darah ini menghilang setelah persalinan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><b><span lang="SV"><span>D.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="SV">TANDA KEHAMILAN TIDAK PASTI</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Rahim membesar, sesuai dengan tuanya kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pada Px dalam dijumpai : </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Tanda Hegar</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Tanda Chadwicks</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Tanda piscaseck</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kontraksi Braxron Hicks</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Teraba ballotement</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Px tes biologi kehamilan positif</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 0.5in;"><span lang="SV">Sebagian kemungkinan positif palsu</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><b><span lang="SV"><span>E.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="SV">TANDA KEHAMILAN PASTI</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><span lang="SV">Tanda-tanda kehamilan dapat ditentukan dengan jalan :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Gerakan janin dalam rahim</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Terlihat / teraba gerakan janin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Teraba bagian-bagian janin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Djj</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Auskultasi : Stetoskop laenec, alat kardiotokografi, Doppler</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Ulstrasonografi :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>1).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Gastation sac<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 79.4pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>2).<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Fetal Plate </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 59.55pt; text-align: justify; text-indent: -22.7pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Abdominal foto : - Kerangka janin terlihat</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><span lang="SV" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV">ASUHAN KEPERAWATAN</span></b></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span lang="SV">Pengkajian </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Riwayat kehamilan pertama </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Tidak memiliki penyakit keturunan (DM, Hipertensi)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Tidak memiliki alergi / penyajkit kronis (asma, ginjal)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Tidak memiliki kelaiann fisik (pincang / mengindikasikan detak struktural pada pelvis)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kaji pengetahuan tentang perubahan fisik dan psikologis kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="FI"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Kaji tentang kebutuhan nutrisi / pol amkan selama kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="FI"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Kaji suhu, TD, nadi, RR, BB, intake-output cairan, turgor kulit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kaji perasan klien : cemas, senang, keyakinan budaya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kaji kondisi lingkungan keluarga dan keuangan, pendidikan, kebudayaan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span lang="SV">Analisa Data </span></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; width: 547px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 28.5pt;" valign="top" width="38"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">No.</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 195.3pt;" valign="top" width="260"> <div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">Data </span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 186.6pt;" valign="top" width="249"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">Diagnosa Keperawatan </span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 28.5pt;" valign="top" width="38"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">1.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 195.3pt;" valign="top" width="260"> <div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DS : <span> </span>Klien mengatakan mual, pusing, lemah, tidak nafsu makan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DO :<span> </span>Klien muntah, tampak pucat </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 186.6pt;" valign="top" width="249"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">Gangguan perubahan nutrisi kurang dari kebutuhan tubuh berhubungan dengan intake tidak adekuat, anareksia mual. </span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 28.5pt;" valign="top" width="38"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">2.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 195.3pt;" valign="top" width="260"> <div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DS : <span> </span>Klien mengatakan lemas, muntah sebanyak 4 kali, (a) = 1 bengkak kuning. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DO :<span> </span>Adanya peningkatan suhu, tekanan drah naik, membran mukosa kering, penurunan turgor kulit tidak terlihat jelas.<span> </span></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 186.6pt;" valign="top" width="249"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">Kekurangan volume cairan berhubungan dengan output cairan berlebih<span> </span></span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 28.5pt;" valign="top" width="38"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">3.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 195.3pt;" valign="top" width="260"> <div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DS : <span> </span>- Klien mengatakan cemas terahdap kehamilannya akan membuat suami berubah karena perubahan tubuh. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">- Klien mengatakan bahwa kondisi yang dialaminya sebagai kondisi yang normal sehingga ia tidak memperdulikannya </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DO :<span> </span>- Penurunan aktifitas perawatan diri </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">- Kehilangan cairan berlebihan<span> </span></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 186.6pt;" valign="top" width="249"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">Kurang pengetahuan berhubungan dengan kurang pemahaman tentang perubahan fisiologis / psikologis kehamilan. </span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 28.5pt;" valign="top" width="38"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">4.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 195.3pt;" valign="top" width="260"> <div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DS : <span> </span>Klien mengatakan tidak pernah tidur siang dan setiap malam selalu terjaga. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="FI">DO :<span> </span>Klien tampak pucat dan kurang istirahat.<span> </span></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 186.6pt;" valign="top" width="249"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">Resiko tinggi keletihan berhubungan dengan peningkatan metabolisme </span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 28.5pt;" valign="top" width="38"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">5.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 195.3pt;" valign="top" width="260"> <div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DS : <span> </span>Klien mengatakan sudah tiga hari tidak BAB </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DO :<span> </span>Adanya timbunan masa yang teraba saat palpasi pada usus besarnya.<span> </span></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 186.6pt;" valign="top" width="249"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">Resiko tinggi konsipatsi berhubungan dengan peningkatan hormon progesteron. </span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span lang="SV">Prioritas Masalah </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Defisit volume cairan berhubungan dengan output cairan berlebih ditandai dengan muntah 4 x dan 1 bengkak kuning.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Gangguan perubahan nutrisi kurang dari kebutuhan tubuh berhubungan dengan intake tidak adekuat ditandai dengan anoreksia, maul, muntah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kurang pengetahuan berhubungan dengan kurang pemahaman tentang perubahan fisiologis / psikologis kehamilan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Resiko tinggi konsipatsi berhubungan dengan peningkatan hormon progesteron.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Resiko tinggi keletihan berhubungan dengan peningkatan metabolisme</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: -48.6pt; width: 635px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 0.75in;" width="72"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">No. Dx.</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" width="168"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Standar dan Kriteria</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 107.2pt;" width="143"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Intervensi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 189pt;" width="252"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Rasional</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">1.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="FI">Setelah dilakukan tindakan rehidrasi cairan selama 2 x 24 jam diharapkan klien :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="FI"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Mampu melakukan tindakan untuk menurunkan frekuensi dan keparahan mual / muntah </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="FI"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Mengkonsumsi cairan dengan jumlah yang sesuai setiap hari .</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><span lang="SV">Tentukan frekuensi / beratnya mual / muntah </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="SV"><span>i.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV"> </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="SV"><span>ii.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Memberikan data berkenaan dengan semua kondisi. Peningaktan kadar hormon gonada tropin korianik (HCG), perubahan metabolisme karbohidrat, dan penurunan mobilitas gastrrik memperberat mual dan muntah pada trimester I.</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><span lang="SV">Mengidentifikasi tanda gejala dehidrasi yang memerlukan tindakan </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><span lang="FI">Tinjauan ulang riwayat kemungkinan masalah medis lain (ulkus peptiku, gastritis, kolesistis).</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><span lang="FI">Membantu dalam menyensampingkan penyebab lain untuk mengatasi masalah khusus dalam mengidentifikasi intervensi. </span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><span lang="FI">Anjurkan klien mempertahankan masukan / tiduran tes urin dan penurunan berat badan setiap hari (rujuk MK : kehamilan, DK : nutrisi, perubahan, kekurangan dari kebutuhan tubuh) </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><span lang="SV">Membantu dalam menentukan adanya muntah yang tidak dikontrol (hiperemesis gravidarum). Pada awalnya muntah dapat mengakibatkan alkalosis, dehidrasi dan ketidakseimbangan elektrolit, muntah yang tidak dapat diatasi/yang berat dapat menimbulkan asidosis, memerlukan intervensi lanjut.</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><span lang="SV">Kaji suhu dan turgor kulit, membran mukosa, TD, suhu, masukan/ haluaran dan berat jenis urin. Timbang berat badan klien dan bandingkan dengan standar</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><span lang="SV">Indikator dalam membantu untuk mengurangi tingkat kebutuhan hidrasi</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">2.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">Setelah dilakukan penkes tentang nutrisi selama 1 x 30 menit klien diharapkan mampu:</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><span lang="SV">Tentukan keadekuatan kebiasaan asupan nutrisi dulu/sekarang dengan menggunakan batasan 24 jam. Perhatikan kondisi rambut, kuku dan kulit</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><span lang="FI">Kesejahteraan janin/ ibu tergantung pada nutrisi ibu selama kehamilan sebagaimana selama 2 tahun sebelum kehamilan</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="SV"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Menjelaskan komponen diet seimbang prenatal, memberi makanan yang mengandung vitamin, mineral, protein dan besi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="SV"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Mengikuti diet yang dianjurkan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="SV"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Mengkonsumsi suplemen zat besi / vitamin sesuai resep</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="SV"><span>iii.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Menunjukkan penambahan berat badan yang sesuai (biasanya minimal 1,5 kg pada akhir trimester I). </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 2.1pt; text-align: justify;"><span lang="SV">Pastikan tingkat pengetahuan tentang kebutuhan diet</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify; text-indent: -17pt;"><span lang="SV"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Menentukan kebutuhan belajar khusus. Pada periode prenatal, laju basal meningkat 20-25% (pada kehamilan lanjut) karena peningkatan aktivitas tiroid yang berhubungan dengan pertumbuhan fetus dan jaringan pada ibu, menjadi potensial resiko terhadap klien dengan nutrisi buruk. Penambahan 800 mg zat besi diperlukan selama kehamilan untuk perkembangan jaringan ibu/janin dan kondisi janin di dalam rahim. Selama trimester ketiga, kebutuhan terhadap zat besi minimal, dan diet seimbang dengan peningkatan kebutuhan kalori biasanya adekuat. (catatan: preparat besi tidak secara umum diresepkan pada trimester III karean ini potensial menyebabkan mual)</span></div></td> </tr>
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</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="SV"><span>iv.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Berikan informasi tertulis / verbal yang tepat tentang diet pranatal dan suplemen vitamin / zat besi setiap hari </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="SV"><span>v.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Materi referensi yang dapat dipejari<span> </span>di rumah, meningkatkan kemungkinan klien memilih diet seimbang. </span></div></td> </tr>
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</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="SV"><span>vi.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Evaluasi motivasi / sikap dengan mendengar keterangan klien dan meminta umpan balik tentang informasi yang telah diberikan.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="SV"><span>vii.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Tanyakan keyakinan berkenaan dengan diet sesuai budaya dan hal-hak yang tabu selamam kehamilan</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="FI"><span>viii.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Perhatikan adanya pika/ngidam.kaji pilihan bahan bukan makanan dan tingkat motivasi untuk memakannya.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">- timbang berat badan klien ; pastikan BB pregravida biasanya.berikan informasi tentang penambahan prenatal yang optimum.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">- tinjau ulang frekuensi dan beratnya mual muntah.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">- pantau kadar Hb, Ht.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">- Ukur pembesaran uterus.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="SV"><span>ix.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Buat rujukan yang perlu sesuai indikasi (mis;ahli diet, pelayanan sosial)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="SV"><span>x.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Bila klien tidak termoyivasi untuk memperbaiki diet, evaluasi lanjut/intervensi lain mungkin dapat diindikasikan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="SV"><span>xi.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Dapat menunjukan motivasi untuk mengikuti anjuran pemberi layanan kesehatan sebagai contoh beberapa budaya menolak zat besi, meyakini bahwa ini mengeraskan tulang-tulang ibu dan membuat sulit melahirkan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="SV"><span>xii.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Memakan bahan bukan makanan pada kehamilan nungkin didasarkan pada kebutuhan psikologis, fenomena budaya, respon terhadap lapar dan / respon tubuh terhadap kebutuhan nutrisi (mis ; mengunyah es dapat menandakan anemi).catatatn ; mencerna kanji untuk pakaian dapt menimbulkan anemi defisiensi besi, dan mencerna lempung /tanah liat dapat menimbulkan gangguan fekal/BAB.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -9pt;"><span lang="SV">-<span> </span>ketidakadekuatan penambahan BB pranatal dan /dibawah BB normal masa kehamilan , meningkatkan resiko retardasi pertumbuhan intra uterin (IUGR) pada janin BB lahir rendah.penelitian menemukan adanya hubungan antara kegemukan ibu pregravid dan peningkatan morbiditas perinatal berkenaan dengan kelahiran preterm.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -9pt;"><span lang="SV">-<span> </span>Mual muntah trimester pertama dapat berdampak negatif pada status nutrisi pranatal khususnya pada periode kritis perkembangan janin.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -9pt;"><span lang="SV">-<span> </span>Mengidentifikasi adanya anemia dan potensial penurunan kapasitas pembawa oksigen ibu.klien dengan kadar Hb kurang dari 129/dl atau kadar Hb kurang atau sama dengan 37% dipertimbangkan anemia pada trimester pertama.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -9pt;"><span lang="SV">- nmal nutrisi berefek negatif terhadap pertumbuhan janin dan memperberat penurunan komplemen sel otak pada janin, yangt mengakibatkan kemunduran lebih lanjut.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 11.1pt; text-align: justify; text-indent: -11.1pt;"><span lang="SV"><span>xiii.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Mungkin diperlukan bantuan tambahan terhadap pilihan nutrisi; dapat membatasi anggaran/ keuangan.</span></div></td> </tr>
<tr style="height: 35.45pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 35.45pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;">3.</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="FI">Setelah dilakukan penkes selama 6 x 45 menit klien diharapkan mampu :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Menjelaskan perubahan fisiologis / psikologis normal berkaitan dengan kehamilan trimester I.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="FI"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Menunjukkan perilaku perawatan diri sendiri yang meningkatkan kesehatan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengidentifikasi tanda-tanda bahaya kehamilan </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Evaluasi pengetahaun dan keyakinan budaya saa ini berkaitan dengan perubahan fisiologis / psikologis yang normal pada kehamialn. Serta keyakinan tentang aktifitas, perawtan diri dan sebagainya.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Klasifikasi kesalahpahaman. </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Memberikan informasi untuk membantu mengidentifikasi kebutuhan-kebutuhan dan membuat rencana keperawatan </div><div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Ketakutan biasanya timbul dari kesalahan informasi dan dapat mengganggu pembelajaran selanjutnya. </div></td> </tr>
<tr style="height: 35.45pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 35.45pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Menjelaskan rutinitas kunjungan kantor dan rasional dari intervensi (mis: tes urin, pemantauan TD, BB), kuatkan pentingnya mempertahankan perjanjian teratur. </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Menguatkan hubungan antara pengkajain kesehatan dan hasil positif untuk ibu / bayi. Perbedaan budaya memberi tekanan pada fase kehamilan yang berbeda (mis : prenatal, kelahiran dan pascanatal), dan budaya klien mungkin tidak mempertimbangkan bahwa kunjungan prenatal penting. </span></div></td> </tr>
<tr style="height: 35.45pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 35.45pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Berikan bimbingan antisipasi meliputi diskusi tentang nutrisi latihan, tindakan yang nyaman, istirahat, pekerjaan, perawatan payudara, aktifias seksual, dan kebiasaan / gaya hidup sehat.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Informasi mendorong penerimaan tanggung jawab dan meningkatkan keinginan untuk melakuakn perawatan diri. </span></div></td> </tr>
<tr style="height: 35.45pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 35.45pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tinjauan ulang kebutuhan vitamin, besi sulfat, dan asam folat franatal.</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Membantu mempertahankan kadar Hb normal. Defisiensi asam falat memperbesar kemungkinan terkena anemia megalablastik, absrupsio plasenta, oborsi, dan malformasi janin. </div></td> </tr>
<tr style="height: 35.45pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 35.45pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Diskusikan perkembangan janin dengan menggunakan gambar. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Visualisasi meningkatkan realita akan anak dan menguatkan proses pembelajaran. </div></td> </tr>
<tr style="height: 35.45pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 35.45pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="FI"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Identifikasi tanda gejala kehamilan, seperti perdarahan, kram nyeri abdomen kuat, sakit punggung, edema, gangguan kehamilan, sakit kepala dan tekanan pelvis. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="FI"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Membantu klien membedakan yang normal dan abnormal sehingga membantunya dalam mencari perawatan kesehatan pada waktu yang tepat (tanda-tanda dan gejala merugikan dapat dipandang sebagai kejadian “normal”, untuk kehamilan dan bantuan mungkin tidak dicari). </span></div></td> </tr>
<tr style="height: 35.45pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 35.45pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="FI"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Idenfikasi hal yang membahayakan pada janin. Kaji obat-obatan yang digunakan klien (nikotin, alkohol, kokain, maryuana, dsb0 tekankan perlunya menghindari semua obat-obatan tersebut sampai dikonsultasikan dengan anggota tim kesehatan. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Janin paling rentan dalam trimester pertama selama periode kritis perkembangan organ. </span></div></td> </tr>
<tr style="height: 35.45pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 35.45pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;">4.</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="FI">Setelah dilakukan tindakan pendidikan kesehatan selama 1 x 30 menit diharapkan klien mampu : </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -0.25in;"><span lang="FI"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Mengidentifikasi perilaku gangguan memberatkan atau beresiko </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -0.25in;"><span lang="FI"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Tentukan kebiasaan dominasi sebelum kehamilan, perhatikan perubahan selama hamil. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola eliminasi dipertahankan bila mungkin peningkatan kadar progesteron merilekskan otot polos saluran Gi, mengakibatkan penurunan peristaltik dan meningkatkannya reabsorbsi air dan elektrolit, suplemen zat besi juga memperberat masalah-masalah konstipasi. </div></td> </tr>
<tr style="height: 35.45pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 35.45pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Berikan informasi diet tentang buah-buahan segar, sayuran, padi-padian, serat, makan kasar dan masukan cairan adekuat. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Bulk dan konsistensi dalam pilihan diet membantu meningkatkan keefektifan pola defekasi. </div></td> </tr>
<tr style="height: 35.45pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 35.45pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>anjurkan latihan ringan secara teratur, sepeti jalan kaki, beritahu klien supaya menghindari latihan yang lama dan keras perhatikan keyakinan budaya tentang hal ini. </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Meningkatkan parestaltik dan membantu konstipasi. Latihan keras dianggap dapat menurunkan sirkulasi uteraplasenta, kemungkinan mengakibatkan brakikardia janin, hipertemia, atau retardasi pertumbuhan pada beberapa budaya, ketidakefektifan dapat dipandnag sebagai perlindungan untuk ibu / anak. </div></td> </tr>
<tr style="height: 35.45pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 35.45pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;">5.</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="FI">Setelah dilakukan pendidikan kesehatan selama 1 x 45 menit diharapkan klien mampu :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Memodifikasi gaya hidup untuk memenuhi perubahan kebutuhan / tingkat energi.</div><div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Melaporkan adanya peningkatan energi. </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: -5.15pt; text-align: justify;"><br />
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</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12.85pt;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Identifikasi dasar yang mengakibatkan kelelahan dan area kontrol individu.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Tentukan siklus tidur bangun yang normal dan komitmen terhadap pekerjaan, keluarga, komunitas dan diri sendiri. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -12pt;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Membantu menyusun prioritas yang realistik dan waktu untuk menguji komitmen. Klien mungkin perlu untuk membuat penilaian, seperti perubahan shif krja untuk mengatasi mual pagi hari (perubahan pada shift pagi hari selanjutnya) atau memberi istirahat yang lebih, pemindahan pekerjaan / tanggung jawab rumah dan sebagainya. </span></div></td> </tr>
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</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Anjurkan tidur siang 1-2 jam setiap hari, 8 jam setiap tidur malam. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Istirahat untuk memenuhi kebutuhan metabolisme berkenaan dengan pertumbuhan jaringan ibu / janin. </div></td> </tr>
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</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 107.2pt;" valign="top" width="143"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pantau kadar Hb, jelaskan peran zat besi setiap hari sesuai indikasi. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 35.45pt; padding: 0in 5.4pt; width: 189pt;" valign="top" width="252"> <div class="MsoNormal" style="line-height: 150%; margin-left: 12.85pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kadar Hb rendah mengakibatkan kelelahan lebih besar karna penurunan jumlah pembawa oksigen (catat ; zat besi mungkin perlu dibatasi pada adnaya anemai sel sabit).</span></div></td> </tr>
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</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span lang="SV">IMPLEMENTASI</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV" style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Menanyakan kepada klien berapa kali muntah tiap harinya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV" style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Menanyakan pada klien tentang riwayat penyakit</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV" style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Menimbang berat badan klien</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="FI" style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI">Mengkaji suhu, kulit membran mukosa,tekanan darah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV" style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Memperhatikan kondisi kulit,rambut, kuku</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV" style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pastikan pengetahuan klien mengenai pengetahuanya mengenai diet</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV" style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Memberikan informasi tertulis mengenai diet ibu hamil</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV" style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pastikan adanya tanda tnda nyidam</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV" style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Membuat rujukan yang perlu sesui indikasi diintervensi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV" style="font-family: "Courier New";"><span>o<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Memberikan informasi mengenai pemberian vitamin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 17pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b>EVALUASI</b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">S : <span> </span>Klien mengatakan mual, pusing, lemah, tidak nafsu makan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">O :<span> </span>Klien muntah, tampak pucat </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DS : <span> </span>Klien mengatakan lemas, muntah sebanyak 4 kali, (a) = 1 bengkak kuning. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DO :<span> </span>Adanya peningkatan suhu, tekanan drah naik, membran mukosa kering, penurunan turgor kulit tidak terlihat jelas.<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.5in;"><span lang="SV">DS :- Klien mengatakan cemas terahdap kehamilannya akan membuat suami<span> </span>berubah karena perubahan tubuh. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -9pt;"><span lang="SV">-<span> </span> Klien mengatakan bahwa kondisi yang dialaminya sebagai kondisi yang normal sehingga ia tidak memperdulikannya </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DO :<span> </span>- Penurunan aktifitas perawatan diri </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify;"><span lang="SV">- Kehilangan cairan berlebihan<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DS : <span> </span>Klien mengatakan sudah tiga hari tidak BAB </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DO :<span> </span>Adanya timbunan masa yang teraba saat palpasi pada usus besarnya.<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">DS : <span> </span>Klien mengatakan tidak pernah tidur siang dan setiap malam selalu terjaga. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="FI">DO :<span> </span>Klien tampak pucat dan kurang istirahat. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">Analisa</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none; margin-left: 0.2in; width: 504px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="181"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Problem</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 116.1pt;" valign="top" width="155"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Etiologi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Simptom</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="181"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Devisit volume cairan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 116.1pt;" valign="top" width="155"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">Intake cairan kurang</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="FI">Kulit kering, peningkatan suhu, penurunan turgor</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="181"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Gangguan nutrisi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 116.1pt;" valign="top" width="155"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">Masukan nutrisi<span> </span>kurang</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">Kurus, rambut merah</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="181"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">Kurang pengetahuan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 116.1pt;" valign="top" width="155"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><span lang="SV">Pendidikan rendah (SD)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Cemas,gelisah</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="181"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Konstipasi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 116.1pt;" valign="top" width="155"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Makanan yang dikonsumsi kurang serat</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Tidak BAB selama 3 hari</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 135.9pt;" valign="top" width="181"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Keletihan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 116.1pt;" valign="top" width="155"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Peningkatan metabolisme</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV">Lelah, lemas, tidak bergairah</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-align: justify; text-indent: -28.4pt;"><span lang="SV">Planing</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Memberikan informasi yang cukup kepada klien tentang diet ibu hamil</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Sarankan kepada klien untuk minum yang banyak terutama air putih</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Anjurkan untuk beristirahat yang cukup</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 36.85pt; text-align: justify; text-indent: -19.85pt;"><span lang="SV"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Anjurkan mengkonsumsi makanan tinggi serat dan banyak airnya</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-14153336885844742332011-12-08T22:28:00.000-08:002011-12-08T22:28:05.479-08:00ASUHAN KEPERAWATAN KELUARGA TN. S PADA TAHAP PERKEMBANGAN ANAK DEWASA<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if !mso]> <style>
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</div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div class="MsoBodyText" style="margin-left: 18.75pt; text-indent: -18.75pt;"><b><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>PENGKAJIAN ASUHAN KEPERAWATAN KELUARGA </b></div><div class="MsoBodyText" style="margin-left: 0.25in;">Pengkajian dilakukan pada Hari Selasa, tangga 11 Mei 2004 di rumah keluarga Tn. S pukul 10.00 WIB.</div><div class="MsoBodyText" style="margin-left: 0.5in; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Data Identitas</div><div class="MsoBodyText" style="margin-left: 0.5in;">Nama KK<span> </span>: <span> </span>Tn. S</div><div class="MsoBodyText" style="margin-left: 0.5in;">Umur<span> </span>:<span> </span>48 tahun</div><div class="MsoBodyText" style="margin-left: 0.5in;">Pendidikan<span> </span>: <span> </span>SLTP</div><div class="MsoBodyText" style="margin-left: 0.5in;">Pekerjaan<span> </span>:<span> </span>Swasta </div><div class="MsoBodyText" style="margin-left: 0.5in;">Agama<span> </span>: <span> </span>Islam</div><div class="MsoBodyText" style="margin-left: 0.5in;">Suku<span> </span>: <span> </span>Jawa</div><div class="MsoBodyText" style="margin-left: 121.5pt; text-indent: -85.5pt;">Alamat<span> </span>: Kalongan Rt 16 Rw II Boyolali</div><div class="MsoBodyText" style="margin-left: 0.5in;">Daftar Anggota Keluarga</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt;"><tbody>
<tr style="height: 93.2pt; page-break-inside: avoid;"> <td style="border: 1pt solid windowtext; height: 93.2pt; padding: 0in 5.4pt; width: 27pt;" width="36"> <div align="center" class="MsoBodyText" style="text-align: center;"><b>No</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 93.2pt; padding: 0in 5.4pt; width: 49.5pt;" width="66"> <div align="center" class="MsoBodyText" style="text-align: center;"><b>Nama</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 93.2pt; padding: 0in 5.4pt; width: 40.65pt;" width="54"> <div align="center" class="MsoBodyText" style="margin: 0in 5.65pt 0.0001pt; text-align: center;"><b>Hubungan dengan<span> </span>KK</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 93.2pt; padding: 0in 5.4pt; width: 44.85pt;" width="60"> <div class="MsoBodyText"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;"><b>Umur</b></div><div class="MsoBodyText"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 93.2pt; padding: 0in 5.4pt; width: 31.5pt;" width="42"> <div align="center" class="MsoBodyText" style="text-align: center;"><b>L/P</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 93.2pt; padding: 0in 5.4pt; width: 64.2pt;" width="86"> <div align="center" class="MsoBodyText" style="margin: 0in 5.65pt 0.0001pt; text-align: center;"><b>Status</b></div><div align="center" class="MsoBodyText" style="margin: 0in 5.65pt 0.0001pt; text-align: center;"><b>Perkawinan</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 93.2pt; padding: 0in 5.4pt; width: 52.8pt;" width="70"> <div align="center" class="MsoBodyText" style="margin: 0in 5.65pt 0.0001pt; text-align: center;"><b>Pendidikan</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 93.2pt; padding: 0in 5.4pt; width: 45pt;" width="60"> <div align="center" class="MsoBodyText" style="margin: 0in 5.65pt 0.0001pt; text-align: center;"><b>Pekerjaan</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 93.2pt; padding: 0in 5.4pt; width: 1in;" width="96"> <div align="center" class="MsoBodyText" style="margin: 0in 5.65pt 0.0001pt; text-align: center;"><b>Keterangan Imunisasi</b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoBodyText" style="text-align: center;">1.</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">2.</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">3.</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">4.</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">5.</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div class="MsoBodyText">Ny. S</div><div class="MsoBodyText"><br />
</div><div class="MsoBodyText">Nn .M</div><div class="MsoBodyText"><br />
</div><div class="MsoBodyText">Ny. S</div><div class="MsoBodyText"><br />
</div><div class="MsoBodyText">Nn. T</div><div class="MsoBodyText"><br />
</div><div class="MsoBodyText">An. W</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 40.65pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;">Istri</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Anak</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Anak</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Anak</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Anak</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 44.85pt;" valign="top" width="60"> <div align="center" class="MsoBodyText" style="text-align: center;">44 th</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">27 th</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">25 th</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">20 th</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">11 th</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 31.5pt;" valign="top" width="42"> <div align="center" class="MsoBodyText" style="text-align: center;">P</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">P</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">P</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">P</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">P</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 64.2pt;" valign="top" width="86"> <div align="center" class="MsoBodyText" style="text-align: center;">Kawin</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Belum</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Kawin</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Belum</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Belum</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 52.8pt;" valign="top" width="70"> <div align="center" class="MsoBodyText" style="text-align: center;">SD<br />
<br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">D III</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">SLTA</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">SLTA</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">SD</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div align="center" class="MsoBodyText" style="text-align: center;">IRT</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Swasta</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">IRT</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Pelajar</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Pelajar</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="text-align: center;">-</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Lengkap</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Lengkap</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Lengkap</div><div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="text-align: center;">Lengkap</div></td> </tr>
</tbody></table><div class="MsoBodyText" style="margin-left: 0.5in;"><br />
</div><div class="MsoBodyText" style="margin-left: 0.5in;"><br />
</div><div class="MsoBodyText" style="margin-left: 0.5in;"><span style="height: 26px; left: 0px; margin-left: 185px; margin-top: 23px; position: absolute; width: 32px; z-index: 251665920;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image001.gif" width="32" /></span><span style="height: 30px; left: 0px; margin-left: 419px; margin-top: 23px; position: absolute; width: 36px; z-index: 251627008;"><img height="30" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="36" /></span><span style="height: 30px; left: 0px; margin-left: 329px; margin-top: 23px; position: absolute; width: 36px; z-index: 251633152;"> <table cellpadding="0" cellspacing="0"><tbody>
<tr> <td bgcolor="white" height="30" style="background: none repeat scroll 0% 0% white; border: 0.75pt solid black; vertical-align: top;" width="36"><span style="left: 0pt; position: absolute; z-index: 251633152;"> <table cellpadding="0" cellspacing="0"><tbody>
<tr> <td> <div class="shape" style="padding: 4.35pt 7.95pt;"> <div class="MsoNormal"><br />
</div></div></td> </tr>
</tbody></table></span> </td> </tr>
</tbody></table></span><span style="height: 26px; left: 0px; margin-left: 89px; margin-top: 23px; position: absolute; width: 32px; z-index: 251622912;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="32" /></span>Genogram :<span> </span></div><div class="MsoBodyText" style="margin-left: 0.5in; text-indent: -9pt;"><span style="height: 32px; left: 0px; margin-left: 341px; margin-top: 31px; position: absolute; width: 2px; z-index: 251636224;"><img height="32" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="2" /></span><span style="height: 28px; left: 0px; margin-left: 203px; margin-top: 31px; position: absolute; width: 2px; z-index: 251648512;"><img height="28" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="2" /></span><span style="height: 30px; left: 0px; margin-left: 389px; margin-top: 7px; position: absolute; width: 2px; z-index: 251671040;"><img height="30" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="2" /></span><span style="height: 26px; left: 0px; margin-left: 455px; margin-top: 31px; position: absolute; width: 2px; z-index: 251662848;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="2" /></span><span style="height: 26px; left: 0px; margin-left: 419px; margin-top: 31px; position: absolute; width: 2px; z-index: 251663872;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 359px; margin-top: 7px; position: absolute; width: 62px; z-index: 251634176;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="62" /></span><span style="height: 26px; left: 0px; margin-left: 149px; margin-top: 7px; position: absolute; width: 2px; z-index: 251635200;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 119px; margin-top: 7px; position: absolute; width: 69px; z-index: 251645440;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" width="69" /></span>Astma<span> </span><span> </span><span> </span>Hipertensi</div><div class="MsoBodyText" style="margin-left: 0.5in;"><span style="height: 66px; left: -1px; position: relative; top: 4px; width: 548px; z-index: 251625984;"> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="0" width="0"><br />
</td> <td width="218"><br />
</td> <td width="106"><br />
</td> <td width="224"><br />
</td> </tr>
<tr> <td height="62"><br />
</td> <td align="left" valign="top"><img height="62" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" width="218" /></td> <td><br />
</td> <td align="left" valign="top"><img height="62" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="224" /></td> </tr>
</tbody></table></span> </div><div class="MsoBodyText" style="margin-left: 0.5in;"><br />
</div><br clear="ALL" /> <div class="MsoBodyText"><span style="height: 26px; left: 0px; margin-left: 275px; margin-top: 21px; position: absolute; width: 2px; z-index: 251658752;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 185px; margin-top: 21px; position: absolute; width: 182px; z-index: 251684352;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" width="182" /></span><span style="height: 26px; left: 0px; margin-left: 359px; margin-top: 9px; position: absolute; width: 32px; z-index: 251656704;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image013.gif" width="32" /></span><span style="height: 26px; left: 0px; margin-left: 155px; margin-top: 9px; position: absolute; width: 32px; z-index: 251628032;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="32" /></span><span style="height: 104px; left: 0px; margin-left: 515px; margin-top: 3px; position: absolute; width: 2px; z-index: 251651584;"><img height="104" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="2" /></span><span style="height: 92px; left: 0px; margin-left: -1px; margin-top: 3px; position: absolute; width: 2px; z-index: 251652608;"><img height="92" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image015.gif" width="2" /></span><span style="height: 2px; left: 0px; margin-left: -1px; margin-top: 3px; position: absolute; width: 518px; z-index: 251650560;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image016.gif" width="518" /></span><span> </span><span> </span><span> </span></div><div class="MsoBodyText"><span style="height: 18px; left: 0px; margin-left: 353px; margin-top: 1px; position: absolute; width: 18px; z-index: 251689472;"><img height="18" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image017.gif" width="18" /></span><span style="height: 26px; left: 0px; margin-left: 185px; margin-top: 17px; position: absolute; width: 2px; z-index: 251686400;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="2" /></span><span style="height: 2px; left: 0px; margin-left: 185px; margin-top: 17px; position: absolute; width: 164px; z-index: 251657728;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image018.gif" width="164" /></span><span style="height: 26px; left: 0px; margin-left: 347px; margin-top: 17px; position: absolute; width: 2px; z-index: 251647488;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="2" /></span><span style="height: 26px; left: 0px; margin-left: 275px; margin-top: 17px; position: absolute; width: 2px; z-index: 251681280;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="2" /></span><span style="height: 74px; left: 0px; margin-left: 233px; margin-top: 17px; position: absolute; width: 2px; z-index: 251646464;"><img height="74" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image019.gif" width="2" /></span><span> </span><span> </span>Tn. K <span> </span><span> </span>Ny S</div><div class="MsoBodyText"><span style="height: 26px; left: 0px; margin-left: 329px; margin-top: 13px; position: absolute; width: 32px; z-index: 251666944;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image020.gif" width="32" /></span><span style="height: 26px; left: 0px; margin-left: 257px; margin-top: 13px; position: absolute; width: 32px; z-index: 251654656;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image020.gif" width="32" /></span><span style="height: 26px; left: 0px; margin-left: 173px; margin-top: 13px; position: absolute; width: 32px; z-index: 251685376;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image020.gif" width="32" /></span><span> </span><span> </span><span> </span>Hipertensi<span> </span><span> </span></div><div class="MsoBodyText"><span style="height: 2px; left: 0px; margin-left: -1px; margin-top: 22px; position: absolute; width: 524px; z-index: 251653632;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image021.gif" width="524" /></span><span> </span><span> </span><span> </span><span> </span>Nn M<span> </span><span> </span>Nn T<span> </span>An. W</div><div class="MsoBodyText"><span style="height: 26px; left: 0px; margin-left: 287px; margin-top: 6px; position: absolute; width: 32px; z-index: 251688448;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image022.gif" width="32" /></span><span style="height: 2px; left: 0px; margin-left: 251px; margin-top: 18px; position: absolute; width: 38px; z-index: 251687424;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image023.gif" width="38" /></span><span style="height: 26px; left: 0px; margin-left: 221px; margin-top: 6px; position: absolute; width: 32px; z-index: 251623936;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image024.gif" width="32" /></span><span> </span><span> </span></div><div class="MsoBodyText"><span> </span>Ny S<span> </span></div><div class="MsoBodyText"><span> </span><span> </span>Astma</div><div class="MsoBodyText">Keterangan :</div><div class="MsoBodyText"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="9" width="11"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="32" /></td> </tr>
</tbody></table></span> </div><br clear="ALL" /> <div class="MsoBodyText"><span style="height: 26px; left: 0px; margin-left: 11px; margin-top: 20px; position: absolute; width: 32px; z-index: 251641344;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image025.gif" width="32" /></span><span> </span>: Laki-laki<span> </span><span> </span></div><div class="MsoBodyText"><span> </span>: Perempuan</div><div class="MsoBodyText"><span style="height: 26px; left: 0px; margin-left: 1px; margin-top: 3px; position: absolute; width: 44px; z-index: 251642368;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image026.gif" width="44" /></span><span> </span>: Tinggal serumah</div><div class="MsoBodyText" style="line-height: normal;"><br />
</div><div class="MsoBodyText"><span style="height: 19px; left: 0px; margin-left: 5px; margin-top: 19px; position: absolute; width: 18px; z-index: 251668992;"><img height="19" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image027.gif" width="18" /></span><span style="height: 26px; left: 0px; margin-left: 11px; margin-top: 0px; position: absolute; width: 32px; z-index: 251667968;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image003.gif" width="32" /></span><span> </span>: Klien</div><div class="MsoBodyText"><br />
</div><div class="MsoBodyText"><br />
</div><div class="MsoBodyText"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Tipe Keluarga<span> </span>: Keluarga inti</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Suku Bangsa<span> </span>: Jawa/Indonesia</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Agama<span> </span>: Islam </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Status sosial ekonomi keluarga<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Bp. S merupakan pegawai swasta dan Ibu S berjuakan. Penghasilan keluarga tidak tetap kurang lebih<span> </span>Rp 750.00 - Rp 1.000.000 - tiap bulannya. Keluarga mengganggap penghasilan ini sudah cukup untuk mencukupi kehidupan sehari-hari dan bisa untuk menyekolahkan anak sampai perguruan tinggi. Anak pertama sudah kerja dan anak kedua sudah menikah kadang memberikan bantuan untuk biaya hidup sehari-hari.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Aktifitas rekreasi keluarga<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Jadwal keluarga tidak pasti tergantung permintaan anggota keluarga. Biasanya pada waktu libur sekolah. Rekreasi ke kota atau ke tempat saudara. Menonton televisi bersama-sama juga merupakan kebiasaan keluarga Bapak S jika sedang berkumpul.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><ol start="2" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span style="font-family: "Arial Narrow","sans-serif";">RIWAYAT TAHAP PERKEMBANGAN KELUARGA</span></b></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>11.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Tahap perkembangan keluarga saat ini</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span style="font-family: "Arial Narrow","sans-serif";">Keluarga Bapak S sekarang pada tahap keluarga dengan anak dewasa. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>12.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Tahap perkembangan keluarga yang belum terpenuhi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Mempertahankan keintiman pasangan, karena tidak adanya komunikasi antara suami dan istri sehingga sering <span> </span>terjadi pertengkaran walaupun akhirnya reda dengan sendirinya. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>13.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Riwayat keluarga inti</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Pasangan ini menikah pada tahun 1976, dan dikaruniai 4 orang anak yang semuanya perempuan. Anak pertama belum menikah dan sudah bekerja, anak kedua sudah menikah dan sekarang tinggal bersama suaminya, anak ketiga masih kuliah sedang anak terakhir duduk di bangku sekolah dasar kelas tiga. Untuk mengatasi masalah kesehatan yang ada dalam keluarga, keluarga menggunakan puskesmas di wilayah Boyolalai. Salah satu anggota keluarga Bp. S yaitu Ny S sering mengeluh tangannya kesaemutan dan tidak merasa pusing. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>14.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Riwayat keluarga sebelumnya</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Sebelumnya dalam keluarga Bp. S diketahui ada yang menderita Astma dan menurun pada anak yang kedua. Dari pihak Ny S ada yang menderita hipertensi yaitu ibu Ny S dan menurun pada Ny S sendiri. Untuk anggota keluarga yang lain penyakit yang sering dirasakan hanya pusing, batuk pilek dan itupun jarang terjadi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><ol start="3" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span style="font-family: "Arial Narrow","sans-serif";">PENGKAJIAN LINGKUNGAN</span></b></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>15.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Karakteristik rumah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Rumah keluarga Bp. S berukuran 25X35 m<sup>2</sup> terdiri dari tiga buah kamar tidur, satu kamar mandi, satu ruang keluarga yang gabung dengan ruang tamudan satu ruang untuk toko. Sumber air menggunakan air PAM, WC terletak di belakang rumah, lantai rumah papan,. Jendela selalu dibuka, rumah tampak rapi dan bersih, depan rumah tidak ada halaman langsung berhubungan dengan jalan raya. </span></div><div class="MsoBodyText" style="margin-left: 57pt; text-indent: -3pt;">Denah Rumah :</div><div class="MsoBodyText" style="margin-left: 57pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="17" width="185"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="102" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image028.gif" width="50" /></td> </tr>
</tbody></table></span> </div><br clear="ALL" /> <div class="MsoBodyText" style="margin-left: 57pt;"><span style="height: 155px; left: 0px; margin-left: 89px; margin-top: 17px; position: absolute; width: 146px; z-index: 251672064;"><img height="155" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image029.gif" width="146" /></span><span style="height: 74px; left: 0px; margin-left: 125px; margin-top: 17px; position: absolute; width: 2px; z-index: 251674112;"><img height="74" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image019.gif" width="2" /></span><span style="height: 88px; left: 0px; margin-left: 342px; margin-top: 21px; position: absolute; width: 12px; z-index: 251679232;"><img height="88" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image030.gif" width="12" /></span><span> </span><span> </span>7<span> </span>B</div><div class="MsoBodyText" style="margin-left: 57pt;"><span style="height: 2px; left: 0px; margin-left: 185px; margin-top: 26px; position: absolute; width: 50px; z-index: 251678208;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image031.gif" width="50" /></span><span style="height: 2px; left: 0px; margin-left: 89px; margin-top: 26px; position: absolute; width: 38px; z-index: 251673088;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image032.gif" width="38" /></span><span> </span>4<span> </span>2</div><div class="MsoBodyText" style="margin-left: 57pt;"><span style="height: 12px; left: 0px; margin-left: 296px; margin-top: 1px; position: absolute; width: 106px; z-index: 251680256;"><img height="12" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image033.gif" width="106" /></span><span> </span>5<span> </span>6<span> </span>3<span> </span>S<span> </span>U<span> </span></div><div class="MsoBodyText" style="margin-left: 57pt;"><span style="height: 2px; left: 0px; margin-left: 185px; margin-top: 6px; position: absolute; width: 50px; z-index: 251677184;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image034.gif" width="50" /></span><span style="height: 2px; left: 0px; margin-left: 89px; margin-top: 6px; position: absolute; width: 38px; z-index: 251692544;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image035.gif" width="38" /></span><span> </span></div><div class="MsoBodyText" style="margin-left: 57pt;"><span style="position: relative; z-index: 251690496;"><span style="height: 2px; left: 89px; position: absolute; top: -1px; width: 146px;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image036.gif" width="146" /></span></span><span> </span><span> </span>T<span> </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";"><span> </span><span> </span><span> </span>1</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Keterangan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">1.<span> </span>Toko<span> </span>2,3,4.<span> </span>Kamar Tidur</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">5.<span> </span>Ruang Makan<span> </span>6<span> </span>Ruang Keluarga dan Ruang Tamu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">7.<span> </span>Kamar Mandi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";"><span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>16.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Karakteristik tetangga dan komunitas RW</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Tetangga Bp. S sebagian besar bermata pencaharian sebagai pedagang, diamana tempat tinggalnya sebagai ruko, ada kebiasaan yang kurang baik di lingkungan Bp S dimana sebelah rumahnya adalah pasar sehingga banyak sampah yang berserakan yang menganggu pemandangan.<span> </span><span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>17.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Mobilitas geografis keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Keluarga belum pernah berpindah rumah ke tempat lain.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>18.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Perkumpulan keluarga dan interaksi dengan masyarakat</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Kepala keluarga menjadi pengurus RT. Interaksi dengan masyarakat baik terlihat dari keikutsertaan anggota keluarga dalam arisan kampung yang dilaksanakan sebulan sekali. Dan jika ada anggota masyarakat atau tetangga dekat punya hajat keluarga ikut datang membantu. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>19.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Sistem pendukung keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Yang merupakan sistem pendukung keluarga adalah kakak kandung Ny S karena dia dianggap lebih tua dan lebih mampu menyelesaikan masalah yang dihadapi keluarga baik materiil atau moril.Di masyarakat setempat juga ada kebiasaan yang baik dimana apabila ada anggota masyarakat yang mempunyai masalah akan dibantu dengan cara musyawarah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><br />
</div><ol start="4" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span style="font-family: "Arial Narrow","sans-serif";">STRUKTUR KELUARGA</span></b></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>20.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Pola komunikasi keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Komunikasi yang digunakan adalah secara verbal dengan menggunakan bahasa Jawa dan kadang bahasa Indonesia. Komunikasi keluarga kurang terbuka satu sama lain sehingga sering terdapat konflik pada keluarga, walaupun akhirnya reda sendiri. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>21.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Struktur kekuatan keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Dalam keluarga Bp. S yang mengambil keputusan adalah Bp. S selaku kepala rumah tangga. Akan tetapi jika ada masalah selalu dimusyawarahkan bersama dengan anak pertama yang dianggap sudah dewasa. Tidak jarang pula Bp. S diminta pendapat oleh anaknya yang sudah berkeluarga.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>22.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Struktur peran (formal dan informal)</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Bp. S mampu menjalankan perannya sebagai kepala rumah tangga (informal) dan menjadi pengurus RT (formal). Ibu S mampu menjalankan perannya sebagai ibu rumah tangga dimana tugasnya sebagai ibu rumah tangga dibantu oleh anaknya, dan anak sebagai anggota keluarga di rumah dan diluar rumah sebagai mahasiswa.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>23.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Nilai dan norma keluarga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Kepala keluarga menanamkan kepada anaknya untuk selalu menghargai orang lain jika ingin dihargai. Jadilah manusia yang selalu mensyukuri nikmat allah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 60pt; text-align: justify;"><br />
</div><ol start="5" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span style="font-family: "Arial Narrow","sans-serif";">FUNGSI KELUARGA</span></b></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>24.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Fungsi afektif</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Keluarga tidak membina hubungan suami istri yang baik sehingga sering terjadi perselisihan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>25.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Fungsi sosial</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span style="font-family: "Arial Narrow","sans-serif";">Diantara anggota keluarga berusaha selalu berinteraksi satu dengan yang lainnya, begitu pula berinteraksi dengan anggota masyarakat sekitarnya.. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>26.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Fungsi perawatan kesehatan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Kemampuan keluarga mengenal masalah kesehatan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Keluarga belum mengetahui kalau ada anggota keluarga yang menderita Hipertensi. Ny. S mengetahui kalau dirinya menderita Hipertensi setelah periksa di puskesmas. Keluarga belum mengetahui apa itu Hipertensi baik pengertiannya, penyebabnya, tanda dan gejala dan cara perawatannya. Keluarga hanya mengetahui kalau Hipertensi itu sama dengan darah tinggi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Kemampuan keluarga mengambil keputusan untuk mengatasi masalah</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Keluarga belum mampu mengambil keputusan untuk mengatasi masalah kesehatannya karena belum mengetahui sebelumnya. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Kemampuan keluarga merawat </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Keluarga belum mampu merawat anggota keluarga yang menderita Hipertensi, untuk makan Ny. S masih seperti biasa tidak ada pantangannya karena sebelumnya tidak mengetahui kalau dirinya menderita Hipertensi. Yang diketahui keluarga yaitu dengan makan buah ketimun.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Kemampuan keluarga memodifikasi lingkungan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Keluarga belum mampu memodifikasi lingkungan, dalam memasak masih menggunakan penyedap rasa dan takaran garam tidak dikurangi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Kemampuan keluarga memanfaatkan fasilitas pelayanan kesehatan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Keluarga belum memanfaatkan fasilitas kesehatan untuk mengatasi masalah Hipertensi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>27.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Fungsi reproduksi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Bapak S memiliki 4 orang anak semuanya perempuani. Dimana anak yang kedua sudah berkeluarga dan tinggal bersama suaminya. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>28.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Fungsi ekonomi</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Untuk memenuhi kebutuhan hidup sehari-hari Bp S bekerja pada malam hari dan Ny S berjualan di rumah. Keluarga <span> </span>juga memiliki tabungan untuk berjaga-jaga jika ada kebutuhan yang tidak terduga. Anak-anaknya yang sudah bekerja juga sering memberikan bantuan baik materiil maupun non materiil.</span></div><ol start="6" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span style="font-family: "Arial Narrow","sans-serif";">STRESS DAN KOPING KELUARGA</span></b></li>
</ol><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>29.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Stressor jangka pendek dan panjang</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span style="font-family: "Arial Narrow","sans-serif";">Yang dianggap sebagai stressor jangka pendek dan jangka panjang adalah anaknya yang ketiga yang sebentar lagi mau kuliah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>30.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Kemampuan keluarga berespon terhadap situasi / stressor</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Respon kepala keluarga baik terhadap stressor dengan mencari penghasilan tambahan yaitu bekerja pada malam hari, namun Ny. S tidak berspon baik dengan tidak mendukung Bp. S bekerja pada malam hari.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>31.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Strategi koping yang digunakan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Koping yang digunakan jika ada masalah adalah musyawarah dengan anggota keluarga yang lain dan mancari penghasilan tambahan.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 55.5pt; text-align: justify; text-indent: -19.5pt;"><span style="font-family: "Arial Narrow","sans-serif";"><span>32.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Strategi adaptasi disfungsional</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Arial Narrow","sans-serif";">Ny. S<span> </span>tidak mendukung suaminya dalam mencari biaya tambahan untuk biaya kuliah anaknya yang ketiga (Nn. T) bahkan Ny. S sering marah-marah bila suaminya pulang pada malam hari. </span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><br />
</div><ol start="7" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span style="font-family: "Arial Narrow","sans-serif";">PEMERIKSAAN FISIK</span></b></li>
</ol><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 11.4pt; width: 544px;"><tbody>
<tr style="page-break-inside: avoid;"> <td rowspan="2" style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><b><span style="font-family: "Arial Narrow","sans-serif";">Pemeriksaan Fisik</span></b><span style="font-family: "Arial Narrow","sans-serif";"></span></div></td> <td colspan="5" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 330pt;" valign="top" width="440"> <div align="center" class="MsoBodyText" style="text-align: center;"><b><span style="font-family: "Arial Narrow","sans-serif";">Nama Anggota Keluarga</span></b></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">Bp.S</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">Ibu S</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">Nn M</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">Nn T </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">An. W</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">TD</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">130/90 mmHg</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">150/100</span></div><div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">mmHg</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">120/80 mmHg</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">120/80 mmHg</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">100/60</span></div><div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">mmHg</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">N</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">88x/mnt</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">92x/mnt</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">80x/mnt</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">84x/mnt</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">92x/mnt</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">RR</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">20x/mnt</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">20x/mnt</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">20x/mnt</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">22x/mnt</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">20x/mnt</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">BB</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">63 kg</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">58 kg</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">56 kg</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">49 kg</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">38kg</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Kepala</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Mesocepal</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Mesocepal</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Mesocepal</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Mesocepal</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Mesocepal</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Rambut</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Konjungtiva</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak anemis</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak anemis</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak anemis</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak anemis</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak anemis</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Sklera</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak ikterik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak ikterik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak ikterik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak ikterik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak ikterik</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Hidung</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Telinga</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Bersih</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Mulut</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Mukosa bibir lembab,</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Mukosa bibir lembab, </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Mukosa bibir lembab, </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Mukosa bibir lembab, </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Mukosa bibir lembab</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Leher</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tdk ada pembesaran kelenjar thyroid</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tdk ada pembesaran kelenjar thyroid</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tdk ada pembesaran kelenjar thyroid</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tdk ada pembesaran kelenjar thyroid</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tdk ada pembesaran kelenjar thyroid</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Dada</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak ada suara nafas tambahan detak jantung regular.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak ada suara nafas tambahan, detak jantung regular.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak ada suara nafas tambahan, detak jantung regular.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak ada suara nafas tambahan, detak jantung regular.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tidak ada suara nafas tambahan, detak jantung regular.</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Abdomen</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Simetris, tdk ada nyeri tekan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Simetris, tdk ada nyeri tekan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Simetris, tdk ada nyeri tekan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Simetris, tdk ada nyeri tekan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Simetris, tidak ada nyeri tekan</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Ekstremitas</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tdk ada varises, tdk ada udema</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tdk ada varises, tdk ada udema</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tdk ada varises, tdk ada udema</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tdk ada varises, tdk ada udema</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Tdk ada udema</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Kulit</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Sawo matang</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Sawo matang</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Sawo matang</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Sawo matang</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Sawo matang</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Turgor kulit</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">baik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Baik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Baik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">baik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">baik</span></div></td> </tr>
<tr style="page-break-inside: avoid;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 78pt;" valign="top" width="104"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Keluhan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Kadang kesemutan pada tangan</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="text-align: justify;"><br />
</div><ol start="8" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span style="font-family: "Arial Narrow","sans-serif";">HARAPAN KELUARGA</span></b></li>
</ol><div class="MsoBodyText" style="margin-left: 0.5in;"><span style="font-family: "Arial Narrow","sans-serif";">Anak-anak bisa kuliah sampai selesai, keluarga menjadi keuarga yang bahagia dan harmonis, terdapat komunikasi yang terbuka dan jujur diantara anggota keluarga.Keluarga menginginkan petugas kesehatan / mahasiswa dapat memberikan penjelasan dan informasi tentang kesehatan khususnya cara perawatan Hipertensi sehingga tidak timbul masalah lagi akibat Hipertensi</span>. <span style="font-family: "Arial Narrow","sans-serif";"></span></div><div class="MsoBodyText" style="margin-left: 0.5in; text-indent: -0.5in;"><span style="font-family: "Arial Narrow","sans-serif";"><span> </span><b>B. <span> </span>ANALISA DATA</b></span></div><div class="MsoBodyText" style="margin-left: 0.5in;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 276pt;" valign="top" width="368"> <div align="center" class="MsoBodyText" style="text-align: center;"><b><span style="font-family: "Arial Narrow","sans-serif";">Data</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 132pt;" valign="top" width="176"> <div align="center" class="MsoBodyText" style="text-align: center;"><b><span style="font-family: "Arial Narrow","sans-serif";">Masalah Keperawatan</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 276pt;" valign="top" width="368"> <div class="MsoBodyText" style="margin-left: 0.25in; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">DS :</span></div><div class="MsoBodyText" style="margin-left: 17.1pt; text-indent: -17.1pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Ny. S mengatakan bahwa dirinya tidak tahu kalau mempunyai penyakit Hipertensi karena memang tidak pernah periksa.</span></div><div class="MsoBodyText" style="margin-left: 17.1pt; text-indent: -17.1pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Ny. S mengatakan memang kadang dirinya mengalami kesemutan pada tangan. Bp. S dan Ibu S mengatakan bahwa kalau makan tidak ada pantangannya karena memang tidak mengetahui kalau Ny S menderita Hipertensi.</span></div><div class="MsoBodyText" style="margin-left: 17.1pt; text-indent: -17.1pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Ny. S mengatakan baru tahu menderita hipertensi setelah ia periksa ke puskemas.</span></div><div class="MsoBodyText" style="margin-left: 0.25in; text-indent: -21pt;"><span style="font-family: "Arial Narrow","sans-serif";">DO : </span></div><div class="MsoBodyText" style="margin-left: 21pt; text-indent: -21pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">TD Bp. S : 150/100 mmHg</span></div><div class="MsoBodyText" style="margin-left: 21pt; text-indent: -21pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Nadi : 96 x/menit</span></div><div class="MsoBodyText" style="margin-left: 18.6pt; text-indent: -21pt;"><span style="font-family: "Arial","sans-serif";"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Ny. S masih tampak sehat, semua aktivitas masih bisa dilakukan sendiri seperti membersihkan rumah, makan, mandi dan aktivitas sehari-hari yang lain</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 132pt;" valign="top" width="176"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Resiko terjadinya gangguan perfusi jaringan serebral pada keluarga Bapak S khususnya Ny S b.d ketidakmampuan keluarga merawat anggota keluarga yang menderita Hipertensi.</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 276pt;" valign="top" width="368"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">2. <span> </span>DS</span></div><div class="MsoBodyText" style="margin-left: 17.1pt; text-indent: -17.1pt;"><span style="font-family: "Arial","sans-serif";"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Komunikasi antara anggota keluarga kurang terbuka satu sama lain</span></div><div class="MsoBodyText" style="margin-left: 17.1pt; text-indent: -17.1pt;"><span style="font-family: "Arial","sans-serif";"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Keluarga tidak membina hubungan suami istri sehingga sering terjadi perselisihan</span></div><div class="MsoBodyText"><br />
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</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 132pt;" valign="top" width="176"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Resiko terjadinya konflik pada keluarga Tn S berhubungan dengan ketidakmampuan keluarga mengenal masalah komunikasi yang efektif<span> </span></span></div></td> </tr>
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</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span style="font-family: "Arial Narrow","sans-serif";">C.<span> </span> SKORING MASALAH</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Resiko terjadinya gangguan perfusi jaringan serebral pada keluarga Bapak S khususnya Ny S b.d ketidakmampuan keluarga merawat anggota keluarga yang menderita Hipertensi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><br />
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<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div align="center" class="MsoBodyText" style="text-align: center;"><b><span style="font-family: "Arial Narrow","sans-serif";">Kriteria</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="text-align: center;"><b><span style="font-family: "Arial Narrow","sans-serif";">Skor</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 40.5pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;"><b><span style="font-family: "Arial Narrow","sans-serif";">Total</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 159.9pt;" valign="top" width="213"> <div align="center" class="MsoBodyText" style="text-align: center;"><b><span style="font-family: "Arial Narrow","sans-serif";">Pembenaran</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">1. Sifat Masalah : tidak sehat</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">3/3X1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 40.5pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 159.9pt;" valign="top" width="213"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Ny. S saat ini menderita Hipertensi dengan tekanan darah 150/100 mmHg yang baru diketahui pada saat Ny S periksa di puskesmas</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div class="MsoBodyText" style="margin-left: 12.6pt; text-indent: -12.6pt;"><span style="font-family: "Arial Narrow","sans-serif";">2. Kemungkinan<span> </span>Masalah dapat diubah : hanya sebagian</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">1/2X2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 40.5pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 159.9pt;" valign="top" width="213"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Yang bisa dilakukan untuk mengatasi masalah hipertensi pada Ny. S yaitu dengan mempertahankan agar tekanan darahnya terkontrol yang bisa dilakukan dengan perawatan yang benar. Sementara saat ini Ny. S belum pernah berobat dan belum mengetahui cara perawatan Hipertensi. </span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">3. <span> </span>Potensial<span> </span>Masalah</span></div><div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";"><span> </span><span> </span>dapat dicegah : cukup.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">2/3X1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 40.5pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">2/3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 159.9pt;" valign="top" width="213"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Potensial masalah dapat dicegah cukup, karena saat ini Ny. S belum pernah berobat dan dalam hal makan masih seperti biasa (tidak mengurangi garam). Dan gejala yang muncul pada Ny. S hanya kadang kesemutan saja, tidak mengeluh pusing maupun kaku di tengkuk</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div class="MsoBodyText" style="margin-left: 20.1pt; text-indent: -20.1pt;"><span style="font-family: "Arial Narrow","sans-serif";">4. Menonjolnya Masalah : masalah dirasakan dan harus segera ditangani</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">2/2X1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 40.5pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 159.9pt;" valign="top" width="213"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Keluarga menyadari perlunya perawatan Hipertensi karena keluarga beranggapan bahwa kesehatan itu sangatlah penting.</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">Jumlah</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div class="MsoBodyText"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 40.5pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">3 2/3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 159.9pt;" valign="top" width="213"> <div class="MsoBodyText"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -12pt;"><span style="font-family: "Arial Narrow","sans-serif";">2.<span> </span>Resiko terjadinya konflik pada keluarga Tn S berhubungan dengan ketidakmampuan keluarga mengenal masalah komunikasi yang efektif<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -12pt;"><br />
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<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div align="center" class="MsoBodyText" style="text-align: center;"><b><span style="font-family: "Arial Narrow","sans-serif";">Kriteria</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="text-align: center;"><b><span style="font-family: "Arial Narrow","sans-serif";">Skor</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 40.5pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;"><b><span style="font-family: "Arial Narrow","sans-serif";">Total</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 159.9pt;" valign="top" width="213"> <div align="center" class="MsoBodyText" style="text-align: center;"><b><span style="font-family: "Arial Narrow","sans-serif";">Pembenaran</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">1. Sifat Masalah : Aancaman</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">2/3X1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 40.5pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">2/3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 159.9pt;" valign="top" width="213"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Dalam keluarga komunikasi yang digunakan tidak terbuka apabila ini tidak segera diatasi akan terjadi konflik yang berkepanjangan</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div class="MsoBodyText" style="margin-left: 12.6pt; text-indent: -12.6pt;"><span style="font-family: "Arial Narrow","sans-serif";">2. Kemungkinan<span> </span>Masalah dapat diubah : hanya sebagian</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">1/2X2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 40.5pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 159.9pt;" valign="top" width="213"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Yang bis dilakukan untuk mengatsi masalah komunikasi hanyalah dengan meminta pendapat dari kakak kandung Ny S yang dianggap lebih tua. </span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">3. <span> </span>Potensial<span> </span>Masalah</span></div><div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";"><span> </span><span> </span>dapat dicegah : cukup.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">2/3X1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 40.5pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">2/3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 159.9pt;" valign="top" width="213"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Potensial masalah dapat dicegah cukup, karena saat ini anak Tn S sudah besar-besar dan ada yang sudah berkeluarga sehingga dapat membantu memecahkan masalah.</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div class="MsoBodyText" style="margin-left: 20.1pt; text-indent: -20.1pt;"><span style="font-family: "Arial Narrow","sans-serif";">4. Menonjolnya Masalah : masalah dirasakan dan harus segera ditangani</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">2/2X1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 40.5pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 159.9pt;" valign="top" width="213"> <div class="MsoBodyText"><span style="font-family: "Arial Narrow","sans-serif";">Keluarga menyadari perlunya komunikasi terbuka, karena keluarga beranggapan bahwa komunikasi sangat penting dalam membina hubungan keluarga.</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">Jumlah</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.5pt;" valign="top" width="66"> <div class="MsoBodyText"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 40.5pt;" valign="top" width="54"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="font-family: "Arial Narrow","sans-serif";">3 1/3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 159.9pt;" valign="top" width="213"> <div class="MsoBodyText"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span style="font-family: "Arial Narrow","sans-serif";"><span>D.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="font-family: "Arial Narrow","sans-serif";">PRIORITAS MASALAH</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Arial Narrow","sans-serif";">Resiko terjadinya gangguan perfusi jaringan serebral pada keluarga Bapak S khususnya Bapak S b.d ketidakmampuan keluarga merawat anggota keluarga yang menderita Hipertensi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Arial Narrow","sans-serif";">2.<span> </span>Resiko terjadinya konflik pada keluarga Tn S berhubungan dengan ketidakmampuan keluarga mengenal masalah komunikasi yang efektif<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoBodyText"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-9570120587881852262011-12-06T20:52:00.000-08:002011-12-06T20:52:22.902-08:00EMBRIOLOGI, ANATOMI DAN FISIOLOGI TELINGA<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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</style> <![endif]--> <div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">EMBRIOLOGI, ANATOMI DAN</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: center;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">FISIOLOGI TELINGA</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Embriologi, anatomi dan fisiologi adalah modal untuk memahatni fungsi, dan tentunya patologi dan pengobatan t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">linga. Mengaitkan ilmu-ilmu dasar dengan disiplin ini pada akhirnya adalah untuk lebih memahami penatalaksanaan p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nyakit telinga dan k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">imbangan. Fungsi keseimbangan kita adalah lebi</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> mendasar dan lebih penting daripada fungsi pend</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngaran. Suatu organisme dapat bertahan tanpa pend</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngaran, tapi tidak dapat bertahan tanpa keseimbangan dengan lingkungannya. Karena itu secara filogen</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tik, mekanisme keseimbangan s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bagai bagian dari orientasi organisme terhadap lingkungan berkembang lebih dahulu dari pendengaran. Telinga mengandung bagian vestibulum dari keseimbangan, namun orientasi kita terhadap lingkungan juga di</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">entukan oleh kedua mata kita dan alat perasa pada tendon dala</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">. Jadi t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">linga adalah organ pend</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngaran dan keseimbangan.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Secara anatomi telinga dibagi menjadi tiga bagian</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">telinga luar, tengah dan dalam. Telinga tengah dan luar berkembang dari alat brankial. Telinga dalam seluru</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nya berasal dari plakoda otika. Dengan demikian suatu bagian dapat m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">en</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">galami k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lainan kongeni</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">al s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mentara bagian lain berkembang normal.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PERKEMBANGAN TELINGA</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Telinga Luar</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Liang te</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">inga berasal dari celah brankial pertama ektoderm. Membran timpani mewakili membran penutup celah tersebut. Selama satu stadium perkembangannya, liang telinga akhirnya tertutup sama sekali oleh suatu sumbatan jaringan telinga tapi kemudian terbuka kembali, namun demikian kejadian ini mungkin merupakan suatu faktor penyebab dari beberapa kasus atresia atau stenosis bangun ini. Pinna (aurikula) berasal dari pinggir-pinggir celah brankial pertama dan arkus brankialis pertama dan kedua. Aurikula dipersarafi oleh cabang aurikulotemporalis dari saraf mandibularis serta saraf aurikularis mayor dan oksipitalis minor yang m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rupakan cabang pleksus servikalis.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Telinga Tengah</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rongga telinga tengah berasal dari celah brankial pertama endoderm. Rongga berisi udara ini meluas ke dalam resesus tubotimpanikus yang selanjutnya meluas di sekilar tulang-tulang dan saraf dari telinga tengah dan meluas kurang-lebih ke daerah niastoid. Osikula b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rasal dari </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tulang </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rawan arkus brankialis. Untuk mempermudah pemikiran ini inalcus dapat dianggap berasal dari rawan arkus brankialis perlaina (Kartilago Meckel), sedangkan inkus dan stapes dari rawan arkus brankialis kedua (Kartilago Reichert).Syaraf korda timpani berasal dari arkus kcdua (fasialis) menuju saraf pada arkus pertama (inandibularis-lingualis). Saraf timpanikus (dari Jacobson) b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rasal dari saraf arkus brankialis k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tiga (glosofaringcus) menuju saraf fasialis. Kedua saraf ini t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tak dalam rongga t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">linga tengah. Otot-otot telinga t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngah b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rasal dari otot-otot arkus brankialis. Otot tensor timpani yang me</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">le</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">kat pada malcus, b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rasal dari arkus p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rtama dan dipersarafi ol</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h saraf mandibularis (saraf kranial kelima). Otot stap</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">dius b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rasal dari arkus k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">dua, dipersarafi ol</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h suatu cabang saraf ketujuh.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Telinga Dalam</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Plakoda otika </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ktod</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rm t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tak pada p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rmukaan lateral dari kepala embrio. Plakoda ini kemudian tenggelam dan membentuk suatu lekukan olika dan akhirnya terkubur di bawah permukaan sebagai vesikel olika. Letak vesikel dekat dengan otak belakang yang scdang bcrkcmbang dan sekclompok neuron yang dikenal scbagai ganglion akustikofasialis. Ganglion ini penting dalam perk</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mbangan dari saraf fasialis, akuslikus dan v</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">slibularis. Vesikel auditorius m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ntuk suatu dive</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">s</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tikulum yang t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tak d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">kat t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rhadap </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">abung saraf yang sedang berkembang dan kelak akan menjadi duk</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">us endolitnfatikus. Vesikel otika ke</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mu</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">dian b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rkerut </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">emb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tuk</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> suatu utrikulus superior (alas) dan sakulus inferior (bawah).</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dari utrikulus k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mudian </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">imbul tiga tonjolan mirip gelang. Lapisan membran yang jauh dari p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rif</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">r gelang dis</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rap, meninggalkan tiga kanalis s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">misirkularis pada perifer gelang. Sakulus k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mudian me</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bentuk duktus koklcaris b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ntuk spiral. S</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">cara filog</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tik, organ-organ akhir khusus berasal dari neuromas</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> yang tidak t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rlapisi yang b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rkembang dalam kanalis semisirkularis untuk membentuk krista, dalam utrikulus dan sakulus untuk me</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bentuk makula, dan dalam kok</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ea untuk membentuk organ Corti. Organ-organ akhir ini kemudian b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rhubungan dengan neuron-neuron ganglion akustikofasialis. Neuron-neuron inilah yang membentuk ganglia saraf vestibularis dan ganglia spiralis dari saraf ko</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">kl</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">earis.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Mesenkim di sekitar ganglion otikum memadat untuk membentuk suatu kapsul rawan di sekitar turunan membranosa dari vesikel otika. Kapsul rawan ini diserap pada daerah-daerah tertentu di sekitar apa yang sekarang dikenal sebagai labirin membranosa, menyisakan suatu rongga yang berhubungan dengan rongga yang terisi LCS melalui akuaduktus koklearis, dan membentuk rongga perilinifalik labirin tulang. Labirin membranosa b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">risi </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ndolimfe. Tulang yang berasal dari kapsula rawan vesike otika adalah jenis tulang khusus yang dikenal sebagai tulang endokondral.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tulang Temporal</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tulang temporal yang membungkus telinga berasal dari empat bagian terpisah. Bagian liang telinga yang b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rtulang berasal dari cincin timpani. Prosesus stiloideus berasal dari rawan brankial kedua. Pars skuamosa b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rkembang dalam rawan, sedangkan pars p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">trosa berasal dari kapsula kartilaginosa vesikel otika. Terdapat garis-garis sutura di antara bagian-bagian ini yang dapat terlihat pada tulang temporal. Prosesus mastoidcus (sep</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rti payudara) belum terbentuk pada saat lahir dan ini berarti</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">saraf fasialis bayi terl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tak sangat superfisial. Turunan resesus tubotimpanikus yang terisi udara meluas dari telinga tengah melalui aditus sampai di antrum, yaitu daerah yang terisi udara dalam tulang mastoid. Namun demikian seberapa jauh per</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">uasan pneumatisasi pada bagian prosesus mastoideus yang tersisa sangatla</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> bervariasi. Sebagian tulang amat buruk pneumatisasinya atau menjadi sklerotik, lainnya dengan pneumatisasi sedang atau diploik, tapi tulang mastoid, Sebagian besar tulang petrosa dan bahkan tulang skuamous temporal umumnya dapat terisi oleh sel-sel udara.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ANATOMI TELINGA</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Telinga luar atau pinna (aurikula = daun telinga) merupakan gabungan dari rawan yang diliputi kulit. Bentuk rawan ini unik dan dalam merawat trauma telinga luar, bams diusahakan untuk mempertahankan bangunan ini. Kulit dapat terlepas dari rawan di bawahnya oleh hematom atau pus, dan rawan yang nekrosis dapat menimbulkan deformitas kosmetik pada pinna (telinga kembang kol).</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Liang telinga memiliki tulang rawan pada bagian lateral namun bertulang di sebelah mediaj, Seringkali ada penyempitan </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">li</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ang telinga pada perbatasan tulang dan rawan ini. Sendi temporoman</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">dibularis dan kelenjar parotis terletak di depan terhadap liang telinga sementara prosesus mastoideus terletak di b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lakangnya. Sara</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">f</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> fasialis meninggalkan foramen stilomastoideus dan berjalan ke lateral menuju prosesus stiloideus di posteroinferior liang telinga, dan kemudian berjalan di bawah liang telinga untuk memasuki kelenjar parotis. Rawan liang telinga merupakan salah satu patokan pembedahan yang digunakan untuk mencari saraf fasialis patokan lainnya adalah sutura timpanomastoideus.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Membrana Timpani</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Membrana timpani atau gendang telinga adalah suatu bangunan berbentuk kerucut dengan puncaknya, unibo, mengarah ke medial. Membrana timpani umumnya bulat. Penting untuk disadari bahwa bagian dari rongga telinga tengah yaitu epitimpanum yang mengandung korpus maleus dan inkus, meluas melampaui batas atas membrana timpani, dan bahwa ada bagian hipotimpanum yang meluas melampaui batas bawah membrana timpani. Membrana timpani tersusun oleh suatu lapisan epidermis di bagian luar, lapisan fibrosa di bagian tengah di mana tangkai maleus dilekatkan, dan lapisan mukosa bagian dalam. Lapisan fibrosa tidak terdapat di atas prosesus lateralis maleus dan ini menyebabkan bagian membrana timpani yang disebut membrana Shrapnell menjadi lemas (flaksid). </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Telinga Tengah</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Telinga tengah yang terisi udara dapat dibayangkan sebagai suatu kotak dengan enam sisi. Dinding posteriornya lebih luas daripada dinding anterior sehingga kotak tersebut berbentuk baji. Promon-torium pada dinding medial meluas ke lateral ke arah umbo dari membrana timpani sehingga kotak tersebut lebih sempit pada bagian tengah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dinding superior telinga tengah berbatasan dengan lantai fosa krani media. Pada bagian atas dinding posterior terdapat aditus</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">antrum tulang mastoid dan di bawahnya adalah saraf fasialis. Otot stapedius timbul pada daerah saraf fasialis dan tendonnya menembus melalui suatu piramid tulang menuju ke </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">le</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">r stapes. Saraf korda timpani timbul dari saraf fasialis di bawah stapedius dan berjalan ke lateral depan menuju inkus t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tapi di medial maleus, untuk keluar dari telinga tengah lewat sutura petrotimpanika. Korda timpani kemudian bergabung dengan saraf lingualis dan menghantarkan serabut-serabut sekretomotorik ke ganglion submandibularis dan serabut-serabut pengecap dari dua pertiga anterior lidah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dasar telinga tengah adalah atap bulbus jugularis yang di sebelah superolateral menjadi sinus</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">sig-modeus dan lebih ke tengah menjadi sinus transversus. Keduanya adalah aliran vena utama rongga</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tengkorak. Cabang aurikularis saraf vagus masuk ke telinga tengah dari dasarnya. Bagian bawah dinding anterior adalah kanalis karotikus. Di atas kanalis ini, muara tuba eustakius dan otot tensor timpani yang m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mpati da</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ra</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> superior tuba k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mudian membalik, m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lingkari prosesus kokleariformis dan berins</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rsi pada le</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">he</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">r maleus.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dinding lateral dari t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">linga tenga</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> adala</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> dinding tulang epitimpanum di bagian atas, membrana timpani, dan dinding tulang </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">hipotimpanum </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">di bagian bawa</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bangunan yang paling menonjol pada dinding medial adalah promontorium yang menutup lingkaran kokl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a yang pertama. Saraf timpanikus berjalan melintas promontorium ini. Fenestra rotundum terl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tak di posteroinferior dari promontorium, sedangkan kaki stapes terletak pada fenestra ovalis pada batas posterosuperior promontorium. Kanalis falopi berulang yang dilalui saraf fasialis terletak di atas fenestra ovalis mulai dari prosesus kokleariformis di anterior hingga piramid stapedius di posterior.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Rongga mastoid berb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">uk sep</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rti piramid bersisi tiga dengan puncak mengarah ke kaudal. Atap mastoid adala</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> fosa krani media. Dinding medial adalah dinding lateral fosa krani posterior. Sinus sigmoideus terl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tak di bawah dura mater pada daerah ini. Pada dinding anterior mastoid terdapat aditus ad antruin. Tonjolan kanalis semisirkularis lateralis menonjol ke dalam antrum. Di bawah ke dua patokan ini berjalan saraf fasialis dalam kanalis tulangnya untuk keluar dari tulang temporal melalui foramen stilomastoideus di ujung anterior krista yang diben</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">uk oleh insersio otot digastrikus. Dinding lateral mastoid adalah tulang subkutan yang dengan </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">udah dapat dipalpasi di posterior aurikula.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tuba Eustakius</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tuba custakius mcnghubungkan rongga telinga tengah dengan nasofaring. Bagian lateral tuba eustakius adalah yang bertulang sem</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ntara dua</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">per</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">iga bagian medial bersifat kartilaginosa. Origo otot tensor timpani terletak di seb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lah a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">as bagian bertulang sem</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ntara kanalis karotikus terlclak di bagian bawahnya. Bagian bertulang rawan berjalan m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lintasi dasar tengkorak untuk masuk ke faring di a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">as otot konstriktor superior. Bagian ini biasanya tertutup tapi dapat dibuka melalui kontraksi otot levator palatinum dan tensor palatinum yang masing-masing disarafi pleksus faringealis dan saraf mandibularis. Tuba eustakius berfungsi untuk menyeimbangkan tekanan udara pada kedua sisi membran timpani.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Telinga Dalam</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bentuk telinga dalam s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">demikian kompleksnya sehingga disebut sebagai labirin. Derivat vesikel otika membentuk suatu rongga tertutup yaitu labirin membran yang terisi endolimfe, satu-satunya</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">cairan ekstrasclular dala</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ubuh yang tinggi kalium dan rendah natrium. Labirin membran dikelilin</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">gi</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> oleh cairan perilimfe (tinggi natrium, rendah kalium) yang terdapat dala</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> kapsula otika</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Labirin tulang dan membran m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mi</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">li</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ki bagian vestibular dan bagian koklear. Bagian vestibularis (pa superior) berhubungan dengan keseimbangan, sementara bagian koklearis (pars inferior) merupak</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">an</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> organ pendengaran kita.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Koklea</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">melingkar s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rti rumah siput dengan dua dan satu-setengah putaran. A</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ksis dari </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">spiral tersebut dikenal sebagai modiolus, b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">risi b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rkas saraf dan suplai arteri dari arteri vertebral</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> Serabut saraf kemudian berjalan menerobos suatu lamina tulang yaitu lamina spiralis oseus untuk mencapai sel-sel sensorik organ Corti. Rongga koklea bertulang dibagi menjadi tiga bagian oleh duktus koklearis yang panjangnya 35 mm dan berisi endolimfe. Bagian atas adalah skala vestibu berisi perilimfe dan dipisahkan dari duktus koklearis oleh m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mbrana Reissner yang tipis. Bagi</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">an</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> bawah adalah skala timpani juga m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngandung perilimfe dan dipisahkan dari duktus koklearis o</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">eh</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> lamina spiralis oseus dan membrana basilaris. Perilimfe pada kedua skala berhubungan pada apeks koklea spiralis tepat setelah ujung buntu duktus koklearis melalui suatu celah yang dikenal sebagai helikotrema. Membrana basilaris scmpit pada basisnya (nada tinggi) dan mel</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bar pada apeks (</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nada</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> rendah).</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Terletak di atas membrana basilaris dari basis ke apcks adalah organ Corti, yang mcngandung </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">or</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ganel-organel p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nting untuk m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">kanisme saraf perifer pendengaran. Organ Corti terdiri dari satu ba</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">r</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">i</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">s</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> sel rambut dalam (3.000) dan tiga baris sel rambut luar (12.000). Sel-sel ini menggantung lew</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">at</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> lubang-lubang lengan horisontal dari suatu jungkat-jangkit yang dibentuk oleh sel-sel penyokong. Ujung saraf aferen dan </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">feren menempel pada ujung bawah sel rambut. Pada permukaan sel-s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">el</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> rambut terdapat stereosilia yang mel</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">kat pada suatu s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lubung di atasnya yang cenderung datar, bersif</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">at </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">g</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">latinosa dan asclular, dik</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nal s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bagai m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mbrana t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ktoria. M</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mbrana tektoria dis</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">kr</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">si dan disokong ol</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h suatu panggung yang t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lak di medial dis</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">but sebagai limbus.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Bagian vestibulum t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">linga dalam dibentuk oleh sakulus, utrikulus dan kanalis scmisirkularis. Utri-kulus dan sakulus m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngandung makula yang diliputi ol</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l-sel r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">am</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">but. M</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nutupi s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l-sel rambut ini adalah sualu lapisan g</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">latinosa yang di</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">te</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mbus ol</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h silia, dan pada lapisan ini t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rdapat pula otolit yang m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngandung kalsium dan d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngan b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ra</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> j</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nis yang </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">le</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bih b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">sar daripada </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ndolimf</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">. Karena pengaruh gravitasi, maka gaya dari otolil akan m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngkokkan sil</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">i</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l-sel rambut dan menimbulkan rangsangan pada r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">or.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sakulus b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rhubungan d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngan ulrikulus m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lalui suatu duktus s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nipit yang juga merupakan saluran </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">me</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nuju sakus </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ndolimfatikus. Makula utrikulus t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tak pada bidang yang </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">egak lurus t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rhadap makula sakulus. K</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tiga kanalis s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">misirkularis b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rmuara pada utrikulus. Masing-masing kanalis mempunyai suatu ujung yang m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bar m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">uk ampula dan m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngandung s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l-sel rambut krista. Sel-sel rambut m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nonjol pada suatu kupula g</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">latinosa. G</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rakan </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ndolimf</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> dalam kanalis s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">misirkularis akan menggerakkan kupula yang s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lanjutnya akan m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngkokkan silia s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l-sel rambut krista dan merangsang sel r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">septor.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><b><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">FUNGSI TELINGA</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sampai tingkat t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rtentu pinna adalah suatu "p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngumpul" suara, </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">se</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mentara liang t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">linga karena bentuk dan dim</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nsinya, dapat sangat memp</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rbesar suara dalam r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ntang 2 sampai 4 kHz; perb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">saran pada</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">frekuensi ini adalah sampai 10 hingga 15 dB. Maka suara dalam r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ntang frekuensi ini adalah yang</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">paling bcrbahaya jika ditinjau dari sudut trauma akustik.<span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pada </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">te</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">linga t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngah </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">crdapal inalcus, inkus dan stapes. Tangkai dari maleus terletak dalam membra</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">n</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> timpani, scdangka</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">n</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> o</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ot tensor timpani berinscrsi pada Icher maleus. Kaput maleus b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rs</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ndi d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngan p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rmukaan anterior korpus inkus dalam </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">pilimpanum. Inkus m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">miliki prosesus br</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">vis yang m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nonjol k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lakang dan prosesus longus yang b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rjalan k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> bawah untuk bersendi dengan kaput stapes.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sumbu rotasi maleus dan inkus yang alami adalah s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">panjang garis yang ditarik dari prosesus brevis inkus hingga daerah leh</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">r maleus. Stapes adalah tulang yang berb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ntuk sanggurdi. Kontraksi otot stapcdius dapat diukur dengan audiomelri hambat</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">n (impedance audiometry), dan t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">knik ini merupakan alat bantu klinis yang penting. T</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">linga tengah adalah suatu alat p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nghilang-hambatan antara udara (lingkungan kita) dan cairan (</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">elinga dalam). K</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tika g</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lombang suara yang dihantarkan udara mencapai cairan, maka 99,9% </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">n</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rginya akan dipantulkan. Jadi hanya 0,1% energi yang diteruskan (kehilangan sekitar30 dB). T</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">linga</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> te</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngah dapat m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngkomp</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nsasi kehilangan t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rsebut t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rutama karena luas membrana timpani 17 kali I</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bih b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">sar dari luas basis stapes. Rangkaian osikula ikut pula berperan s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">besar 1,2/1. Dengan d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mikian, t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">linga t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngah tidak penting pada makhluk-makhluk air.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">G</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">taran suara dihantarkan lewat liang telinga dan </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">te</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">linga t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngah ke t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">linga dalam m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lalui stapes, m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nimbulkan suatu g</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lombang b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rjalan di s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">panjang membrana basilaris dan organ Cortinya. Puncak gelombang b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rjalan di s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">panjang m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">em</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">brana basilaris yang panjangnya 35 mm tersebut, ditentukan oleh fr</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">kuensi g</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lombang suara. Hal ini berakibat m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">em</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bengkoknya st</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">reosilia oleh kerja pemberat membrana t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ktoria, d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngan d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mikian m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nimbulkan d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">polarisasi sel rambut dan menciptakan potensial pada serabut-serabut saraf pendengaran yang inclekal padanya. Di sinilah g</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lombang suara m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">kanis diubah menjadi </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nergi </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ktroki</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ia agar dapat di</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tra</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ns</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">isikan melalui saraf kranialis k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">-8. Paling tidak sebagian analisis fr</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ue</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nsi t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lah </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">erjadi pada lingka</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">r</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> organ Corli. P</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ristiwa lis</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rik pada organ Corti dapat diukur dan dik</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nal s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bagai mikrofonik kokl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">aris. Peris</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">i</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">w</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a listrik yang b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rlangsung dalam neuron juga dapat diukur dan dis</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">but s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bagai po</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">te</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nsial aksi.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ligamentum spiralis lerlctak di lateral dinding lulang dari duk</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">us kokl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">aris. M</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rupakan jangkar lateral dari me</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">brana basilaris dan mengandung stria vaskularis, sa</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">u-satunya lapisan </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">pitel b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rvas-kularisasi dalam </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ubuh. Dua dari tiga j</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nis s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l pada stria vaskularis kaya mitokondria dan m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">miliki luas permukaan yang sangat b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">sar dibandingkan dengan volume sel. Maka stria m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rupakan suatu siste</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> transpor cairan dan elektrolit yang dirancang s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">cara unik. Diduga m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mainkan peranan p</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nting dalam pemeliharaan komposisi elektrolit cairan </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ndolimfe (tinggi kalium, r</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ndah natrium) dan sebagai baterei kedua untuk organ Corti. Juga m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rupakan sumb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">r pot</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nsi arus s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ara</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> (80 milivolt) dari skala media. Darah m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rupakan sumb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">r nutrisi utama untuk s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l-sel tubuh dan alirannya m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nimbulkan suara </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">b</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ising, stria vaskularis merupakan suatu adaptasi yang unik di </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ana dapat menyuplai organ Corti dari jarak terentu, dengan d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mikian m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mp</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rbaiki rasio sinyal-bising pada organ Corti.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Terdapat sekitar 30.000 neuron a</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">fe</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ren yang </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ensarafi 15.000 sel ra</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">but pada tiap kokl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a. Masing-masing s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">l rambut dalam disarafi oleh banyak neuron. Hanya persentase kecil (seki</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ar 10 persen) neuron aferen yang niensarafi sel rambut luar, akan tctapi terdapat pcrcabangan-percabangan sedemikian rupa sehingga tiap neuron aferen berasal dari banyak sel rambut luar dan liap scl rambut luar dipersarafi oleh banyak neuron aferen.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Juga ada sekitar 500 scrabut saraf efcrcn y</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">an</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">g mencapai tiap koklea. Serabut-serabut ini bercabang-cabang pula secara ekstensif sehingga tiap sel rambut luar m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">miliki banyak ujung saraf eferen. Ujung-ujung saraf eferen dari sel ra</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">but luar</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> t</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">idak</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">seluruhnya berasal dari satu serabut saraf eferen.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Serabut-serabut saraf kokl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">aris b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rjalan menuju inti koklearis dorsalis dan ventralis. Sebagian besar serabut dari inti m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lintasi garis t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngah dan b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rjalan naik menuju kolikulus inferior kontralateral, namun s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bagian serabut t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">la</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">h</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rjalan ipsilat</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ral. P</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nyilangan selanjutnya terjadi pada inti lemniskus lat</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ralis dan kolikulus inferior. Dari kolikulus inferior, jaras pendengaran berlanjut ke korpus g</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nikulatum dan k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mudian k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> korl</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ks pendengaran pada lobus t</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">mporalis. Karena seringnya penyilangan s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rabut-serabut saraf ters</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">but, maka lesi sentral jaras pendengaran hampir tidak pernah</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">m</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">nyebabkan k</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tulian unilateral.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify; text-indent: 28.35pt;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">S</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rabut-serabut saraf vestibularis b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rjalan menuju salah satu dari keempat inti vestibularis, dan dari sana dis</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">barkan s</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">cara luas d</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ngan jaras-jaras menuju medula spinalis, sereb</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lum dan bagian-bagian susunan saraf pusat lainnya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-bottom: 0.0001pt; text-align: justify;"><br />
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<div class="MsoListParagraphCxSpFirst" style="line-height: 150%; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">RESUME JURNAL</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Judul jurnal<span> </span>“ </span><i><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">P</span></i><i><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span></i><i><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">r</span></i><i><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">bedaan efektivitas perawatan luka menggunakan madu dengan metronidazole terhadap tingkat malodor dan jumlah eksudat luka maligna di RS.X </span></i><i><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">J</span></i><i><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">akarta</span></i><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">”</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Nama peneliti</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Dudut tanjung*, Elly Nurachman**, Hanny handayani ***</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tempat dan waktu penelitian</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tempat : Rs. X, jakarta</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Waktu Penelitian : bulan </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">J</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">uni 2007</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Metode penelitian</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Desain penelitian ini adalah kuasi eksperiment dengan non equivalent pretest-posttest controlled group design. Sampel pada penelitian ini diambil dengan metode consective sampling dengan kriteria pasien luka maligna stadium lanjut, laki-laki dan perempuan berusia 23-59 tahun.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> Luas luka 4 cm.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengambilan sampel dilakukan sebanyak 10 kali dari 12 (83,3%) di klinik perawatan luka dan 2 dari 12 (16,7%) di ruang bangsal kanker Dharmais. Responden di bagi dalam 2 kelompok studi, yaitu kelompok A adalah kelompok intervensi yang mendapatkan madu sebagai topikal perawatan luka, sementara kelompok B adalah kelompok kontrol yang mendapatkan metronidazole sebagai agen topikal perawatan luka.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Selanjutnya merawat luka maligna dengan madu atau metronidazole sesuai dengan prosedur yang telah ditetapkan. Setelah tiga hari kemudian tingkat malodor dan jumlah eksudat diukur kemudian dicatat pada format yang tersedia. Pengambilan data kembali dilakukan dengan cara yang sama dengan pengukuran sebelumnya pada hari ke 3 dan hari ke 6. Setelah pengambilan data selesai, dilanjutkan dengan menganalisis efektifitas madu dan metronidazole dalam menurunkan alodor dan jumlah eksudat dengan menggunakan uji t test.</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 0.25in;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 0.25in;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hasil penelitian</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: 0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perawatan luka<span> </span>dengan madu memiliki rata-rata jumlah eksudat sesudah intervensi hari ke 3 sebesar 66.6 gram, sedangkan rata-rata junlah eksudat sesudah intervensi hari ke 6 sebesar 80,8 gram. Perawatan luka dengan metronidazole memiliki rata-rata jumlah eksudat sesudah intervensi hari ke 3 sebesar 44,5 gram, sedangkan rata-rata jumlah eksudat sesudah intervensi hari ke 3 sebesar 51,1 gram. Hasil uji statistik diperoleh nilai p> 0,05 ( alpha 0,05) menunjukan tidak ada perbedaan yang signifikan jumlah eksudat antara kelompok perawatan luka dengan madu dan kelompok perawatan luka dengan metronidazole pada hari ke 6 pada perawatan luka maligna. Sehingga diperoleh kesimpulan perawatan luka dengan madu tidak lebih efektif dibandingkan dengan meteronidazole menurunkan jumlah eksudat setelah hari ke 6 oerawatan luka maligna.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Perawatan luka dengan madu memiliki rata – rata tingkat malodor menurut pasien sebelum intervensi sebesar 6,0 sesudah intervensi hari ke 3 sebesar 3,5, dan sesudah intervensi hari ke 6 sebesar 2,1. Sedangkan perawatan luka dengan metronidazole memiliki rata-rata tingkat malodor sebelum intervensi sebesar 5,6 sesudah intervensi harike 3 sebesar 4,3 dan sesudah intervensi hari ke 6 sebesar 4,6. Hasil uji statistik diperoleh nilai p <0,05 (alpha 0,05) pada pengukuran tingkat malodor menurut pasien maupun perawat berdasarkan NRS. Sehingga diperoleh kesimpulan perawatan luka dengan madu lebih efektif dibandingkan dengan metronidazole menurunkan tingkat malodor menurut perawat maupun p[asien setelah perawatan luka maligna. </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kesimpulan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perawatan luka dengan madu lebih efektif dibandingkan dengan metronidazole terhadap tingkat malador menurut pasien maupun perawat setelah hari ke 6 perawatan luka maligna. Namun, peraw</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tan luka maligna dengan madu maupun metronidazole b</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">lum efektif menurunkan jumlah eksudat setelah hari ke 6 perawatan luka maligna.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">KORELASI ANTARA ISI JURNAL DENGAN REALITAS KLINIS</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hasil penelitian</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> jurnal</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perawatan luka dengan madu lebih efektif dibandingkan dengan metronodazole terhadap tingkat malador menurut pasien maupun perawat setelah hari ke 6 perawatan luka maligna. Namun, peraw</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">a</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">tan luka maligna dengan madu maupun metronidazole blum efektif menurunkan jumlah eksudat setelah hari ke 6 perawatan luka maligna.</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Realitis di klinis</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perawatan luka maligna untuk menghilangkan malodor masih menggunakan metronidazole dan dikompres Nacl.<span> </span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kondisi riil di klinis atau lapangan</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kondisi riil :</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span> </span>Realitis di klinis perawatan luka maligna untuk menghilangkan malodor masih menggunakan metronidazole dan dikompres NaCl.<span> </span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>C.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">PERBANDINGAN ISI JURNAL DENGAN TEORI ATAU HASIL PENELITIAN YANG SUDAH ADA</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Isi jurnal</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">J</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">udul jurnal : “<span>Honey as a topical treatment for wounds”</span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">N</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">ama penelitian :</span><span lang="IN" style="font-family: AGaramond-Regular; font-size: 9pt; line-height: 150%;"> </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Andrew B Jull1, Anthony Rodgers2, Natalie Walker3</span><span lang="IN" style="font-family: AGaramond-Regular; font-size: 6.5pt; line-height: 150%;">. </span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Sekolah Keperawatan, Universitas Auckland, Auckland, Selandia Baru.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="background: none repeat scroll 0% 0% white; line-height: 150%; margin: 0in 0in 6pt 1in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="background: none repeat scroll 0% 0% white; color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Tujuannya adalah untuk menentukan apakah madu meningkatkan laju penyembuhan pada luka akut (luka bakar, lecet dan luka traumatis lainnya) dan luka kronis (ulkus vena, arteri ulkus, ulkus diabetes, ulkus tekanan, luka bedah yang terinfeksi).</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 6pt 1in; text-align: justify; text-indent: -0.25in;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="background: none repeat scroll 0% 0% white; color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Search strategi:</span><span style="background: none repeat scroll 0% 0% white; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 6pt 1in; text-align: justify;"><span style="background: none repeat scroll 0% 0% white; color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kami menggeledah Luka Daftar Grup Cochrane Khusus (Mei 2008), TENGAH (Mei 2008) dan beberapa database elektronik lainnya (Mei 2008).</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> <span style="background: none repeat scroll 0% 0% white;">Bibliografi digeledah dan produsen produk rias dihubungi untuk percobaan yang tidak dipublikasikan.</span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 6pt 1in; text-align: justify; text-indent: -0.25in;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="background: none repeat scroll 0% 0% white; color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Kriteria seleksi:</span><span style="background: none repeat scroll 0% 0% white; color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 6pt 1in; text-align: justify;"><span style="background: none repeat scroll 0% 0% white; color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Percobaan acak acak dan quasi yang dievaluasi madu sebagai pengobatan untuk setiap jenis luka akut atau kronis dicari.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> <span style="background: none repeat scroll 0% 0% white;">Tidak ada pembatasan dalam hal sumber, tanggal publikasi atau bahasa.</span> <span style="background: none repeat scroll 0% 0% white;">Penyembuhan luka adalah titik akhir primer.</span></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 6pt 1in; text-align: justify; text-indent: -0.25in;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="background: none repeat scroll 0% 0% white; color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Pengumpulan data dan analisis:</span><span style="background: none repeat scroll 0% 0% white; color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin: 0in 0in 6pt 1in; text-align: justify;"><span style="background: none repeat scroll 0% 0% white; color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Data dari uji memenuhi syarat diekstrak dan diringkas menggunakan lembar ekstraksi data oleh satu penulis dan diverifikasi secara independen oleh penulis kedua.</span></div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; margin: 0in 0in 6pt 1in; text-align: justify; text-indent: -0.25in;"><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="background: none repeat scroll 0% 0% white; color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hasil utama:</span><span style="background: none repeat scroll 0% 0% white; color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin: 0in 0in 6pt 1in; text-align: justify; text-indent: 0.5in;"><span style="background: none repeat scroll 0% 0% white; color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">19 percobaan (n = 2554) telah diidentifikasi yang memenuhi kriteria inklusi.</span><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"> <span style="background: none repeat scroll 0% 0% white;">Pada luka akut, tiga percobaan mengevaluasi efek madu dalam luka akut, lecet atau luka bedah minor dan sembilan percobaan dievaluasi efek madu pada luka bakar.</span> <span style="background: none repeat scroll 0% 0% white;">Dalam dua uji coba luka kronis mengevaluasi pengaruh madu dalam borok kaki vena dan satu percobaan dalam ulkus tekanan, terinfeksi luka pasca-operasi, dan gangren Fournier masing-masing.</span> <span style="background: none repeat scroll 0% 0% white;">Dua uji coba merekrut orang dengan kelompok-kelompok campuran luka kronis atau akut.</span> <span style="background: none repeat scroll 0% 0% white;">Rendahnya kualitas sebagian besar laporan sidang berarti hasilnya harus ditafsirkan dengan hati-hati, kecuali dalam ulkus vena kaki.</span> <span style="background: none repeat scroll 0% 0% white;">Pada luka akut, madu dapat mengurangi waktu untuk penyembuhan dibandingkan dengan beberapa dressing pada luka bakar konvensional ketebalan parsial (WMD -4,68 hari, 95% CI -4,28 sampai -5,09 hari).</span> <span style="background: none repeat scroll 0% 0% white;">Semua luka bakar termasuk uji coba berasal dari pusat tunggal, yang mungkin berdampak pada peniruan.</span> <span style="background: none repeat scroll 0% 0% white;">Pada luka kronis, madu selain perban kompresi tidak signifikan meningkatkan penyembuhan dalam borok kaki vena (RR 1,15, 95% CI 0,96-1,38).</span> <span style="background: none repeat scroll 0% 0% white;">Ada bukti yang cukup untuk mengetahui pengaruh madu dibandingkan dengan perawatan lain untuk luka bakar atau di lain jenis luka akut atau kronis.</span></span></div><div class="MsoListParagraphCxSpFirst" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Hasil penelitian lain</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Penelitian menunjukkan metronidazole tidak lebih efektif dibandingkan dengan madu dalam menurunkan tingkat malodor. Hal ini di dukung dengan penelitian Newman (1989, dalam Kelly 2002) yang menemukan onset of effectiveness metronidazole berada pada rentang satu – 30 hari. Hampson (1996, dalam Kelly 2002) menyebutkan metronidazole dalam penggunaan waktu yang lama dapat menimbulkan resistensi.</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"></span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 1in; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Teori yang sudah ada di teksbook lain</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Perawatan luka dengan madu lebih efektif dibandingkan dengan metronidazole untuk menrurunkan tingkat malodor. Hal ini sesuai dengan (Benbow,1999; Thomas 1989; Haugton & young,1995 dalam Kelly 2002) yang menyatakan bahwa madu dapat menurunkan tingkat malodor. Laporan klinik lain madu menurunkan malodor (kingsley,2001; van depute & van waeyenberge,2003; Dunford & Hanano,2004; dunford 2005; dan owen 2005)</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify; text-indent: -0.25in;"><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><span>D.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Ref</span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">e</span><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">rensi </span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Honey as a topical treatment for wounds oleh </span><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Andrew B Jull1, Anthony Rodgers2, Natalie Walker3</span></div><div class="MsoListParagraphCxSpMiddle" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoListParagraphCxSpLast" style="line-height: 150%; text-align: justify;"><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;">Efek penggunaan madu dalam manajemen luka bakar, monica kartini</span></div><span lang="IN" style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 115%;"><br clear="all" style="page-break-before: always;" /> </span> <div class="MsoNormal"><br />
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</style> <![endif]--> <div class="MsoTitle">BAB II</div><div class="MsoTitle">TINJAUAN PUSTAKA </div><div class="MsoTitle"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-indent: -24pt;"><b><span>2.1.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Definisi</b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt;"><span> </span>Dalam pengertian ini ada beberapa pendapat anara lain : </div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt;">Appendiks akut adalah peradangan dari appendiks vermiformis yang merupakan penyebab umum dari akut abdomen (Junaidi, dkk, 1982). Appendisitis adalah peradangan dari suatu appendiks.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt;">Appendisitis akut adalah keadaan yang disebabkan oleh peradangan yang mendadak pada suatu appendiks ( Baratajaya, 1990).</div><div class="MsoNormal" style="line-height: 200%;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-indent: -24pt;"><b><span>2.2.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Anatomi<span> </span>Fisiologi</b></div><div class="MsoNormal" style="line-height: 200%;"><span> </span>Embriologi appendiks berhubungan dengan caecum, tumbuh dari ujung inferiornya.<span> </span>Tonjolan appendiks pada neonatus berbentuk kerucut yang menonjol pada<span> </span>apek caecum sepanjang 4,5 cm.<span> </span>Pada orang dewasa panjang appendiks rata-rata 9 – 10 cm, terletak posteromedial caecum kira-kira 3 cm inferior valvula ileosekalis.<span> </span>Posisi appendiks bisa retrosekal, retroileal,subileal atau dipelvis, memberikan gambaran klinis yang tidak sama.<span> </span>Persarafan para simpatis berasal dari cabang nervus vagus yang mengikuti arteri mesenterika superior dari arteri appendikkularis, sedangkan persarafan simpatis berasal dari nervus torakalis x, karena itu nyeri viseral pada appendiks bermula sekitar umbilikus.<span> </span>Perdarahan pada appendiks berasal dari arteri appendikularis yang merupakan artei tanpa kolateral.<span> </span>Jika arteri ini tersumbat, misalnya trombosis pada infeksi maka appendiks akan mengalami gangren.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 27pt;"><br />
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</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in;"><span style="font-size: 11pt; line-height: 200%;">Gambar 1. Anatomi Appendiks</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in;"><span style="font-size: 11pt; line-height: 200%;"><span> </span><span> </span>Sumber : R. Samsu, 1997</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 27pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 27pt;"><span> </span>Appendiks menghasilkan lendir 1 – 2 ml perhari yang bersifat basa mengandung amilase, erepsin dan musin.<span> </span>Lendir itu secara normal dicurahkan ke dalam bumen dan selanjutnya mengalir ke caecum.<span> </span>Hambatan aliran lendir di muara appendiks berperan pada patofisiologi appendiks.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 27pt; text-indent: 27pt;"><span> </span>Imunoglobulin sekretor yang dihasilkan oleh GALT (Gut Associated Lymphoid Tissue) yang terdapat disepanjang saluran cerna termasuk appendiks, ialah Ig A. Imunglobulin itu sangat efektif sebagai perlindungan terhadap infeksi tapi pengangkatan appendiks tidak mempengaruhi sistem Imunoglobulin tubuh sebab jaringan limfe kecil sekali jika dibandingkan dengan jumlah disaluran cerna dan seluruh tubuh. </div><div class="MsoNormal" style="line-height: 200%; text-indent: 27pt;">( R.Syamsu ; 1997)</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-indent: -24pt;"><b><span>2.3.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Patofisiologi</b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 27pt; text-indent: 27pt;">Penyebab utama appendisitis adalah obstruksi<span> </span>penyumbatan yang dapat disebabkan oleh hiperplasia dari folikel limfoid merupakan penyebab terbanyak,adanya fekalit dalam lumen appendiks.<span> </span>Adanya benda asing seperti cacing, stiktura karena fibrosis akibat peradangan sebelumnya, sebab lain misalnya keganasan (karsinoma karsinoid).</div><div class="MsoNormal" style="line-height: 200%; margin-left: 27pt; text-indent: 27pt;">Obsrtuksi apendiks itu menyebabkan mukus yang diproduksi mukosa terbendung, makin lama mukus yang terbendung makin banyak dan menekan dinding appendiks oedem serta merangsang tunika serosa dan peritonium viseral.<span> </span>Oleh karena itu persarafan appendiks sama dengan usus yaitu torakal X maka rangsangan itu dirasakan sebagai rasa sakit disekitar umblikus.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 27pt; text-indent: 27pt;">Mukus yang terkumpul itu lalu terinfeksi oleh bakteri menjadi nanah, kemudian timbul gangguan aliran vena, sedangkan arteri belum terganggu, peradangan yang timbul meluas dan mengenai peritomium parietal setempat, sehingga menimbulkan rasa sakit dikanan bawah, keadaan ini disebut dengan appendisitis supuratif akut.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 27pt; text-indent: 27pt;">Bila kemudian aliran arteri terganggu maka timbul alergen dan ini disebut dengan appendisitis gangrenosa.<span> </span>Bila dinding apendiks yang telah akut itu pecah, dinamakan appendisitis perforasi.<span> </span>Bila omentum usus yang berdekatan dapat mengelilingi apendiks yang meradang atau perforasi akan timbul suatu masa lokal, keadaan ini disebut sebagai appendisitis abses.<span> </span>Pada anak – anak karena omentum masih pendek dan tipis, apendiks yang relatif lebih panjang , dinding apendiks yang lebih tipis dan daya tahan tubuh yang masih kurang, demikian juga pada orang tua karena telah ada gangguan pembuluh darah, maka perforasi terjadi lebih cepat.<span> </span>Bila appendisitis infiltrat ini menyembuh dan kemudian gejalanya hilang timbul dikemudian hari maka terjadi appendisitis kronis (Junaidi ; 1982).<span> </span></div><div class="MsoNormal" style="line-height: 200%;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-indent: -24pt;"><b><span>2.4.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Dampak Masalah</b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in; text-indent: -0.5in;"><span>2.4.1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Individu dalam hal ini terjadi gangguan dari berbagai pola fungsi kesehatan antara lain </div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola nutrisi dan metabolisme</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in;">Klien biasanya akan mengalami gangguan pemenuhan nutrisi akibat<span> </span>pembatasan pemasukan makanan atau minuman sampai peristaltik usus kembali normal.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola aktifitas dan latihan </div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in;">Aktifitas klien biasanya terjadi pembatasan aktifitas akibat rasa nyeri pada luka operasi sehinnga keperluan klien harus dibantu.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola tidur dan istirahat.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in;">Klien akan mengalami gangguan kenyamanan dan pola tidur karena rasa sakit (nyeri) akibat tindakan pembedahan.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola Eliminasi</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in;">Pada pola eliminasi urine akibat penurunan daya konstraksi kandung kemih, rasa nyeri atau karena tidak biasa BAK ditempat tidur<span> </span>akan mempengaruhi pola eliminasi urine. Pola eliminasi alvi akan mengalami gangguan yang sifatnya sementara karena pengaruh anastesi sehingga terjadi penurunan fungsi.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola Persepsi dan konsep diri</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in;">Penderita menjadi ketergantungan dengan adanya kebiasaan gerak segala kebutuhan harus dibantu.<span> </span>Klien mengalami kecemasan tentang keadaan dirinya sehingga penderita mengalami emosi yang tidak stabil.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola Reproduksi seksual</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in;">Adanya larangan untuk berhubungan seksual setelah pembedahan selama beberapa waktu.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola terhadap keluarga</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in;">Perawatan dan pengobatan memerlukan biaya yang banyak harus ditanggung oleh keluarganya juga perasaan cemas keluarga terhadap keadaan klien.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 21pt; text-indent: -21pt;"><b><span>2.5<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Asuhan Keperawatan</b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 21pt;"><span> </span>Dengan memberikan asuhan keperawatan perawat menggunakan pendekatan proses keperawatan dengan melalui beberapa tahap yaitu : </div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in; text-indent: -0.5in;"><b><span>2.5.1<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Pengkajian</b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengumpulan data </div><div class="MsoNormal" style="line-height: 200%; margin-left: 1in; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Anamnesa</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1in;">a.<span> </span>Identitas</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.25in;">Meliputi nama, umur, jenis kelamin, pendidikan, tanggal atau jam masuk rumah sakit, nomor register, diagnosa, nama orang tua, alamat, umur pendidikan, pekerjaan, pekerjaan orang tua, agama dan suku bangsa.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1in;">b.<span> </span>Riwayat penyakit sekarang</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.25in;">Klien dengan post appendiktomy mempunyai keluhan utama nyeri yang disebabkan insisi abdomen.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1in;">c.<span> </span>Riwayat penyakit dahulu</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.25in;">Meliputi penyakit apa yang pernah diderita oleh klien seperti hipertensi, operasi abdomen yang lalu, apakah klien pernah masuk rumah sakit, obat-abatan yang pernah digunakan apakah mempunyai riwayat alergi dan imunisasi apa yang pernah diderita.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1in;">d.<span> </span>Riwayat penyakit keluarga</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.25in;">Adalah keluarga yang pernah menderita penyakit diabetes mellitus, hipertensi, gangguan jiwa atau penyakit kronis lainnya uapaya yang dilakukan dan bagaimana genogramnya .</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1in;">e.<span> </span>Pola Fungsi Kesehatan<span> </span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola persepsi dan tatalaksana hidup sehat </div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in;">Adakah kebiasaan merokok, penggunaan obat-obatan, alkohol dan kebiasaan<span> </span>olah raga (lama frekwensinya), bagaimana status ekonomi keluarga kebiasaan merokok dalam mempengaruhi lamanya penyembuhan luka.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in; text-indent: -0.25in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola Tidur dan Istirahat </div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in;">Insisi pembedahan dapat menimbulkan nyeri yang sangat sehingga dapat mengganggu kenyamanan pola tidur klien.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in; text-indent: -0.25in;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola aktifitas</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in;">Aktifitas dipengaruhioleh keadaan dan malas bergerak karena rasa nyeri luka operasi, aktifitas biasanya terbatas karena harus bedrest berapa waktu lamanya setelah pembedahan.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in; text-indent: -0.25in;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola hubungan dan peran </div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in;">Dengan keterbatasan gerak kemungkinan penderita tidak bisa melakukan peran baik dalam keluarganya dan dalam masyarakat.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in;">penderita mengalami emosi yang tidak stabil.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in; text-indent: -0.25in;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola sensorik dan kognitif </div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in;">Ada tidaknya gangguan sensorik nyeri, penglihatan, pearaan serta pendengaran, kemampuan berfikir, mengingat masa lalu, orientasi terhadap orang tua, waktu dan tempat.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in; text-indent: -0.25in;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola penanggulangan<span> </span>stress</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in;">Kebiasaan klien yang digunakan dalam mengatasi masalah.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in; text-indent: -0.25in;"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pola tata nilai dan kepercayaan</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.5in;">Bagaimana keyakinan klien pada agamanya dan bagaimana cara klien mendekatkan diri dengan tuhan selama sakit. </div><div class="MsoNormal" style="line-height: 200%; margin-left: -9pt; text-indent: 9pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: -9pt; text-indent: 9pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in; text-indent: -0.5in;"><b><span>2.5.2<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Pemeriksaan </b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan Fisik</div><div class="MsoNormal" style="line-height: 200%; margin-left: 68.05pt; text-indent: -17pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Status Kesehatan umum</div><div class="MsoBodyTextIndent">Kesadaran biasanya kompos mentis, ekspresi wajah menahan sakit tanpa sakit ada tidaknya kelemahan.</div><div class="MsoNormal" style="margin-left: 85.05pt; text-indent: -17pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 68.05pt; text-indent: -17pt;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Integumen</div><div class="MsoNormal" style="margin-left: 68.05pt;">Ada tidaknya oedem, sianosis, pucat, pemerahan luka pembedahan pada abdomen sebelah kanan bawah .</div><div class="MsoNormal" style="line-height: 200%; margin-left: 68.05pt; text-indent: -17pt;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kepala dan Leher</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1in;">Ekspresi wajah kesakitan<span> </span>pada konjungtiva lihat apakah ada warna pucat.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 68.05pt; text-indent: -17pt;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Torax dan Paru </div><div class="MsoNormal" style="line-height: 200%; margin-left: 81pt;">Apakah bentuknya simetris, ada tidaknya sumbatan jalan nafas, gerakan cuping hidung maupun alat Bantu nafas frekwensi pernafasan biasanya normal (16 – 20 kali permenit).<span> </span>Apakah ada ronchi, whezing, stridor.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 68.05pt; text-indent: -17pt;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Abdomen</div><div class="MsoNormal" style="line-height: 200%; margin-left: 81pt;">Pada post operasi biasanya sering terjadi ada tidaknya pristaltik pada usus ditandai dengan distensi abdomen, tidak flatus dan mual, apakah bisa kencing spontan atau retensi urine, distensi supra pubis, periksa apakah produksi urine cukup, keadaan urine apakah jernih, keruh atau hematuri jika dipasang kateter periksa apakah mengalir lancar, tidak ada pembuntuan serta terfiksasi dengan baik.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 68.05pt; text-indent: -17pt;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Ekstremitas<span> </span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 81pt;">Apakah ada keterbatasan dalam aktivitas karena adanya nyeri yang hebat, juga apakah ada kelumpuhan atau kekakuan.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan Penunjang</div><div class="MsoNormal" style="line-height: 200%; margin-left: 87pt; text-indent: -0.5in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan Laboratorium.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.25in; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Darah.<span> </span>Ditemukan leukosit 10.000 – 18.0000 mn.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.25in; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Urine.<span> </span>Ditemukan sejumlah kecil leukosit dan eritrosit .</div><div class="MsoNormal" style="line-height: 200%; margin-left: 87pt; text-indent: -0.5in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pemeriksaan Radiologi.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 87pt; text-indent: -15pt;">BOF, Tampak distensi sekum pada appendisitis akut.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Analisa data.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt;">Dari urarai diatas pengkajian kemudian data tersebut dikelompokkan menjadi data subyektif dan data obyektif lalu dianalisa sehingga dapat ditarik kesimpulan masalah yang timbul dan untuk selanjutnya dapat dirumuskan diagnosa keperawatan (lismidar,<span> </span>1990).</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Diagnosa Keperawatan.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt;">Tahap akhir dari pengkajian adalah diagnosa keperawatan.<span> </span>Diagnosa keperawatan ditetapkan berdasarkan analisa data yang diperoleh dari pengkajian data.<span> </span>Diagnosa keperawatan yang mungkin muncul pada penderita post appendiktomy<span> </span>:</div><div class="MsoNormal" style="line-height: 200%; margin-left: 81pt; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Gangguan rasa nyaman (nyeri) sehubungan dengan insisi pembedahan ( Ingnatavicius; 1991).</div><div class="MsoNormal" style="line-height: 200%; margin-left: 81pt; text-indent: -0.25in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Potensial terjadi infeksi dengan invasi kuman pada luka operasi<span> </span>( Doenges; 1989 ).</div><div class="MsoNormal" style="line-height: 200%; margin-left: 81pt; text-indent: -0.25in;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kecemasan sehubungan dengan kurangnya informasi dari team kesehatan akan penyembuhan penyakit (<span> </span>Ingnatavicius; 1991 ). </div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in; text-indent: -0.5in;"><b><span>2.5.3<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Perencanaan</b></div><div class="MsoNormal" style="line-height: 200%;"><span> </span>Dari diagnosa keperawatan diatas maka dapat disusun rencana perawatan sesuai dengan prioritas masalah kesehatan, yaitu :</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.75in; text-indent: -0.25in;">1. Gangguan rasa nyaman (nyeri) sehubungan dengan insisi pembedahan.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1in; text-indent: -27pt;"><span> </span>Tujuan : </div><div class="MsoNormal" style="line-height: 200%; margin-left: 1in; text-indent: -27pt;">Nyeri berkurang dalam waktu kurang dari 24 jam.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1in; text-indent: -27pt;">Kriteria Hasil : </div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Klien menyatakan nyeri berkurang, tidak takut melakukan mobilisasi, klien dapat istirahat dengan cukup.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Skala nyeri sedang </div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Rencana Tindakan :</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Beri penjelasan pada klien tentang sebab dan akibat nyeri.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Ajarkan teknik relaksasi dan destraksi.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Bantu klien menentukan posisi yang nyaman bagi klien.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rawat luka secara teratur daan aseptik.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;"><span> </span>Rasional : </div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Penjelasan yang benar membuat klien mengerti sehingga dapat diajak bekerja sama.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dapat mengurangi ketegangan atau mengalihkan perhatian klien agar dapat mengurangi rasa nyeri.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Penderita sendiri yamg merasakan posisi yang lebih menyenangkan sehingga mengurangi rasa nyeri.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Perawatan luka yang teratur dan aseptik dapat menghindari sekecil mungkin invasi kuman pada luka operasi.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Analgesik dapat mengurangi rasa nyeri.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 60pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt; text-indent: -21pt;">2. Potensial terjadi infeksi sehubungan dengan invasi kuman pada luka operasi.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Tujuan :</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Infeksi pada luka operasi tidak terjadi. </div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Kriteria hasil :</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Tidak ada tanda – tanda infeksi (rubor, dolor ) luka bersih dan kering.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Rencana tindakan :</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Beri penjelasan pada klien tentang pentingnya perawatan luka<span> </span>dan tanda - tanda atau gejala infeksi. </div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rawat luka secara teratur dan aseptik.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Jaga luka agar tetap bersih dan kering.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Jaga kebersihan klien dan lingkungannya.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Observasi tanda – tanda vital.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kolaborasi dengan dokter untuk antibiotik yang sesuai.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Rasional :</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Penderita akan mengerti pentingnya perawatan luka dan segera melapor bila ada tanda – tanda infeksi.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Perawatan luka yang teratur dan aseptik dapat menghindari sekecil mungkin invasi kuman pada luka operasi.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Media yang lembab dan basah merupakan media yang baik untuk pertumbuhan kuman.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengetahui sedini mungkin tanda – tanda infeksi pada luka operasi.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengetahui sedini mungkin tanda – tanda infeksi secepatnya mengatasi .</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt; text-indent: -24pt;">3.<span> </span>Kecemasan sehubungan dengan kurangnya informasi dari Antibiotik menghambat proses infeksi dalam tubuh.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Tujuan :</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Rasa cemas berkurang.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Kriteria hasil :</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Klien dapat mengekspresikan kecemasan secara konstruktif, klien dapat tidur dengan tenang dan berkomunikasi dengan teman sekamarnya.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Rencana Tindakan :</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -15pt;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Jelaskan keadaan proses penyebab dan penyakitnya </div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -15pt;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Jelaskan pengaruh psikologis terhadap fisiknya (Penyembuhan penyakit).</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -15pt;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Jelaskan tindakan perawatan yang akan diberikan.<span> </span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 45pt;">Rasional :</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dengan penjelasan diharapkan klien dapat mengerti sehingga klien menerima dan beradaptasi dengan baik.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengertian dan pemahamannya yang benar membantu klien berfikir secara konstruktif.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dengan penjelasan benar akan menambah keyakinan atau kepercayaan diri klien.<span> </span>(FK UI; 1990) </div><div class="MsoNormal" style="line-height: 200%; margin-left: 63pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in; text-indent: -0.5in;"><b><span>2.5.4<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Pelaksanaan </b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in; text-indent: 27pt;">Merupakan realisasi dan rencana tindakan keperawatan yang telah diberikan pada klien.</div><div class="MsoNormal" style="line-height: 200%;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in; text-indent: -0.5in;"><b><span>2.5.5<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Evaluasi</b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in; text-indent: 27pt;">Merupakan tahap akhir dalam proses keperawatan. </div><div class="MsoNormal" style="line-height: 200%;">Tujuan<span> </span>evaluasi adalah :<span> </span>Untuk menilai apakah tujuan dalam keperawatan tercapai atau tidak untuk melakukan pengkajian ulang.<span> </span>Untuk menilai apakah tujuan tercapai sebagian, seluruhnya atau tidak tercapai dapat dibuktikan dari prilaku penderita.</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-51537463564149474342011-12-01T20:21:00.001-08:002011-12-01T20:21:40.005-08:00CA Colorecti<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowComments/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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<div align="center" class="MsoNormal" style="text-align: center;"><b><span style="font-size: 14pt; line-height: 150%;">BAB<span> </span>I</span></b><b><span lang="IN" style="font-size: 14pt; line-height: 150%;"></span></b></div><div align="center" class="MsoNormal" style="text-align: center;"><b><span style="font-size: 14pt; line-height: 150%;">PENDAHULUAN</span></b></div><div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-indent: -24pt;"><b><span>1.1.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Latar Belakang</b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 27pt; text-indent: 27pt;">Appendiks (Umbai cacing) mulai dari caecum ( Usus Buntu) dan lumen appendiks ini bermuara ke dalam caecum dinding appendiks mengandung banyak folikel getah bening biasanya appendiks terletak pada iliaca kanan di belakang caecum ( Henderson ; 1992).</div><div class="MsoNormal" style="line-height: 200%; margin-left: 27pt; text-indent: 27pt;">Appendiks dapat mengalami keradangan pembentukan mukokel, tempat parasit, tumor benigna atau maligna dapat mengalami trauma, pembentukan pistula interna atau eksterna, kelainan kongenital korpus ileum dan kelaina yang lain.<span> </span>Khusus untuk appendiks terdapat cara prevensi yang hanya mengurangi morbilitas dan mortalitas sebelum menjadi perforasi atau gangren<span> </span>(FKUA ; 1989 ) </div><div class="MsoNormal" style="line-height: 200%; margin-left: 27pt; text-indent: 27pt;">Tindakan pengobatan terhadap appendiks dapat dilakukan dengan cara operasi (pembedahan ).<span> </span>Pada operasi appendiks dikeluarkan dengan cara appendiktomy yang merupakan suatu tindakan pembedahan<span> </span>membuang appendiks ( Puruhito ; 1993). </div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in; text-indent: 0.25in;">Adapun permasalahan yang mungkin timbul setelah dilakukan tindakan pembedahan antara lain : nyeri, keterbatasan aktivitas, gangguan keseimbangan cairan dan elektrolit, kecemasan potensial terjadinya infeksi (Ingnatavicus; 1991).</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in; text-indent: 0.25in;">Dengan demikian peranan perawat dalam mengatasi dan menanggulangi hal tersebut sangatlah penting dan dibutuhkan terutama perawatan yang mencakup empat aspek diantaranya : promotif yaitu memberikan penyuluhan tentang menjaga kesehatan dirinya dan menjaga kebersihan diri serta lingkungannya.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 0.5in; text-indent: 0.25in;">Upaya kuratif yaitu memberikan perawatan luka operasi secara aseptik untuk mencegah terjadinya infeksi dan mengadakan kaloborasi dengan profesi lain secara mandiri. Upaya rehabilitatif yaitu memberikan pengetahuan atau penyuluhan kepada penderita dan keluarganya mengenai pentingnya mengkonsumsi makanan yang bernilai gizi tinggi kalori dan tinggi protein guna mempercepat proses penyembuhan penyakitnya serta perawatan dirumah setelah penderita pulang.</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-85498246532328299822011-12-01T17:08:00.000-08:002011-12-01T17:08:59.313-08:00INTERVENSI KANKER<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if gte mso 9]><xml> <w:WordDocument> <w:View>Normal</w:View> <w:Zoom>0</w:Zoom> <w:TrackMoves/> <w:TrackFormatting/> <w:DoNotShowComments/> <w:PunctuationKerning/> <w:ValidateAgainstSchemas/> <w:SaveIfXMLInvalid>false</w:SaveIfXMLInvalid> <w:IgnoreMixedContent>false</w:IgnoreMixedContent> <w:AlwaysShowPlaceholderText>false</w:AlwaysShowPlaceholderText> <w:DoNotPromoteQF/> <w:LidThemeOther>EN-US</w:LidThemeOther> <w:LidThemeAsian>X-NONE</w:LidThemeAsian> <w:LidThemeComplexScript>AR-SA</w:LidThemeComplexScript> <w:Compatibility> <w:BreakWrappedTables/> <w:SnapToGridInCell/> <w:WrapTextWithPunct/> <w:UseAsianBreakRules/> <w:DontGrowAutofit/> <w:SplitPgBreakAndParaMark/> <w:DontVertAlignCellWithSp/> <w:DontBreakConstrainedForcedTables/> <w:DontVertAlignInTxbx/> <w:Word11KerningPairs/> <w:CachedColBalance/> </w:Compatibility> <w:BrowserLevel>MicrosoftInternetExplorer4</w:BrowserLevel> <m:mathPr> <m:mathFont m:val="Cambria Math"/> <m:brkBin m:val="before"/> <m:brkBinSub m:val="--"/> <m:smallFrac m:val="off"/> <m:dispDef/> <m:lMargin m:val="0"/> <m:rMargin m:val="0"/> <m:defJc m:val="centerGroup"/> <m:wrapIndent m:val="1440"/> <m:intLim m:val="subSup"/> <m:naryLim m:val="undOvr"/> </m:mathPr></w:WordDocument> </xml><![endif]--><!--[if gte mso 9]><xml> <w:LatentStyles DefLockedState="false" DefUnhideWhenUsed="true"
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</style> <![endif]--> <div class="MsoSubtitle">Rencana Tindakan</div><div class="MsoNormal"><br />
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<tr style="height: 12pt;"> <td style="border: 1pt solid windowtext; height: 12pt; padding: 0in 5.4pt; width: 215.85pt;" valign="top" width="288"> <div class="MsoTitle">Dx. Keperawatan</div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 12pt; padding: 0in 5.4pt; width: 318.65pt;" valign="top" width="425"> <div class="MsoTitle">Intervensi </div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 12pt; padding: 0in 5.4pt; width: 230.95pt;" valign="top" width="308"> <div class="MsoTitle">Rasional</div></td> </tr>
<tr style="height: 152.1pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 152.1pt; padding: 0in 5.4pt; width: 215.85pt;" valign="top" width="288"> <div class="MsoNormal"><span> </span>1.Ketakutan</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Kriteria hasil evaluasi :</div><div class="MsoNormal">Menunjukkan rentang yang tepat dari perasaan dan berkurangnya rasa takut.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Tampak rileks dan melaporkan ansietas berkurang pada tingkat dapat diatasi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Mendemonstrasikan penggunaan mekanisme koping efektif dan partisipasi aktif dalam aturan pengobatan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">2.Berduka/ Antisipasi</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Kriteria hasil evaluasi : Pasien akan :</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengidentifikasi dan mengexpresikan perasaan dengan tepat.</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Melanjutkan aktivitas kehidupan normal, melihat kearah/merencanakan masa depan.</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengungkapkan pemahaman tentang proses menjelang ajal dan perasaan didukung dalam melalui berduka.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">3.Gangguan Harga Diri</div><div class="MsoNormal">Kriteria hasil ev aluasi :</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengungkapkan pemahaman tentang perubahan tubuh, penerimaan diri dalam situasi</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengembangkan mekanisme koping untuk menghadapi masalah secara aktual.</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mendemonstrasikan adaptasi terhadap perubahan/kejadian yang telah terjadi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">4.Nyeri ( akut )</div><div class="MsoNormal">Kriteria hasil evaluasi :</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Melaporkan penghilangan nyeri maksimal atau kontrol dengan pengaruh minimal.</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengikuti aturan farmakologis yang ditentukan</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mendemonstrasikan penggunanaan ketrampilan relaksasi dan aktivitas hiburan sesuai indikasi untuk situasi individu.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">5.Nutrisi kurang dari kebutuhan.</div><div class="MsoNormal"><span> </span>Kriteria hasil evaluasi :</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mendemonstrasikan berat badan stabil</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Penambahan berat badan progresif kearah tujuan dengan normalisasi</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Nilai laboratorium bebas dari tanda malnutrisi.</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Pengungkapan pemahaman pengaruh individual pada masukan adequat</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Berpartisipasi dala intervensi spesifik untuk merangsang nafsu makan/peningkatan masukan diit.</div><div class="MsoNormal"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 152.1pt; padding: 0in 5.4pt; width: 318.65pt;" valign="top" width="425"> <div class="MsoNormal" style="margin-left: 13.65pt; text-indent: -13.65pt;">1. Jika pasien prognosisnya jelek, diskusikan dengan orang terdekat dalam mengatur perawatan bila pasien mencapai face terminal. Kontak dengan pelayanan sosial untuk mengatur perawatan dirumah atau penempatan dalam memperluas fasilitas perawatanatau perawatn dirumah, sesuai dengan pilihan dan kebutuhan keluarga.</div><div class="MsoNormal" style="margin-left: 15.2pt; text-indent: -15.2pt;">2. Rujuk pasien dan orang-orang yang bermakna bagi pasien kekelompok pendukung lokal seperti Yayasan Kanker Indonesia.</div><div class="MsoNormal" style="margin-left: 15.2pt; text-indent: -15.2pt;"><br />
</div><div class="MsoNormal" style="margin-left: 15.2pt; text-indent: -15.2pt;"><br />
</div><div class="MsoNormal" style="margin-left: 15.2pt; text-indent: -15.2pt;">3. Bantu pasien dalam mengambil keputusan apa, bagaimana dan kapan untuk memberi tahu diagnosa dengan keluarga dan teman-teman ( Jika pasien baru didiagnosa ). Siapkan pasien terhadap kemungkinan reaksi anggota keluarga dan teman-tem,an . Tekankan pentingnya kejujuran dan membuka perasaan keprihatinan.</div><div class="MsoNormal" style="margin-left: 15.2pt; text-indent: -15.2pt;">4. Jika dalam remisi , bantu pasien menghadapi kenyataan kemungkinan kambuh. Juga pasien dan orang-orang terdekat bagi pasien terhadap informasi hasil tes. Selama pasien waspada dan dapat menyesuaikan diri, ijinkan pasien untuk membuat pilihan.<span> </span></div><div class="MsoNormal">5. Sampaikan ( berikan ) harapan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
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</div><div class="MsoBodyText2" style="margin-left: 13.65pt; text-indent: -0.25in;"><span lang="IN"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN">Jelaskan tujuan dan efek samping terapi pengobatan (kemoterapi, radiasi). Informasi pada pasien jalan untuk mengurangi efek samping. Tentramkan hati pasien bahwa sebagian besar efek samping adalah sementara dan biasanya terlihat sampai beberapa minggu setelah terapi selesai. Izinkan pasien untuk mengekspresikan perasaan tentang antisipasi efek samping.</span></div><div class="MsoBodyText2"><br />
</div><div class="MsoNormal" style="margin-left: 13.65pt; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Perkirakan syok awal<span> </span>dan ketidakyakinan setelah diagnosis kanker dan/ atau produser yang menimbulkan trauma ( mis, bedah yang menimbulkan kecacatan , kolostomi, amputasi )</div><div class="MsoNormal" style="margin-left: 13.65pt;"><br />
</div><div class="MsoNormal" style="margin-left: 13.65pt; text-indent: -0.25in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kaji pasien / orang terdekat terhadap berduka yang mengalami. Jelaskan proses sesuai kebutuhan.</div><div class="MsoNormal" style="margin-left: 13.65pt;"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -0.25in;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dorong pengungkapan pikiran / masalah dan peneriman ekspresi kesedihan, marah, penolakan. Akui normalitas perasaan ini.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -0.25in;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sadari perbuatan alam perasaan , bermusuhan dan perilaku lain yang ditunjukkan. Susun batasan perilaku tidak tepat , perbaiki pikiran negatif.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -0.25in;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Sadari depresi yang melemahkan . Tanyakan pada pasien pertanyaan langsung tenang status pikiran.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -0.25in;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kunjungi dengan sering dan berikan kontak fisik dengan tepat/ sesuai kebutuhan. Pindahkan pasien lebih mendekat kekantor perawat bila ketakutan ; biarkan pintu terbuka bila nyaman untuk pasien.</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -0.25in;"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kuatkan penyuluhan tentang proses penyakit dan pengobatan dan berikan informasi sesuai permintaan / tepat tentang menjelang ajal . Bersikap jujur ; jangan memberikan harapan palsu saat memberikan dukungan emosional.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -0.25in;"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tinjau ulang pengalaman hidup masa lalu , perubahan peran , dan ketrampilan koping . Bicara tentang sesuatu yang menarik perhatian pasien.</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -17.85pt;"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -17.85pt;"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Identifikasi aspek positif dari situasi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -0.25in;"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Diskusikan cara-cara pasien / orang terdekat dapat merencanakan bersama untuk masa depan. Dorong menyusun tujuan realitas.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -0.25in;"><span>11.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Bantu pasien / orang terdekat mengidentifikasi kekuatan pada diri sendiri / situasi dansistem pendukung.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -0.25in;"><span>12.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Dorong partisipasi dalam perawatan dan pengobatan</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -0.25in;"><span>13.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Perhatikan bukti konflik , ekspresi marah dan pernyataan kecewa, rasa bersalah, putus asa , “tak ada gunanya hidup “. </div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -18.15pt;">14. Kaji cara pasien atau orang terdekat memahami dan berespons terhadap kematian<span> </span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -18.15pt;"><span>15.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>berikan lingkungan terbuka untuk diskusi dengan pasien/orang terdekat (bila tepat) tentang keinginan /rencana mengalami kematian ,mis., membuat surat warisan, pengaturan penguburan,donor organ, keuntungan kematian,asuransi,waktu untuk bersama keluarga. </div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -18.15pt;"><span>16.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span><span> </span>Sadari perasaan sendiri tentang kanker, ancaman kematian. Terima metode apapun yang dipilih pasien / orang terdekat untuk saling membantu selama proses.<span> </span></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 18.15pt; text-indent: -0.25in;"><span>17.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lakukan kolaborasi :</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rujuk pada konselor yang tepat sesuai kebutuhan (perawat klinis psikiatrik, pekerja sosial, psikologis )</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rujuk pada program komunitas bila tepat</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Diskusikan dengan pasien/orang terdekat bagaimana diagnosis dan pengobatan yang mempengaruhi kehidupan pribadi pasien/rumah dan aktivitas kerja</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Tinjau ulang efek samping yang diantisipasi berkenaan dengan pengobatan tertentu, termasuk kemungkinan efek pada aktivitas seksual dan rasa ketertarikan..</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Dorong diskusi tentang efek kanker/pengobatan pada peran sebagai ibu rumah tangga, orang tua maupun yang lain.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Akui kesulitan pasien yang mungkin dialami. Berikan informasi bahwa konseling sering perlu dan penting dalam proses adaptasi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Evaluasi struktur pendukung yang ada dan digunakan oleh pasien/orang terdekat.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Berikan dukungan emosi untuk pasien/orang terdekat selama test diagnostik dan fase pengobatan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Gunakan sentuhan selama interaksi, bila dapat diterima pada pasien dan mempertahankan kontak mata.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Laksanakan kolaborasi :</div><div class="MsoNormal">Rujuk pasien/orang terdekat pada program kelompok pendukung ( bila ada )</div><div class="MsoNormal">Rujuk pada konseling profesional bila diindikasikan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Tentukan riwayat nyeri,mis.lokasi nyeri,frequensi ,durasi dan intensitas(skala 1-10)dan tidakan penghilangan yang digunakan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Evaluasi/sadari terapi tertentu mis. Pembedahan,radiasi,kemoterapi,bioterapi.</div><div class="MsoNormal">Ajarkan pasien/orang terdekat apa yang diharapkan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Berikan tindakan kenyamanan dasar(mis.reposisi,gosokan punggung)</div><div class="MsoNormal">dan<span> </span>aktifitas hiburan(mis.musik ,tv)</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Dorong penggunaan ketrampilan manajemen nyeri(mis. Tehnik relaksasi,visualisasi,bimbingan imanjenasi),tertawa,musik,dan sentuhan terapiotik.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Evaluasi penghilangan nyeri/kontrol.Nilai aturan pengobatan bila perlu.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Kolaborasi;</div><div class="MsoNormal">Kembangkan rencana manajemen nyeri dengan pasien dan dokter.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Berikan analgetik sesuai indikasi mis.; Bromptons cocktail,morfin metadon. Atau campuran narkotik IV<span> </span>khusus. Berikan hanya untuk memberikan analgetik dalam sehari. </div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Pantau masukan makanan setiap hari, biarkan pasien menyimpan buku harian tentang makanan sesuai indikasi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Ukur tinggi, berat badan dan ketebalan lipatan kulit trisep ( atau pengukuran antropometrik lain sesuai indikasi ). Pastikan jumlah penurunan berat badan saat ini. Timng berat bada tiap hari atau sesuai indikasi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Dorong pasien untuk makan diet tinggi kalori kay nutrien, dengan masukan cairan adekuat. Dorong penggunaan suplement dan makan sering/ lebih sedikit yang dibagi-bagi selama sehari.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Nilai diet sebelumnya dan segera setelah pengobatan mis; makanan bening, cairan dingin, saring, krekers kering, roti panggang, minuman berkarbohidrat. Berikan cairan 1 jam sebelum atau 1 jam setelah makan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Kontrol faktor lingkungan (mis; bau kuat/ tidak sedap atau kebisingan ). Hindari terlalu manis, berlemak atau makanan pedas. </div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Ciptakan suasana makan malam yang menyenagkan, dorong pasien untuk berbagi makanan dengan keluarga / teman.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Dorong penggunaan teknik relaksasi, visualisasi, bimbingan imajinasi, latihan sedang sebelum makan .</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Identifikasi pasien yang mengalami mual / muntah yang diantisipasi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Dorong komunikasi terbuka mengenai masalah anoreksia.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Berikan antimatik pada jadwal reguler sebelum / selama dan setelah pemberian agen antineoplastik dengan sesuai.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Evaluasi keefektifan antiemetik.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Hematest feses , sekresi lambung.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Tinjau ulang pemeriksaan labortorium sesuai indikasi mis; jumlah limfosit total , transferin serum, dan albumin.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Berikan obat-obatan sesuai indikasi :</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>fenotiasin mis; proklorperazin</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>(Compazine ) ; Antidopaminergik mis; Metoklorpanik ( Reglan ) , ondasetron (Zofran) ; antihistamin mis ; difenhidramin ( Benadryl );</div><div class="MsoNormal" style="margin-left: 35.85pt; text-indent: -17.85pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kortikosteroid mis; deksametason ( Decadron ) ; kanabionit mis; 9-tetrahidro kanabinol; benzodiazepin mis ; diazepam(valium)</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Vitamin, khususnya A, D , E dan B6 </div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Antasid</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.25in;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Rujuk pada ahli diet/ tim pendukung nutrisi.</div><div class="MsoNormal">- Pasang/ pertahankan selang NG atau pemberian makan untuk makanan enternal , atau jalur sentral untuk hiperalimentasi parenteral bila diindikasikan.</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 152.1pt; padding: 0in 5.4pt; width: 230.95pt;" valign="top" width="308"> <div class="MsoNormal">Perencanaan awal membantu menghilangkan stress pada pasien yang menjelang ajal. Hospis adalah program dalam memberikan dukungan keperawatan untuk pasien yang akan meninggaldan keluarganya bila pasien ingin meninggal dirumah.</div><div class="MsoNormal">Dukungan eksternal dapat membuat nyaman. Pusat-pusat informasi kanker memberikan informasi-informasi tentang penyebab kanker, pencegahan, gejala-gejala diagnosa, pengobatan, nutrisi dan penelitian sekarang.</div><div class="MsoNormal">Siapkan pasien untuk menghadapi reaksi orng terdekat, juga dapat membantu pasien menaggulangi kepastian meninggal.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Memungkinkan pasien untuk memelihara perasaan dan lebih menguasai situasi sekarang.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Untuk menghilangkan keputusasaan . Tidak ada harapan adalah hasil lingkungan diman pasien merasa diluar kontrol dan tidak berdaya. Harapan dapat memainkan peranan yang bermakna dalam kehidupan pasien.</div><div class="MsoNormal">Pengetahuan tentang apa yang diperkirakan membantu mengurangi ansietas.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Sedikit pasien yang benar-benar siap untuk realita perubahan yang dapat terjadi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Pengetahuan tentang proses berduka memperkuat normalitas perasaan/ reaksi terhadap apa yang dialami dan dapat membantu pasien menghadapi lebih efektif dengan mereka.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Pasien merasa terdukung mengekspresi perasaan denganmemahami bahwa konflik emosi yang dalam dan sering adalah normal dan dialami orang lain dalam situasi sulit ini.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Indikator koping tidak efektif dan kebutuhan terhadap intervensi tambahan . Pencegahan tindakan destruktif memungkinkan pasien mempertahankan kontrol dan rasa harga diri.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Penelitian menunjukkan bahwa beberapa pasien kanker berisiko tinggi trhadap bunuh diri . Mereka secara khusus rentan bila baru didiagnosa dan/ atau pulang kerumah.</div><div class="MsoNormal">Membatu mengurangi perasaan isolasi dan diabaikan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Pasien atau orang terdekat mendapat keuntungan dari informasi faktual. Individu dapat mengajukan pertanyaan langsung tentang kematian , dan jawaban jujur meningkatkan rasa percaya dan keyakinan bahwa informasi benar.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Kesempatan untuk mengidentisiofikasi ketrampilan yang dapat membantu individu menghadapi berduka terhadap situasi baru secara lebih efektif.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Kemungkinan remisi dan progesi lambat dari penyakitb dan/ atau terapi baru dapat menurunkan harapan pada masa depan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Menjadi bagian dari pemecahan masalah / perencanaan dapat memberikan rasa kontrol terhadap kejadian yang diantisipasi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Mengenali sumber ini memberi kesempatan melalui perasaan berduka.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Memungkinkan pasien dalam mempertahankan kontrol terhadap kehidupan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Konflik interpersonal / perilaku maeah mungkin cara-cara pasien mengekspresikan / menghadapi perasaan kecewa / distres spiritual dan dapat menandakan ide bunuh diri.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Faktor-faktor<span> </span>ini mempengaruhi bagaimana setiap individu menghadapi kemungkinan kematian dan mempengaruhi bagaimana mereka berespon dan berinteraksi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Bila pasien/orang terdekat bersama-sama menyadari ancaman kematian, mereka lebih mudah menghadapi urusan/aktivitas yang diinginkan yang belum selesai.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Ansietas dan ketidak inginan pemberi perawatan untuk menerima kenyataan tentang kemungkinan kematiannya.<span> </span>sendiri dapat menghambat kemampuan untuk membantu pasien / orang terdekat, memerlukan bantuan orang lain untuk memberikan dukungan yang diperlukan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Membantu menghilangkan distress/memngatasi perasaan berduka untuk memudahkan koping dan mengembangkan pertumbuhan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Memberikan dukungan dalam pemenuhan kebutuhan fisik dan emosional pasien / orang terdekat dan menambah perawatan keluarga, teman yang dapat diberikan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Membantu dalam memastikan masalah untuk memulai proses pemecahan masalah.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Bimbingan antisipasi dapat membantu pasien/orang terdekat memulai proses adaptasi pada status baru dan menyiapkan untuk beberapa efek samping.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Membantu menurunkan masalah yang mempengaruhi penerimaan pengobatan atau merangsang kemajuan penyakit.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Memvalidasi realita perasaan pasien dan memberikan izin untuk tindakan apapun perlu untuk mengatasi apa yang terjadi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Membantu merencanakan perawatan saat dirumah sakit serta setelah pulang.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Meskipun beberapa pasien beradaptasi/menyesuaikan diri dengan efek kanker/efek samping terapi; banyak memerlukan dukungan tambahan setelah periode ini.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Pemastian individualitas dan penerimaan penting dalam menurunkan perasaan pasien tentang ketidak amanan dan keraguan diri</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Kelompok pendukung biasanya sangat menguntungkan baik untuk pasien/orang terdekat, memberikan kontak dengan pasien lain dengan kanker pada berbagai tingkatan pengobatan dan atau pemulihan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Mungkin perlu untuk memulai dan mempertahankan struktur psikososial positif bila sistem pendukung pasien/orang terdekat terganggu.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Informasi memberikan data dasar untuk mengevaluasi kebutuhan/keefektifan intervensi<i>.Catatan</i><span> </span>:Pengalaman nyeri adalah individual yang digabungkan dengan baik respon fisik dan emosional. </div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Ketidak nyamanan rentang ruas adalah umum( mis. Nyeri insisi,kulit terbakar,nyeri punggung bawah,sakit kepala) tergantung prosedur/agen yang digunakan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Meningkatan relaksasi dan membantu memfokuskan kembali perhatian.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Memungkinkan pasien untuk berperan secara aktif dan meningkatkan rasa kontrol.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Tujuannya adalah kontrol nyeri maksimum dengan pengaruh minimum pada AKS.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Rencana terorganisasi mengembangkan kesempatan untuk kontrol nyeri.Terutama dengan nyeri kronis,pasien/orang terdekat harus aktif menjadi partisipan dalam menejemen nyeri di rumah.</div><div class="MsoNormal">Nyeri adalah komplikasi sering dari kanker, meskipun respon individual berbeda. Saat perubahan penyakit/pengobatan terjadi, penilaian dari dosis dan pemberian akan diperlukan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Mengidentifiaksi kekuatan/ defisiensi nutrisi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Membantu dalam identifikasi malnutrisi protein-kalori , khususnya bila berat badan dan pengukuran antropometrik kurang dari normal.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Kebutuhan jaringan metabolik ditingkatkan begitu juga cairan ( untuk menghilangkan produk sisa ). Suplemen dapat memainkan peran penting dalam mempertahankan masukan kalori dan protein adekuat.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Keefektifan penilaian diet sangat induividual dalam penghilangan mual pascaterapi. Pasien harus mencoba untuk menemukan solusi/ kombinasi terbaik.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Dapat mentriger respons mual/ muntah.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Membuat waktu makan lebih menyenagkan , yang dapat meningkatkan masukan.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Dapat mencegah awitan atau menurunkan beratnya mual, penurunan anoreksia, dan memungkinkan pasien meningkatkan masukan oral.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Mual/ muntah psikogenik terjadi sebelum kemoterapi mulai secar umum tidak berespons terhadap obat antiemetik. Perubahan lingkungan pengobatan atau rutinitas pasien pada hari pengobatan mungkin efektif.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Sering sebagai sumber distress emosi , khususnya untuk orang terdekat yang mengiginkan untuk memberi makan pasien dengan sering. Bila pasien menolak , orang terdekat dapat merasakan ditolak / frustasi.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Mual/ muntah paling menurunkan kemampuan dfan efek samping psikologis kemoterapi yang menimbulakn stress.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Individu berespons secara berbeda pada semua obat-obatan . Antiematik firstine mungkin tidak bekerja, memerlukan perubahan pada atau kombinasi terapi obat.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Terapi tertentu ( mis; antimetabolit) menghambat pembaharuan lapiasan sel-sel epitel saluran GI , yang dapat menyebabkan perubahan yang direntang dari eritema ringan sampai ulserasi berat dengan pendarahan. </div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Membantu mengidentifikasi derajat ketidakseimbangan biokimia/ malnutrisi dan mempengaruhi pilihan intervensi diet. <i>Catatan</i> ; pengobatan anti kanker dapat juga mengubah pemeriksaan nutrisi sehingga semua hasil harus diperbaiki dengan status klinis pasien. </div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Kebanyakan antimetik bekerja untuk mempengaruhi stimulasi pusat muntah sejati dan kemoreseptor mentriger agen zona juga bertindk secara periferuntuk menghambat peristaltik balik.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Terapi kombinasi ( mis; torecan dengan Decadron atau Valium ) seringkali lebih efektif daripada agen tunggal. </div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Mencegah kekurangan karena penurunan absorpsi vitamin larut dalam lemak. Defisiensi B6 dapat memperberat / mengeksaserbasi depresi , peka rangsang.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Meminimalkan iritasi lambungdan mengurangi resiko ulserasi mukosa.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Memberikan rencana diet khusus untuk memenuhi kebutuhan individu dan menurunkan masalah berkenan dengan malnutrisi protein/ kalori dan defisiensi mikronutrien.</div><div class="MsoNormal"><br />
</div><div class="MsoNormal">Pada adanya malnutrisi </div><div class="MsoNormal">( mis ; kehilangan berat badan 25%-30% dalam dua bulan ) , atau pasien telah dipuasakn selama 5 hari dan tidak mungkin untuk mampu makan selama 2 minggu , pemberian makan per selang atau NPT mungkin perlu untuk memenuhi kebutuhan nutrisi. </div><div class="MsoNormal"><i>Catatan :</i> NPT digunakan dengan kewaspadaan yang dihubungkan dengan peningkatan lebih dari 4 kali lipat pada resiko infeksi signifikan.</div></td> </tr>
</tbody></table><div class="MsoNormal"><br />
</div><span id="goog_167046092"></span><span id="goog_167046093"></span></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-28065718386025628702011-11-29T01:54:00.001-08:002011-11-29T01:54:33.890-08:00indonesia sehat<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if !mso]> <style>
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</style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="1039"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> <div class="Section1"> <div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;"><b>BAB I</b></div><div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;"><b>PENDAHULUAN </b></div><div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><b><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Latar Belakang</b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;">Pembangunan kesahatan menuju Indonesia sehat 2010 adalah meningkatkan kesadaran, kemauan, dan kemampuan hidup sehat bagi setiap orang agar terwujud derajat kesehatan yang optimal (DepKes RI, 1999). Untuk mewujudkan harapan tersebut dilakukan berbagai upaya program diantaranya adalah pemberdayaan dan kemandirian masyarakat untuk hidup sehat terhadap seluruh kelompok masyarakat sesuai dengan siklus kehidupan manusia yang dimulai saat di kandungan sampai pada tahap usia lanjut.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;">Berdasarkan analisis masalah kesehatan penyakit menular di kota Depok didapatkan data bahwa penyakit hipertensi mengalami peningkatan kasus setiap tahunnya. <span lang="SV">Prevalensi penyakit hipertensi berdasarkan hasil penelitian Badan Litbankes Depkes RI dengan sampel satu kelurahan diperoleh angka kejadian hipertensi adalah 25,6% (Dinkes Depok, 2005). Hasil penelitian yang dilakukan oleh Meilianingsih (2004) didapatkan bahwa dari 98 usia lanjut di Kelurahan Kemiri Muka 54,3% usia lanjut menderita penyakit hipertensi.</span><span lang="SV"> </span>Langkah awal yang dilakukan pada<span> </span>agregat usia lanjut di Kelurahan Depok adalah melakukan penapisan terhadap usia lanjut terkait dengan penyakit hipertensi. Berdasarkan angket yang telah disebarkan dari 155 kuesioner, usia lanjut yang menderita penyakit hipertensi sebanyak 55 orang atau 35,5 %.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><span lang="SV">Hipertensi merupakan penyakit kegagalan pembuluh darah dalam mengatur kelenturan sehingga menyebabkan terjadinya peningkatan tekanan dalam pembuluh darah, dan hal ini<span> </span>terjadi pada usia lanjut<span> </span>karena adanya proses degenerasi. Selain dari adanya proses degenerasi hipertensi pada umumnya disebabkan oleh karena adanya gaya hidup yang kurang sehat seperti stress, merokok, kurang berolah raga, pola makan yang kurang baik (Ikram, <span style="color: black;"><a href="http://www.infokes.com/"><span style="color: black; text-decoration: none;">http://www.infokes.com</span></a>,</span> diperoleh tanggal 7 Oktober 2006). </span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><span lang="SV">Lanjut usia yang menderita penyakit hipertensi mempunya risiko terhadap terjadinya komplikasi seperti stroke, gagal ginjal serta penyakit jantung koroner. Oleh sebab itu, diperlukan upaya untuk menangani penyakit hipertensi<span> </span>tersebut agar dapat meminimalkan dampak yang ditimbulkan oleh penyakit tersebut. Upaya yang dapat dilakukan adalah upaya promotif dan preventif yaitu olah raga, manajemen stress, diet makanan, dan pengobatan. Perawat komunitas dapat melakukan salah satu upaya untuk<span> </span>meningkatkan kesehatan usia lanjut dengan hipertensi dan memandirikan keluarga dan masyarakat dalam memelihara kesehatannya melalui pendidikan kesehatan dan memberikan ketrampilan kepada keluarga mengenai diet makanan yang dapat mengendalikan hipertensi yang disebut DASH atau Dietary Approach to Stop Hipertention. <span style="color: black;">Penanganan masalah hipertensi melalui DASH ini diperlukan kerjasama dengan lanjut usia dan keluarga serta masyarakat agar mampu secara mandiri dalam mencegah dan mengatasi penyakit tersebut. </span></span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;">Pelaksanaan program terhadap upaya pemberdayaan dan memandirikan masyarakat dilaksanakan secara multidisiplin, lintas sektor, dan lintas program. Namun demikian sebelum dilaksanakannya suatu program tertentu diperlukan sumber informasi yang </div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;">berasal dari masyarakat, sehingga dapat diketahui kebutuhan dari masyarakat setempat.<span style="color: black;"> </span>Pelaksanaan penanganan masalah kesehatan pada usia lanjut dengan hipertensi <span> </span>di Kelurahan Depok akan dilakukan bersama-sama dengan masyarakat setempat secara bertahap.<span lang="SV" style="color: black;"></span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;">Berdasarkan permasalahan di atas, maka perlu dilakukan pertemuan dengan berbagai pihak secara lintas sector dan lintas program, untuk mengidentifikasi masalah maupun menyusun rencana penyelesaian<span> </span>berdasarkan masalah yang telah teridentifikasi.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><b><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></b><span dir="LTR"></span><b>Tujuan </b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 48pt; text-align: justify; text-indent: -24pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan Umum </div><div class="MsoNormal" style="line-height: 200%; margin-left: 48pt; text-align: justify;">Tercapainya kesepakatan tentang program kerja penyelesaian masalah untuk usia lanjut dengan hipertensi di Kelurahan Depok Kecamatan Pancoran Mas.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 48pt; text-align: justify; text-indent: -24pt;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tujuan Khusus </div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Terlaksananya desiminasi hasil pengkajian terhadap usia lanjut dengan hipertensi di Kelurahan Depok Kecamatan Pancoran Mas.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Tersusunnya program kerja penyelesaian masalah untuk usia lanjut dengan hipertensi di Kelurahan Depok Kecamatan Pancoran Mas.</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Terbentuknya kerjasama dengan masyarakat Kelurahan Depok Kecamatan Pancoran Mas. </div><div class="MsoNormal"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;"><b>BAB II</b></div><div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;"><b>ASUHAN KEPERAWATAN KOMUNITAS PADA AGREGAT USIA LANJUT DENGAN HIPERTENSI </b></div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;">Asuhan keperawatan komunitas pada agregat usia lanjut dengan hipertensi yang dilakukan di Kelurahan Depok<span> </span>menggunakan pendekatan proses keperawatan dengan mengunakan framework atau <span lang="SV" style="color: black;">model konseptual keperawatan yang berfokus terhadap analisis kemandirian untuk usia lanjut dengan hipertensi adalah model konseptual s<i>elf care</i>. Model konseptual tersebut mempunyai pandangan bahwa keperawatan diperlukan untuk mempertahankan kebutuhan perawatan diri bagi individu, keluarga dan masyarakat yang tidak mampu melakukannya. </span></div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><span lang="SV" style="color: black;">Perawat </span><span lang="SV">membantu klien untuk mempertahankan kebutuhan perawatan diri<span> </span>dengan memberikan bimbingan, pengarahan, dan ketrampilan secara individual maupun kelompok<span> </span>sehingga usia lanjut yang menderita<span> </span>hipertensi mampu mandiri secara bertahap dalam mengelola penyakitnya. Perawat komunitas mempunyai kontribusi yang besar dalam meningkatkan status kesehatan individu, keluarga, kelompok, dan masyarakat (Anderson, 2000).</span></div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><span lang="SV">Penyakit hipertensi merupakan penyakit kronis memerlukan penanganan yang terus menerus dan berkesinambungan, maka perawat dalam melakukan upaya promosi kesehatan dapat menggunakan model <i>Health Belief Model</i>. Model ini digunakan untuk memprediksi perilaku kesehatan preventif dan untuk menjelaskan perilaku peran orang sakit terutama pada penyakit kronis, seperti hipertensi, diabetes mellitus, penyakit ginjal, penyakit paru dan paraplegia (Bastable, 1997). Kedua konsep model telah dilakukan secara terintegrasi sehingga dapat dijelaskan sebagai berikut :</span></div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><b><span lang="SV"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="SV">Pengkajian </span></b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span> </span>Berdasarkan hasil pengisian angket penapisan pada usia lanjut didapatkan hasil sebagai berikut :</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><br />
</div><div align="center" class="MsoNormal" style="margin-left: 24.1pt; text-align: center; text-indent: -24.1pt;"><span lang="SV">Grafik 1. Distribusi Tekanan Darah Usia Lanjut di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="margin-left: 24.1pt; text-align: center; text-indent: -24.1pt;"><span lang="SV">Bulan Nopember Tahun 2006 </span></div><div align="center" class="MsoNormal" style="margin-left: 24.1pt; text-align: center; text-indent: -24.1pt;"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: center; text-indent: -24pt;"><img border="0" height="236" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image002.gif" width="381" /><span lang="SV"></span></div><div align="center" class="MsoNormal" style="margin-left: 24.1pt; text-align: center; text-indent: -24.1pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24.1pt; text-align: justify; text-indent: -0.1pt;"><span lang="SV">Dari grafik di atas dapat diketahui bahwa dari 155 orang usia lanjut yang mengalami hipertensi sebanyak 55 orang, dan sebagian besar mempunyai tekanan darah yang normal yaitu sebanyak 70 orang</span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24.1pt; text-align: center; text-indent: -24.1pt;"><br />
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</div><div align="center" class="MsoNormal" style="margin-left: 24.1pt; text-align: center; text-indent: -0.1pt;"><span lang="SV">Grafik 2. Distribusi Keluhan Usia Lanjut dengan Hipertensi di Kelurahan Depok Bulan Nopember Tahun 2006 </span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: center; text-indent: -24pt;"><img border="0" height="312" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image004.gif" width="417" /><span lang="SV"></span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><span lang="SV">Selanjutnya dari 55 usia lanjut yang mengalami hipertensi dapat disajikan data sebagai berikut :</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Data Demografi </span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Umur </span></div><div class="MsoNormal" style="margin-left: 66pt; text-align: justify;"><span lang="SV">Tabel 1. Distribusi Umur Usia Lanjut dengan Hipertensi di Kelurahan Depok Bulan Nopember Tahun 2006</span></div><div class="MsoNormal" style="margin-left: 41.95pt; text-align: justify;"><br />
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<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 52.15pt;" valign="top" width="70"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">Variabel</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 100.9pt;" valign="top" width="135"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">Mean</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">Median</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 64.85pt;" valign="top" width="86"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">SD</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 100.1pt;" valign="top" width="133"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">Min-Mak</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 52.15pt;" valign="top" width="70"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Umur </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 100.9pt;" valign="top" width="135"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">67,22</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">66</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 64.85pt;" valign="top" width="86"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">8,6</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 100.1pt;" valign="top" width="133"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">56 - 90</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Hasil analisis didapatkan bahwa rata-rata umur usia lanjut dengan hipertensi adalah 67,22 tahun, median 66 tahun dengan standar deviasi 8,6 tahun</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
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</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Jenis kelamin</span></div><div class="MsoNormal" style="margin-left: 66pt; text-align: justify;"><span lang="SV">Diagram 1. Distribusi Jenis Kelamin Usia Lanjut dengan Hipertensi di Kelurahan Depok Bulan Nopember Ttahun 2006</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: center;"><b><span style="font-family: "System","sans-serif"; font-size: 10pt; line-height: 200%;"><img border="0" height="215" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="265" /></span></b><span lang="SV"></span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span> </span>Berdasarkan diagram di atas dapat diketahui bahwa jenis kelamin usia lanjut yang menderita hipertensi adalah wanita yaitu 80% sisanya adalah laki-laki sebanyak 20%</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Agama</span></div><div align="center" class="MsoNormal" style="margin-left: 41.95pt; text-align: center;"><span lang="SV">Diagram 2. Distribusi Agama Usia Lanjut dengan Hipertensi di Kelurahan Depok Bulan Nopember Tahun 2006</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black; font-family: "Arial","sans-serif";"><img border="0" height="231" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="286" /></span></b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 1in; text-align: justify; text-indent: -5.95pt;"><b><span style="color: black; font-family: "Arial","sans-serif";"><span> </span></span></b><span style="color: black;">Mayoritas agama yang dianut usia lanjut adalah agama Islam yaitu 92,7%</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
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</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Suku </span></div><div align="center" class="MsoNormal" style="margin-left: 24.1pt; text-align: center; text-indent: 41.9pt;"><span lang="SV">Grafik 3. Distribusi Suku Usia Lanjut dengan Hipertensi di Kelurahan Depok Bulan Nopember Tahun 2006 </span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black; font-family: "Arial","sans-serif"; font-size: 14pt;"><img border="0" height="290" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" width="363" /></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span> </span>Suku bangsa dari usia lanjut dengan hipertensi adalah suku Betawi yaitu 75% dan Jawa 16%, sisanya adalah suku Sunda dan Batak.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Status perkawinan</span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 2. Distribusi Status Perkawinan Usia Lanjut dengan Hipertensi di Kelurahan Depok Bulan </span></div><div align="center" class="MsoNormal" style="margin-left: 1.75in; text-align: center; text-indent: -60pt;"><span lang="SV">Nopember Tahun 2006</span></div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
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<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 102pt;" valign="top" width="136"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Status perkawinan responden</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 84pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 101.95pt;" valign="top" width="136"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 102pt;" valign="top" width="136"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Kawin</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Janda</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Duda </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">39</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">14</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 101.95pt;" valign="top" width="136"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">70,9</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">25,5</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV"><span> </span>3,6</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 102pt;" valign="top" width="136"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumlah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 101.95pt;" valign="top" width="136"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV"><span> </span>100</span></div></td> </tr>
</tbody></table><div align="center" class="MsoNormal" style="text-align: center;"><br />
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</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Tujuh puluh satu persen usia lanjut berstatus kawin, janda 25 % dan duda 3,6%.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pendidikan </span></div><div align="center" class="MsoNormal" style="margin-left: 41.95pt; text-align: center; text-indent: 18.05pt;"><span lang="SV">Diagram 3. Distribusi Pendidikan<span> </span>Usia Lanjut dengan Hipertensi di Kelurahan Depok Bulan Nopember Tahun 2006</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify; text-indent: 24pt;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black; font-family: "Arial","sans-serif"; font-size: 14pt;"><img border="0" height="251" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" width="294" /></span></b></div><div class="MsoNormal" style="line-height: 200%;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Diagram di atas menunjukkan bahwa mayoritas pendidikan usia lanjut dengan hipertensi adalah tidak sekolah sebanyak 36,4%, SD 40%, sedangkan pendidikan SMP dan SLTA berturut-turut sebanyak 10,9% dan 12,7 %.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pekerjaan </span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 2. Distribusi Pekerjaan<span> </span>Usia Lanjut dengan Hipertensi di Kelurahan Depok Bulan Nopember Tahun 2006</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 102pt;" valign="top" width="136"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Pekerjaan responden</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 84pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 101.95pt;" valign="top" width="136"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 102pt;" valign="top" width="136"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Tidak bekerja</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Pensiunan</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Swasta</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">40</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">11</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">4</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 101.95pt;" valign="top" width="136"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">72,7</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">20</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">7,3</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 102pt;" valign="top" width="136"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumlah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 101.95pt;" valign="top" width="136"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Sebagian besar responden adalah tidak bekerja dan mendapatkan pensiunan yaitu masing-masing sebesar 72,7% dan 20%.</span></div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Data Kesehatan Usia lanjut, meliputi :</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Penyakit yang pernah diderita usia lanjut :</span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 3. Distribusi Penyakit yang diderita<span> </span>Usia Lanjut dengan Hipertensi di Kelurahan Depok Bulan Nopember</span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV"><span> </span>Tahun 2006</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Penyakit yang diderita responden</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Hipertensi </span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Hipertensi+ penyakit<span> </span>lain</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">39</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">16</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">70,9</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">29,1</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 60pt; text-align: justify;"><span lang="SV">Tampak pada tabel di atas bahwa usia lanjut yang menderita hipertensi dan penyakit lain adalah 29,1% diantaranya adalah penyakit rematik, DM dan stroke. Sedangkan 70,9% usia lanjut menderita hipertensi tanpa diikuti dengan keluhan yang lain.</span></div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 60pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pengobatan yang dilakukan untuk mengatasi penyakit :</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 105pt; text-align: justify; text-indent: -45pt;"><span lang="SV"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Obat yang diminum </span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 4.<span> </span>Distribusi obat hipertensi yang di minum Usia Lanjut dengan Hipertensi di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Bulan NopemberTahun 2006</span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal"><b><span lang="SV"><span> </span>Adakah obat hipertensi yang di minum</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Tidak </span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ya </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">20</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">35</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">36,4</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">63,6</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 60pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 60pt; text-align: justify;"><span lang="SV">Dari tabel 4 dapat dilihat bahwa 63,6% usia lanjut yang mengalami hipertensi menyatakan ada obat hipertensi yang harus di minum, selebihnya menyatakan tidak ada obat hipertensi yang di minum yaitu 36,4%.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 105pt; text-align: justify; text-indent: -45pt;"><span lang="SV"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Keteraturan berobat</span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 5.<span> </span>Distribusi Keteraturan<span> </span>Minum Obat pada Usia Lanjut dengan Hipertensi di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 60pt; text-align: center;"><span lang="SV">Bulan NopemberTahun 2006</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal"><b><span lang="SV">Keteraturan minum obat</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Tidak </span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ya </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">35</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">20</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">63,6</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">36,4</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 60pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 60pt; text-align: justify;"><span lang="SV">Selanjutnya didapatkan data pula bahwa 63,6% usia lanjut juga tidak teratur minum obat, berdasarkan wawancara pada beberapa usia lanjut dengan hipertensi menyatakan bahwa obat di minum bila tekanan darahnya pada saat pemeriksaan tinggi, selanjutnya jika obat habis sudah tidak minum lagi.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 60pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 105pt; text-align: justify; text-indent: -45pt;"><span lang="SV"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pengobatan alternatif</span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 6.<span> </span>Distribusi Penggunaan Pengobatan Alternatif pada Usia Lanjut dengan Hipertensi di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 60pt; text-align: center;"><span lang="SV">Bulan NopemberTahun 2006</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal"><b><span lang="SV">Pengobatan alternatif</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Tidak </span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ya </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">37</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">18</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">67,3</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">32,7</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Enam puluh tujuh persen usia lanjut menyatakan tidak menggunakan pengobatan alternatif, sedangkan 32,7% menggunakan pengobatan alternatif seperti merebus daun salam, membuat jus mentimun.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kebiasaan sehari-hari yang dilakukan responden meliputi :</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.25in; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Minum kopi :</span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 7.<span> </span>Distribusi Kebiasaan Minum Kopi pada Usia Lanjut dengan Hipertensi di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: center;"><span lang="SV">Bulan NopemberTahun 2006</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal"><b><span lang="SV">Minum kopi </span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Tidak </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Kadang-kadang </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ya </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">40</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">11</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">4</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">72,7</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">20</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">7,3</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Dari tabel 7, diketahui bahwa sebagian besar usia lanjut dengan hipertensi 72,7% menyatakan tidak minum kopi, namun ada beberapa (20%) yang kadang-kadang masih minum kopi, dan 7,3% masih minum kopi.</span></div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.25in; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Minum teh</span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 8.<span> </span>Distribusi Kebiasaan Minum Teh pada Usia Lanjut dengan Hipertensi di Kelurahan Depok Bulan NopemberTahun 2006</span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal"><b><span lang="SV">Minum teh </span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Tidak </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Kadang-kadang </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ya </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">25</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">21</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">9</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">45,5</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">38,2</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">16,4</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Dari tabel 7, diketahui bahwa sebagian besar usia lanjut dengan hipertensi 45,5% menyatakan tidak minum teh, 38,2%<span> </span>kadang-kadang<span> </span>minum teh, dan 16,4% yang rutin<span> </span>minum teh.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.25in; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Minuman kaleng </span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 9.<span> </span>Distribusi Kebiasaan Minum Minuman Kaleng pada Usia Lanjut dengan Hipertensi di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: center;"><span lang="SV">Bulan NopemberTahun 2006</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal"><b><span lang="SV">Minuman kaleng </span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Tidak </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Kadang-kadang </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ya </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">53</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">2</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">0</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">96,4</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">3,6</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">0</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Kebiasaan minum minuman kaleng seperti cola, mizone dan sebagainya 96,4% usia lanjut menyatakan tidak pernah minum, sedangkan 3,6% kadang-kadang masih minum.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.25in; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>4)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Makanan tinggi lemak </span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 10.<span> </span>Distribusi Kebiasaan Makan Makanan Tinggi Lemak pada Usia Lanjut dengan Hipertensi di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: center;"><span lang="SV">Bulan NopemberTahun 2006</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal"><b><span lang="SV">Makanan tinggi lemak</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Tidak </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Kadang-kadang </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ya </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">25</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">22</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">8</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">45,5</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">40</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">14,5</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><span lang="SV"><span> </span></span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -66pt;"><span lang="SV"><span> </span>Berdasarkan tabel di atas usia lanjut yang mengalami hipertensi 45,5 % menyatakan sudah tidak makan makanan yang mengandung lemak, sedangkan 40% menyatakan masih makan makanan yang tinggi lemak walaupun kadang-kadang, dan 14,5% menyatakan masih makan makanan yang mengandung lemak seperti makanan bersantan, jerohan, lauk yang digoreng setiap hari.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -66pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -66pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.25in; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>5)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Makanan asin </span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 11.<span> </span>Distribusi Kebiasaan Makan Makanan Asin pada Usia Lanjut dengan Hipertensi di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: center;"><span lang="SV">Bulan NopemberTahun 2006</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal"><b><span lang="SV">Makanan asin</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Tidak </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Kadang-kadang </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ya </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">30</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">21</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">4</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">54,5</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">38,2</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">7,3</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Lebih dari 50% usia lanjut sudah tidak makan makanan yang asin, seperti ikan asin, sosis dan sebagainya, namun 38,2 % kadang-kadang masih mengkonsumsi makanan yang asin dan sebagian kecil suka makanan yang asin atau gurih.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1.25in; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>6)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Kebiasaan olah raga</span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 11.<span> </span>Distribusi Kebiasaan Melakukan Olah Raga pada Usia Lanjut dengan Hipertensi di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: center;"><span lang="SV">Bulan NopemberTahun 2006</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal"><b><span lang="SV">Melakukan olah raga</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Tidak</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Kadang-kadang </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ya </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">30</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">12</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">13</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">54,5</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">21,8</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">23,6</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><span lang="SV"><span> </span></span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Usia lanjut dengan hipertensi, sesuai tabel di atas, 54,5% tidak melakukan olah raga, sedangkan 21,8% kadang-kadang mengikuti senam di wilayahnya, dan yang melakukan olah raga 23,6%</span></div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Penyelesaian<span> </span>masalah</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 2in; text-align: justify; text-indent: -78pt;"><span lang="SV"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Keterlibatan usia lanjut <span> </span>dalam menyelesaikan masalah </span></div><div align="center" class="MsoNormal" style="margin-left: 66.05pt; text-align: center;"><span lang="SV">Diagram 4. Distribusi Keterlibatan Usia Lanjut<span> </span>dalam Menyelesaikan Masalah di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="margin-left: 66.05pt; text-align: center;"><span lang="SV">Bulan Nopember Tahun 2006</span></div><div align="center" class="MsoNormal" style="text-align: center;"><b><span style="font-family: "System","sans-serif"; font-size: 10pt;"><img border="0" height="244" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image014.gif" width="318" /></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Sesuai data di atas dapat diketahui bahwa setengah (50,9%) usia lanjut sudah tidak terlibat menyelesaikan masalah di dalam keluarganya, 27,3% masih terlibat dan yang kadang-kadang terlibat 21,8%.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 2in; text-align: justify; text-indent: -78pt;"><span lang="SV"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Usia lanjut mengungkapkan masalah kepada keluarga</span></div><div align="center" class="MsoNormal" style="margin-left: 66.05pt; text-align: center;"><span lang="SV">Diagram 5. Distribusi Pengungkapkan masalah pada Usia Lanjut dengan Hipertensi di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="margin-left: 66.05pt; text-align: center;"><span lang="SV">Bulan Nopember Tahun 2006</span></div><div align="center" class="MsoNormal" style="text-align: center;"><b><span style="font-family: "System","sans-serif"; font-size: 10pt;"><img border="0" height="262" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image016.gif" width="343" /></span></b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 78pt; text-align: justify;"><span>Berdasarkan diagram 5 dapat dilihat bahwa 36,4% usia lanjut mengungkapkan permasalahannya kepada keluarga, 40 % kadang-kadang mengungkapkan dan yang tidak adalah 23,6%. </span></div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 2in; text-align: justify; text-indent: -78pt;"><span lang="SV"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Cara mengatasi stress usia lanjut</span></div><div align="center" class="MsoNormal" style="margin-left: 66pt; text-align: center;"><span lang="SV">Tabel 12.<span> </span>Distribusi Cara Mengatasi Stress pada Usia Lanjut dengan Hipertensi di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: center;"><span lang="SV">Bulan Nopember Tahun 2006</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal"><span lang="SV">Cara mengatasi stress</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Diam</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Diungkapkan </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">23</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">32</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">41,8</span></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">58,2</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 1in; text-align: justify; text-indent: -30pt;"><span lang="SV"><span> </span>Cara mengatasi masalah pada usia lanjut 58,2% diungkapkan secara langsung sedangkan, 41,8% usia lanjut diam atau dibiarkan saja.</span></div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Halangan yang dirasakan untuk tindakan pencegahan</span></div><div align="center" class="MsoNormal" style="margin-left: 41.95pt; text-align: center; text-indent: 24.05pt;"><span lang="SV">Tabel 13.<span> </span>Distribusi Halangan yang Dirasakan untuk Tindakan Pencegahan pada Usia Lanjut dengan Hipertensi di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="margin-left: 41.95pt; text-align: center; text-indent: 24.05pt;"><span lang="SV">Bulan Nopember Tahun 2006</span></div><div align="center" class="MsoNormal" style="margin-left: 41.95pt; text-align: center; text-indent: 24.05pt;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal"><span lang="SV">Halangan </span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Tidak </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ya </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">32</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">23</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">58,2</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">41,8</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Dari tabel 13, usia lanjut menyatakan bahwa untuk tindakan pencegahan terhadap penyakit hipertensi dirasakan tidak ada halangan sebesar 58,2% dan yang menyatakan ada halangan adalah 41,8 %. Halangan yang dirasakan sebagian besar adalah untuk olah raga, mengurangi asin, kontrol tekanan darah secara teratur dan pengobatan.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pengetahuan tentang penyakit hipertensi</span></div><div class="MsoNormal" style="margin-left: 42pt; text-align: justify; text-indent: 24pt;"><span lang="SV">Grafik 4. Distribusi Pengetahuan tentang Penyakit Hipertensi pada</span></div><div align="center" class="MsoNormal" style="margin-left: 24.1pt; text-align: center; text-indent: 41.9pt;"><span lang="SV"><span> </span>Usia Lanjut dengan Hipertensi di Kelurahan Depok </span></div><div align="center" class="MsoNormal" style="margin-left: 24.1pt; text-align: center; text-indent: 41.9pt;"><span lang="SV">Bulan Nopember Tahun 2006 </span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><b><span style="font-family: "System","sans-serif"; font-size: 10pt;"><img border="0" height="253" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image018.gif" width="334" /></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><span lang="SV">Dari<span> </span>grafik 4, dapat dilihat bahwa pengetahuan usia lanjut mengenai penyakit hipertensi sebagian besar masih kurang yaitu 50,9%, cukup 25,5% dan baik 23,6%.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Pernah mendapakan penyuluhan /informasi tentang penyakit hipertensi</span></div><div align="center" class="MsoNormal" style="margin-left: 41.95pt; text-align: center;"><span lang="SV"><span> </span>Tabel 14.<span> </span>Distribusi Informasi tentang Penyakit Hipertensi pada Usia Lanjut dengan Hipertensi di Kelurahan Depok</span></div><div align="center" class="MsoNormal" style="margin-left: 41.95pt; text-align: center;"><span lang="SV"><span> </span>Bulan NopemberTahun 2006</span></div><div align="center" class="MsoNormal" style="margin-left: 41.95pt; text-align: center;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 71.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal"><span lang="SV">Informasi </span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Jumlah</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Persentase</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Tidak </span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ya </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">30</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">25</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">54,5</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">45,5</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 138pt;" valign="top" width="184"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Jumah </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 66pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">55</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 83.95pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">100</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span> </span>Pada tabel 14, diketahui bahwa 54,5 % usia lanjut tidak pernah mendapatkan informasi tentang penyakit hipertensi, dan 45,5% pernah mendapatkan informasi saat melakukan pemeriksaan.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify;"><span lang="SV"><span> </span></span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -24pt;"><span lang="SV"><span>h.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Status fungsional </span></div><div align="center" class="MsoNormal" style="margin-left: 42pt; text-align: center; text-indent: 24pt;"><span lang="SV">Grafik 5. Distribusi Status Fungsional / Kemandirian pada Usia Lanjut dengan Hipertensi di Kelurahan Depok</span></div><div align="center" class="MsoNormal" style="margin-left: 24.1pt; text-align: center; text-indent: 41.9pt;"><span lang="SV"><span> </span>Bulan Nopember Tahun 2006 </span></div><div align="center" class="MsoNormal" style="margin-left: 24.1pt; text-align: center; text-indent: 41.9pt;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><b><span style="font-family: "System","sans-serif"; font-size: 10pt;"><img border="0" height="239" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image020.gif" width="363" /></span></b></div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -66pt;"><span lang="SV"><span> </span>Status fungsional atau tingkat kemandirian usia lanjut dengan hipertensi 78,2% adalah masih mandiri dalam memenuhi kebutuhan dasar sehari-hari, sedangkan yang kurang mandiri atau memerlukan pengawasan untuk melakukan aktivitas instrumental adalah 12,7%, dan yang tidak mandiri dalam memenuhi kebutuhan dasar dan instrumental adalah 9%.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 66pt; text-align: justify; text-indent: -66pt;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><b><span lang="SV"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="SV">Analisis Data </span></b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><span lang="SV">Berdasarkan data yang telah dipaparkan, maka dapat dilakukan analisis data untuk mengetahui mengenai masalah yang ditemukan pada komunitas usia lanjut dengan hipertensi. Hasil analisis dapat dijelaskan sebagai berikut :</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 29.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 48pt;" valign="top" width="64"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">No </span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 222.7pt;" valign="top" width="297"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Data </span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 143.3pt;" valign="top" width="191"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV">Masalah </span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 48pt;" valign="top" width="64"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 222.7pt;" valign="top" width="297"> <div class="MsoNormal" style="margin-left: 17.05pt; text-align: justify; text-indent: -12pt;"><span lang="SV" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">pengetahuan usia lanjut mengenai penyakit hipertensi sebagian besar masih kurang yaitu 50,9%, cukup 25,5% dan baik 23,6%.</span></div><div class="MsoNormal" style="margin-left: 17.05pt; text-align: justify; text-indent: -12pt;"><span lang="SV" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">40% menyatakan masih makan makanan yang tinggi lemak walaupun kadang-kadang, dan 14,5% menyatakan masih makan makanan yang mengandung lemak seperti makanan bersantan, jerohan, lauk yang digoreng setiap hari.</span></div><div class="MsoNormal" style="margin-left: 17.05pt; text-align: justify; text-indent: -12pt;"><span lang="SV" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">63,6% usia lanjut juga tidak teratur minum obat, berdasarkan wawancara pada beberapa usia lanjut dengan hipertensi menyatakan bahwa obat di minum bila tekanan darahnya pada saat pemeriksaan tinggi, selanjutnya jika obat habis sudah tidak minum lagi.</span></div><div class="MsoNormal" style="margin-left: 17.05pt; text-align: justify; text-indent: -12pt;"><span lang="SV" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">38,2 % kadang-kadang masih mengkonsumsi makanan yang asin dan sebagian kecil suka makanan yang asin atau gurih.</span></div><div class="MsoNormal" style="margin-left: 17.05pt; text-align: justify; text-indent: -12pt;"><span lang="SV" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">54,5% tidak melakukan olah raga, sedangkan 21,8% kadang-kadang mengikuti senam di wilayahnya</span></div><div class="MsoNormal" style="margin-left: 17.05pt; text-align: justify; text-indent: -12pt;"><span lang="SV" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">41,8 % usia lanjut merasakan ada halangan untuk melakukan pencegahan<span> </span>untuk olah raga, mengurangi asin, kontrol tekanan darah secara teratur dan pengobatan.</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 143.3pt;" valign="top" width="191"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Risiko peningkatan gangguan perfusi cerebrovaskuler </span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ketidakpatuhan dalam melakukan diet makanan</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ketidakpatuhan dalam pengobatan</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><span lang="SV">Ketidakpatuhan dalam melakukan olahraga</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 48pt;" valign="top" width="64"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 222.7pt;" valign="top" width="297"> <div class="MsoNormal" style="margin-left: 18.4pt; text-align: justify; text-indent: -11.9pt;"><span lang="SV" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">27,3% masih terlibat dan yang kadang-kadang terlibat 21,8%.</span></div><div class="MsoNormal" style="margin-left: 18.4pt; text-align: justify; text-indent: -11.9pt;"><span lang="SV" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span>40 % kadang-kadang mengungkapkan permasalahan dan yang tidak adalah 23,6%. </span><span lang="SV"></span></div><div class="MsoNormal" style="margin-left: 17.05pt; text-align: justify; text-indent: -12pt;"><span lang="SV" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">41,8% usia lanjut apabila ada masalah adalah diam atau dibiarkan saja.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 143.3pt;" valign="top" width="191"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Resiko ketidakefektifan koping </span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 48pt;" valign="top" width="64"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV">3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 222.7pt;" valign="top" width="297"> <div class="MsoNormal" style="margin-left: 18.4pt; text-align: justify; text-indent: -11.9pt;"><span lang="SV" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Status fungsional atau tingkat kemandirian usia lanjut dengan hipertensi 78,2% adalah masih mandiri dalam memenuhi kebutuhan dasar sehari-hari.</span></div><div class="MsoNormal" style="margin-left: 18.4pt; text-align: justify; text-indent: -11.9pt;"><span lang="SV" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">45,5% pernah mendapatkan informasi tentang penyakit hipertensi saat melakukan pemeriksaan fasilitas pelayanan kesehatan baik di posbindu, puskesmas atau di RS.</span></div><div class="MsoNormal" style="margin-left: 18.4pt; text-align: justify; text-indent: -11.9pt;"><span lang="SV" style="font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">tindakan pencegahan terhadap penyakit hipertensi dirasakan tidak ada halangan sebesar 58,2%.</span></div><div class="MsoNormal" style="margin-left: 6.5pt; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 143.3pt;" valign="top" width="191"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Potensial peningkatan kesehatan pada usia lanjut dengan hipertensi </span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><b><span lang="SV"><span>C.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="SV">Rumusan Diagnosa Keperawatan Komunitas</span></b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 48.2pt; text-align: justify; text-indent: -24.1pt;"><span lang="SV"><span>1)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Resiko peningkatan gangguan perfusi cerebrovaskuler pada usia lanjut dengan hipertensi di wilayah Kelurahan Depok berhubungan dengan ketidakpatuhan usia lanjut dalam pengelolaan penyakit hipertensi ditandai dengan pengetahuan usia lanjut mengenai penyakit hipertensi sebagian besar masih kurang yaitu 50,9%, dan cukup 25,5%,<span> </span>40% menyatakan masih makan makanan yang tinggi lemak walaupun kadang-kadang, dan 14,5% menyatakan masih makan makanan yang mengandung lemak seperti makanan bersantan, jerohan, lauk yang digoreng setiap hari. 63,6% usia lanjut juga tidak teratur minum obat, berdasarkan wawancara pada beberapa usia lanjut dengan hipertensi menyatakan bahwa obat di minum bila tekanan darahnya pada saat pemeriksaan tinggi, selanjutnya jika obat habis sudah tidak minum lagi. 38,2 % kadang-kadang masih mengkonsumsi makanan yang asin dan sebagian kecil suka makanan yang asin atau gurih. 54,5% tidak melakukan olah raga, sedangkan 21,8% kadang-kadang mengikuti senam di wilayahnya. 41,8 % usia lanjut merasakan ada halangan untuk melakukan pencegahan<span> </span>untuk olah raga, mengurangi asin, kontrol tekanan darah secara teratur dan pengobatan.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 48.2pt; text-align: justify; text-indent: -24.1pt;"><span lang="SV"><span>2)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Resiko ketidakefektifan koping pada usia lanjut dengan hipertensi di wilayah Kelurahan Depok berhubungan dengan kurangnya pengetahuan pengelolaan stress ditandai dengan <span>40 % kadang-kadang mengungkapkan permasalahan dan yang tidak adalah 23,6%. </span>41,8% usia lanjut apabila ada masalah adalah diam atau dibiarkan saja.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 48.2pt; text-align: justify; text-indent: -24.1pt;"><span lang="SV"><span>3)<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Potensial peningkatan kesehatan pada usia lanjut dengan hipertensi di wilayah Kelurahan Depok berhubungan dengan dukungan sosial ditandai dengan status fungsional atau tingkat kemandirian usia lanjut dengan hipertensi 78,2% adalah mandiri, 45,5% pernah mendapatkan informasi tentang penyakit hipertensi saat melakukan pemeriksaan fasilitas pelayanan kesehatan baik di posbindu, puskesmas atau di RS, tindakan pencegahan terhadap penyakit hipertensi dirasakan tidak ada halangan sebesar 58,2%.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24.1pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify; text-indent: -24pt;"><b><span lang="SV"><span>D.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="SV">Perencanaan </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -48pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Prioritas masalah </div><div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; text-align: justify;">Langkah awal dalam melakukan perencanaan adalah memprioritaskan diagnosa keperawatan dengan menggunakan ranking dari semua diagnosa yang telah ditemukan. Tujuan dari prioritas masalah adalah untuk mengetahui diagnosa keperawatan komunitas yang mana yang akan diselesaikan terlebih dahulu bersama agregat usia lanjut dengan hipertensi. </div><div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; text-align: justify;">Prioritas untuk diagnosa komunitas pada agregrat usia lanjut dengan hipertensi<span> </span>di<span> </span>wilayah Kelurahan Depok adalah sebagai berikut :</div><div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 41.4pt;"><thead>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 130.75pt;" valign="top" width="174"> <div class="MsoNormal"><br />
</div><div class="MsoNormal"><span style="font-size: 11pt;">Diagnosa keperawatan pada agregrat usia lanjut dengan hipertensi </span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 74.65pt;" valign="top" width="100"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV" style="font-size: 11pt;">Pentingnya penyelesaian masalah</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV" style="font-size: 11pt;">1 : rendah</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV" style="font-size: 11pt;">2 : sedang</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV" style="font-size: 11pt;">3 : tinggi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 74.65pt;" valign="top" width="100"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV" style="font-size: 11pt;">Perubahan positif untuk penyelesaian di komunitas</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV" style="font-size: 11pt;">0 : tidak ada</span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-size: 11pt;">1 : rendah</span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-size: 11pt;">2 : sedang</span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-size: 11pt;">3 : tinggi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 74.65pt;" valign="top" width="100"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV" style="font-size: 11pt;">Penyelesaian untuk Peningkatan kualitas hidup</span></div><div class="MsoNormal" style="text-align: justify;"><span lang="SV" style="font-size: 11pt;">0 : tidak ada</span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-size: 11pt;">1 : rendah</span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-size: 11pt;">2 : sedang</span></div><div class="MsoNormal" style="text-align: justify;"><span style="font-size: 11pt;">3 : tinggi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 47.3pt;" valign="top" width="63"> <div class="MsoNormal" style="text-align: justify;"><span style="font-size: 11pt;">Total score</span></div></td> </tr>
</thead> <tbody>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 130.75pt;" valign="top" width="174"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Risiko peningkatan gangguan perfusi cerebrovaskuler pada usia lanjut dengan hipertensi</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.65pt;" valign="top" width="100"> <div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 11pt;">3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.65pt;" valign="top" width="100"> <div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 11pt;">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.65pt;" valign="top" width="100"> <div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 11pt;">3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 47.3pt;" valign="top" width="63"> <div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 11pt;">8</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 130.75pt;" valign="top" width="174"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Risiko ketidakefektifan koping pada usia lanjut dengan hipertensi</span><span lang="SV" style="font-size: 11pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.65pt;" valign="top" width="100"> <div class="MsoNormal"><span style="font-size: 11pt;"><span> </span></span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 11pt;">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.65pt;" valign="top" width="100"> <div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 11pt;">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.65pt;" valign="top" width="100"> <div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 11pt;">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 47.3pt;" valign="top" width="63"> <div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 11pt;">5</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 130.75pt;" valign="top" width="174"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Potensial peningkatan kesehatan pada usia lanjut dengan hipertensi </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.65pt;" valign="top" width="100"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 11pt;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.65pt;" valign="top" width="100"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 11pt;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.65pt;" valign="top" width="100"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 11pt;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 47.3pt;" valign="top" width="63"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="font-size: 11pt;">3</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;">Kesimpulan : masalah komunitas yang menjadi prioritas adalah<b> </b><span lang="SV">risiko peningkatan gangguan perfusi cerebrovaskuler pada usia lanjut dengan hipertensi</span> dan<span> </span>yang akan dilakukan implementasi berupa pendidikan kesehatan dan ketrampilan untuk mengatasi permasalahan pada kelompok usia lanjut, kelompok berisiko, dan keluarga, maka <span lang="SV">risiko terjadinya peningkatan gangguan perfusi cerebrovaskuler pada usia lanjut dengan hipertensi di wilayah Kelurahan Depok dapat dicegah.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; text-align: justify;"><br />
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</div></div><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span> <div class="Section2"> <div class="MsoNormal" style="line-height: 150%; margin-left: 37.4pt; text-align: justify;"><br />
</div><ol start="4" style="margin-top: 0in;" type="A"><ol start="2" style="margin-top: 0in;" type="1"><li class="MsoNormal" style="line-height: 150%; text-align: justify;">Rencana Tindakan </li>
</ol></ol><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 11.4pt;"><thead>
<tr> <td rowspan="2" style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div align="center" class="MsoNormal" style="text-align: center;">No</div></td> <td rowspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 103.4pt;" valign="top" width="138"> <div align="center" class="MsoNormal" style="text-align: center;">Diagnosa keperawatan</div></td> <td colspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 171.6pt;" valign="top" width="229"> <div align="center" class="MsoNormal" style="text-align: center;">Tujuan</div></td> <td colspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 170.2pt;" valign="top" width="227"> <div align="center" class="MsoNormal" style="text-align: center;">Rencana tindakan</div></td> <td colspan="3" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 221.95pt;" valign="top" width="296"> <div align="center" class="MsoNormal" style="text-align: center;">Evaluasi</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 87.45pt;" valign="top" width="117"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">Umum</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84.15pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">Khusus</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 67.4pt;" valign="top" width="90"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">Strategi</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 102.8pt;" valign="top" width="137"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">Intervensi</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 80.8pt;" valign="top" width="108"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">Kriteria</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 78.8pt;" valign="top" width="105"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">Standar</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 62.35pt;" valign="top" width="83"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">Evaluator</div></td> </tr>
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<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoNormal" style="text-align: justify;">1</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 103.4pt;" valign="top" width="138"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Resiko peningkatan gangguan perfusi cerebrovaskuler pada usia lanjut dengan hipertensi di wilayah Kelurahan Depok berhubungan dengan ketidakpatuhan usia lanjut dalam pengelolaan penyakit hipertensi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 87.45pt;" valign="top" width="117"> <div class="MsoNormal" style="text-align: justify;">Tidak terjadi peningkatan kasus gangguan cerebrovaskuler di wilayah kelurahan Depok </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84.15pt;" valign="top" width="112"> <div class="MsoNormal" style="text-align: justify;">Usia lanjut dengan hipertensi dapat mengelola penyakitnya dengan mengenal 4 pilar pengelolaan hipertensi yaitu diet, OR, pengelolaan stress, dan pengobatan </div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;">Usia lanjut dapat melaksanakan minimal 3 pilar utama pengelolaan hipertensi yaitu diet, <span> </span>olah raga, dan pengelolaan stress</div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="text-align: justify;">Peningkatan pengetahuan bagi kader kesehatan tentang pengelolaan hipertensi </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 67.4pt;" valign="top" width="90"> <div class="MsoNormal" style="text-align: justify;">Koordinasi : Kader </div><div class="MsoNormal" style="text-align: justify;">Kelompok Usia lanjut</div><div class="MsoNormal" style="text-align: justify;">Kelompok risiko</div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="text-align: justify;">Promosi kesehatan</div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="text-align: justify;">Pelatihan kader </div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;">Kerjasama secara lintas program dan sektor</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 102.8pt;" valign="top" width="137"> <div class="MsoNormal" style="text-align: justify;">Menjalin kerjasama dengan kader kesehatan dan<span> </span>kelompok usia lanjutan di wilayah kelurahan Depok</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;">Melakukan pendidikan secara langsung kepada usia lanjut dengan hipertensi maupun dengan kelompok risiko terjadinya hipertensi</div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="text-align: justify;">Menyelenggarakan pelatihan kader kesehatan sebagai upaya transfer ilmu untuk mencegah risiko gangguan cerebrovaskuler</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;">Menjalin kerjasama dengan Puskesmas dan dinas kesehatan serta kelurahan </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 80.8pt;" valign="top" width="108"> <div class="MsoNormal" style="text-align: justify;">Terlaksananya kerjasama dengan kader dan </div><div class="MsoNormal" style="text-align: justify;">Kelompok usia lanjut dengan hipertensi</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;">Kelompok usia lanjut dengan hipertensi dapat mengikuti kegiatan</div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="text-align: justify;">Terlaksananya pelatihan kader</div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="text-align: justify;">Terlaksananya kerjasama </div><div class="MsoNormal" style="text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 78.8pt;" valign="top" width="105"> <div class="MsoNormal" style="text-align: justify;">Pertemuan dengan kelompok usia lanjut dengan hipertensi</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="text-align: justify;">Usia lanjut dapat mengenal dan melaksanakan pengelolaan hipertensi</div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;">Pengetahuan kader meningkat mengenai pengelolaan hipertensi</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 62.35pt;" valign="top" width="83"> <div class="MsoNormal" style="text-align: justify;">Residen </div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoNormal" style="text-align: justify;">2</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 103.4pt;" valign="top" width="138"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Risiko ketidakefektifan koping pada usia lanjut dengan hipertensi di wilayah Kelurahan Depok berhubungan dengan kurang pengetahuan tentang<span> </span>pengelolaan stress</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 87.45pt;" valign="top" width="117"> <div class="MsoNormal" style="text-align: justify;">Usia lanjut dengan hipertensi mampu mengelola stress dengan benar</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84.15pt;" valign="top" width="112"> <div class="MsoNormal" style="text-align: justify;">Usia lanjut dengan hipertensi dapat mengenal cara mengendalikan stress dan cara mengurangi situasi penyebab stress</div><div class="MsoNormal" style="text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 67.4pt;" valign="top" width="90"> <div class="MsoNormal" style="text-align: justify;">Promosi kesehatan</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 102.8pt;" valign="top" width="137"> <div class="MsoNormal" style="text-align: justify;">Pendidikan kesehatan tentang pengelolaan terhadap stress</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 80.8pt;" valign="top" width="108"> <div class="MsoNormal" style="text-align: justify;">Usia lanjut dengan hipertensi dapat mengikuti kegiatan pendidikan kesehatan </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 78.8pt;" valign="top" width="105"> <div class="MsoNormal" style="text-align: justify;">Usia lanjut dengan hipertensi dapat mengenal dan cara mengurangi situasi penyebab stress</div><div class="MsoNormal" style="text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 62.35pt;" valign="top" width="83"> <div class="MsoNormal" style="text-align: justify;">Residen </div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 5.4pt;"><tbody>
<tr> <td rowspan="2" style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 35.35pt;" valign="top" width="47"> <div align="center" class="MsoNormal" style="text-align: center;">No</div></td> <td rowspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 130.2pt;" valign="top" width="174"> <div align="center" class="MsoNormal" style="text-align: center;">Masalah /diagnosis</div></td> <td rowspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 84.65pt;" valign="top" width="113"> <div align="center" class="MsoNormal" style="text-align: center;">Tujuan</div></td> <td rowspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 85.05pt;" valign="top" width="113"> <div align="center" class="MsoNormal" style="text-align: center;">Rencana kegiatan</div></td> <td colspan="4" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 355.9pt;" valign="top" width="475"> <div align="center" class="MsoNormal" style="text-align: center;">Sumberdaya</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 98.8pt;" valign="top" width="132"> <div class="MsoNormal" style="text-align: justify;">Penanggungjawab</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 86.1pt;" valign="top" width="115"> <div class="MsoNormal" style="text-align: justify;">Waktu pelaksanaan</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84.9pt;" valign="top" width="113"> <div class="MsoNormal" style="text-align: justify;">Alokasi dana </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 86.1pt;" valign="top" width="115"> <div class="MsoNormal" style="text-align: justify;">Tempat pelaksanaan </div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 35.35pt;" valign="top" width="47"> <div align="center" class="MsoNormal" style="text-align: center;">1</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 130.2pt;" valign="top" width="174"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Resiko peningkatan gangguan perfusi cerebrovaskuler pada usia lanjut dengan hipertensi di wilayah Kelurahan Depok berhubungan dengan ketidakpatuhan usia lanjut dalam pengelolaan penyakit hipertensi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84.65pt;" valign="top" width="113"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">T</span>idak terjadi peningkatan kasus gangguan cerebrovaskuler di wilayah kelurahan Depok </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.05pt;" valign="top" width="113"> <div class="MsoNormal" style="text-align: justify;">Promosi kesehatan</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;">Pelatihan kader </div><div class="MsoNormal" style="text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 98.8pt;" valign="top" width="132"> <div class="MsoNormal" style="text-align: justify;">Residen </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 86.1pt;" valign="top" width="115"> <div class="MsoNormal" style="text-align: justify;">Nopember</div><div class="MsoNormal" style="text-align: justify;">Desember</div><div class="MsoNormal" style="text-align: justify;">Februari / semester 2</div><div class="MsoNormal" style="text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84.9pt;" valign="top" width="113"> <div class="MsoNormal" style="text-align: justify;">Swadana </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 86.1pt;" valign="top" width="115"> <div class="MsoNormal" style="text-align: justify;">Wilayah RW</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 35.35pt;" valign="top" width="47"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">2</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 130.2pt;" valign="top" width="174"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV">Risiko ketidakefektifan koping pada usia lanjut dengan hipertensi di wilayah Kelurahan Depok berhubungan dengan kurang pengetahuan tentang<span> </span>pengelolaan stress</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84.65pt;" valign="top" width="113"> <div class="MsoNormal" style="text-align: justify;">Usia lanjut dengan hipertensi mampu mengelola stress dengan benar</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 85.05pt;" valign="top" width="113"> <div class="MsoNormal" style="text-align: justify;">Promosi kesehatan</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 98.8pt;" valign="top" width="132"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;">Residen </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 86.1pt;" valign="top" width="115"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;">Desember </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84.9pt;" valign="top" width="113"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;">Swadana </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 86.1pt;" valign="top" width="115"> <div class="MsoNormal" style="line-height: 150%; text-align: justify;">Wilayah RW</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><br />
</div></div><span style="font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span> <div class="MsoNormal"><br />
</div><div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;"><b>BAB III</b></div><div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;"><b>PEMBAHASAN</b></div><div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;">Masalah hipertensi pada usia lanjut di Kelurahan Depok salah satunya disebabkan oleh proses degeneratif yang menyebabkan elastisitas pembuluh darah menurun, sehingga menimbulkan peningkatan resistensi pada pembuluh darah dan akhirnya terjadi peningkatan tekanan darah. Namun proses degeneratif tersebut bukan satu-satunya penyebab terjadinya hipertensi pada usia lanjut. Perilaku kurang sehat juga sebagai factor pendukung terjadinya hipertensi seperti<span> <span lang="SV">stress, merokok, kurang berolah raga, pola makan yang kurang baik (Ikram, <span style="color: black;"><a href="http://www.infokes.com/"><span style="color: black; text-decoration: none;">http://www.infokes.com</span></a>,</span> diperoleh tanggal 7 Oktober 2006). </span></span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><span lang="SV">Perilaku seseorang dipengaruhi oleh berbagai faktor yaitu pengetahuan, keyakinan atau persepsi terhadap penyakit hipertensi, sumber daya yang terlibat dan mendukung upaya pencegahan penyakit hipertensi yaitu masyarakat, keluarga dan petugas kesehatan. Menurut Notoatmodjo (2005), perubahan perilaku dapat dilakukan dengan memberikan informasi yang berulang-ulang dan adanya dukungan sosial tokoh masyarakat. Dengan demikian dapat digambarkan permasalahan usia lanjut dengan hipertensi sebagai berikut :</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%;"><br />
</div><div class="MsoNormal" style="margin-left: 24.1pt;"><span style="height: 12px; left: 0px; margin-left: 191px; margin-top: 4px; position: absolute; width: 43px; z-index: 251660800;"><img height="12" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image021.gif" width="43" /></span><span style="height: 147px; left: 0px; margin-left: 466px; margin-top: 9px; position: absolute; width: 12px; z-index: 251658752;"><img height="147" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image022.gif" width="12" /></span><span style="height: 2px; left: 0px; margin-left: 359px; margin-top: 9px; position: absolute; width: 114px; z-index: 251657728;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image023.gif" width="114" /></span><span style="height: 51px; left: 0px; margin-left: 290px; margin-top: 20px; position: absolute; width: 12px; z-index: 251653632;"><img height="51" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image024.gif" width="12" /></span><span lang="SV">Pemanfaatan pelayanan<span> </span>Ketergantungan </span></div><div class="MsoNormal" style="margin-left: 24.1pt;"><span lang="SV">kesehatan </span></div><div class="MsoNormal" style="margin-left: 24.1pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="7" width="74"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="123" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image025.gif" width="12" /></td> </tr>
</tbody></table></span><span lang="SV"> </span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: center;"><br />
</div><br clear="ALL" /> <div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: center;"><span style="height: 51px; left: 0px; margin-left: 290px; margin-top: 18px; position: absolute; width: 12px; z-index: 251652608;"><img height="51" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image024.gif" width="12" /></span><span lang="SV">Komplikasi </span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: center;"><br />
</div><div class="MsoNormal" style="margin-left: 24.1pt; text-align: justify;"><span lang="SV">Keyakinan<span> </span>Hipertensi<span> </span>dukungan masyarakat</span></div><div class="MsoNormal" style="margin-left: 24.1pt; text-align: justify;"><span style="position: relative; z-index: 251655680;"><span style="height: 19px; left: 167px; position: absolute; top: -6px; width: 92px;"><img height="19" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image026.gif" width="92" /></span></span><span style="height: 51px; left: 0px; margin-left: 290px; margin-top: 10px; position: absolute; width: 12px; z-index: 251651584;"><img height="51" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image024.gif" width="12" /></span><span lang="SV">Pengetahuan kurang<span> </span>keluarga</span></div><div class="MsoNormal" style="margin-left: 24.1pt; text-align: justify;"><span lang="SV">Persepsi<span> </span>yang salah<span> </span><span> </span><span> </span>peningkatan kegiatan <span> </span>Posbindu</span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: center;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="15" width="82"><br />
</td> <td width="12"><br />
</td> <td width="388"><br />
</td> <td width="12"><br />
</td> </tr>
<tr> <td height="123"><br />
</td> <td align="left" valign="top"><img height="123" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image025.gif" width="12" /></td> <td><br />
</td> <td align="left" valign="top"><img height="123" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image025.gif" width="12" /></td> </tr>
</tbody></table></span><span lang="SV"> </span></div><div class="MsoNormal"><br />
</div><br clear="ALL" /> <div align="center" class="MsoNormal" style="margin-left: 24pt; text-align: center;"><span lang="SV">Pola hidup kurang sehat :</span></div><div class="MsoNormal" style="margin-left: 138pt; text-align: justify; text-indent: 0.5in;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">makanan tingi lemak</span></div><div class="MsoNormal" style="margin-left: 138pt; text-align: justify; text-indent: 0.5in;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">makanan mengandung garam</span></div><div class="MsoNormal" style="margin-left: 138pt; text-align: justify; text-indent: 0.5in;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">stress</span></div><div class="MsoNormal" style="margin-left: 138pt; text-align: justify; text-indent: 0.5in;"><span lang="SV"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="height: 2px; left: 0px; margin-left: 439px; margin-top: 7px; position: absolute; width: 50px; z-index: 251656704;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image027.gif" width="50" /></span><span style="height: 2px; left: 0px; margin-left: 87px; margin-top: 7px; position: absolute; width: 114px; z-index: 251654656;"><img height="2" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image028.gif" width="114" /></span><span lang="SV">OR tidak teratur</span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: center;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
<tr> <td height="5" width="290"><br />
</td> </tr>
<tr> <td><br />
</td> <td><img height="51" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image024.gif" width="12" /></td> </tr>
</tbody></table></span><span lang="SV"> </span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: center;"><br />
</div><br clear="ALL" /> <div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: center;"><span lang="SV">Proses menua</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><span lang="SV">Rumusan diagnosis keperawatan pada usia lanjut dengan hipertensi di wilayah Kelurahan Depok adalah : 1) Risiko peningkatan gangguan perfusi cerebrovaskuler pada usia lanjut dengan hipertensi, 2). Risiko ketidakefektifan koping pada usia lanjut dengan hipertensi. Oleh karena itu untuk mengatasi permasalahan tersebut diperlukan berbagai upaya agar risiko komplikasi dapat dicegah, dan usia lanjut dapat mengendalkan penyakit hipertensinya. Upaya yang akan dilakukan adalah pendidikan kesehatan dan pemberian ketrampilan terkait dengan upaya pencegahan atau pngendalian penyakit hipertensi seperti yang telah direncanakan. Hal ini telah mendapatkan kesepakatan dari masyarakat sehingga pelaksanaan dari rencana tersebut diperlukan koordinasi lebih lanjut. </span></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: center;"><b><span lang="SV">BAB IV</span></b></div><div align="center" class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: center;"><b><span lang="SV">SIMPULAN DAN SARAN</span></b></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><span lang="SV">Berdasarkan minilokakarya yang diadakan pada tangal 15 Nopember 2006, maka dapat diambil suatu simpulan sebagai berikut :</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Telah dicapai kesepakatan terhadap intervensi yang akan dilakukan terhadap usia lanjut dengan hipertensi berdasarkan program kerja yang direncanakan. </span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 42pt; text-align: justify; text-indent: -0.25in;"><span lang="SV"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV">Adanya dukungan positif dari lintas program untuk pelaksanaan program kerja tersebut.</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><span lang="SV">Saran yang diberikan adalah dalam setiap kegiatan yang akan dilakukan perlu berfokus pada PHBS</span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 50.8pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 16.8pt;" valign="top" width="22"> <div align="center" class="MsoNormal" style="text-align: center;"><b>No.</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 91.8pt;" valign="top" width="122"> <div align="center" class="MsoNormal" style="text-align: center;"><b>Kegiatan</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 81.45pt;" valign="top" width="109"> <div align="center" class="MsoNormal" style="text-align: center;"><b>Sasaran</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 73.25pt;" valign="top" width="98"> <div align="center" class="MsoNormal" style="text-align: center;"><b>Metode</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 65.65pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="text-align: center;"><b>Waktu</b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 70.45pt;" valign="top" width="94"> <div align="center" class="MsoNormal" style="text-align: center;"><b>Keterangan</b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 16.8pt;" valign="top" width="22"> <div class="MsoNormal"><b>1</b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 91.8pt;" valign="top" width="122"> <div class="MsoNormal">Pendidikan kesehatan tentang penyakit hipertensi yang meliputi :</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.5in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Penyebab</div><div class="MsoNormal" style="margin-left: 0.5in; text-indent: -0.5in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Komplikasi</div><div class="MsoNormal" style="margin-left: 16.2pt; text-indent: -16.2pt;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Manajemen stress</div><div class="MsoNormal" style="margin-left: 16.2pt; text-indent: -16.2pt;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Olah raga</div><div class="MsoNormal" style="margin-left: 16.2pt; text-indent: -16.2pt;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Diet DASH</div><div class="MsoNormal" style="margin-left: 16.2pt; text-indent: -16.2pt;"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kepatuhan berobat </div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 81.45pt;" valign="top" width="109"> <div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lansia </div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Keluarga</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kelompok berisiko</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 73.25pt;" valign="top" width="98"> <div class="MsoNormal">Ceramah Tanya jawab</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 65.65pt;" valign="top" width="88"> <div class="MsoNormal">Nopember</div><div class="MsoNormal">Desember</div><div class="MsoNormal">Lanjutan semester 2</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 70.45pt;" valign="top" width="94"> <div class="MsoNormal">Waktu disesuaikan dengan kegiatan Posbindu atau pengajian pada kelompok usia lanjut</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 16.8pt;" valign="top" width="22"> <div class="MsoNormal"><b>2</b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 91.8pt;" valign="top" width="122"> <div class="MsoNormal">Ketrampilan yang diajarkan pada kelompok lansia :</div><div class="MsoNormal" style="margin-left: 13.9pt; text-indent: -13.9pt;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Menyusun menu/diet hipertensi</div><div class="MsoNormal" style="margin-left: 13.9pt; text-indent: -13.9pt;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Mengelola stress</div><div class="MsoNormal" style="margin-left: 13.9pt; text-indent: -13.9pt;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Senam </div><div class="MsoNormal"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 81.45pt;" valign="top" width="109"> <div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Lansia </div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Keluarga</div><div class="MsoNormal" style="margin-left: 0.25in; text-indent: -0.25in;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span><span dir="LTR"></span>Kelompok berisiko</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 73.25pt;" valign="top" width="98"> <div class="MsoNormal">Observasi</div><div class="MsoNormal">Demonstrasi </div><div class="MsoNormal">Tanya jawab</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 65.65pt;" valign="top" width="88"> <div class="MsoNormal">Nopember</div><div class="MsoNormal">Desember</div><div class="MsoNormal">Lanjutan semester 2</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 70.45pt;" valign="top" width="94"> <div class="MsoNormal">Waktu disesuaikan dengan kegiatan Posbindu atau pengajian pada kelompok usia lanjut</div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><span lang="SV"><span> </span></span></div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; margin-left: 24pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 200%; text-align: justify;"><br />
</div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0tag:blogger.com,1999:blog-1429001556594676224.post-84935632720402264192011-11-28T00:36:00.001-08:002011-11-28T00:36:32.663-08:00SOL<div dir="ltr" style="text-align: left;" trbidi="on"><!--[if !mso]> <style>
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</style> <![endif]--><!--[if gte mso 9]><xml> <o:shapedefaults v:ext="edit" spidmax="2050"/> </xml><![endif]--><!--[if gte mso 9]><xml> <o:shapelayout v:ext="edit"> <o:idmap v:ext="edit" data="1"/> </o:shapelayout></xml><![endif]--> <div class="Section1"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span style="color: black;">BAB I</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span style="color: black;">PENDAHULUAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span style="color: black;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">LATAR BELAKANG</span></b></div><div class="MsoNormal" style="line-height: 140%; margin-left: 17.85pt; text-align: justify; text-indent: 26.95pt;"><span style="color: black;">Tumor otak merupakan generalisasi masalah tentang adanya lesi pada ruang intracranial khususnya yang mengenai otak. Banyak penyebab yang dapat menimbulkan lesi pada otak seperti kuntusio serebri, hematoma, infark, abses otak dan tumor intra kranial.</span></div><div class="MsoNormal" style="line-height: 140%; margin-left: 17.85pt; text-align: justify; text-indent: 26.95pt;"><span lang="NO-BOK" style="color: black;">Tumor otak menyebabkan gangguan neurologis. Gejala-gejala terjadi berurutan. Hal ini menekankan pentingnya anamnesis dalam pemeriksaan klien. Gejala-gejalanya sebaiknya dibicarakan dalam suatu perspektif waktu.</span></div><div class="MsoNormal" style="line-height: 140%; margin-left: 17.85pt; text-align: justify; text-indent: 26.95pt;"><span lang="NO-BOK" style="color: black;">Tingkat kegawatan pada penyakit ini sangat tergantung dari letak atau lokasi dari tumor pada otak. Selain itu keganasan yang terjadi dapat menjadi sangat gawat pada saat tuor menekan pusat pernafasan, kehilangan penglihatan atau gejala-gejala nerurologis lainnya seperti kelumpuhan atau paralisis.</span></div><div class="MsoNormal" style="line-height: 140%; margin-left: 17.85pt; text-align: justify; text-indent: 26.95pt;"><span lang="NO-BOK" style="color: black;">Berdasarkan jumlah kasus klien yang dirawat dengan tumor otak diruang B1 syaraf RSUP Dr. Karyadi, didapatkan data bahwa setiap tahun terjadi peningkatan kasus tumor otak sekitar 12%, dan kebanyakan kasus tumor otak disertai deng tindakan operasi craniotomi. </span></div><div class="MsoNormal" style="line-height: 140%; margin-left: 17.85pt; text-align: justify; text-indent: 26.95pt;"><span lang="NO-BOK" style="color: black;">Berdasarkan hal tersebut maka penyusun merasa tertarik untuk mengatahui dan mempelajari lebih dalam tentang asuhan keperawatan pada klien dengan masalah tumor otak atau tumor otak.</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify; text-indent: 27pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span style="color: black;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">TUJUAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 34pt; text-align: justify; text-indent: -17pt;"><span style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Tujuan umum</span></div><div class="MsoBodyText" style="margin-left: 34pt;"><span style="color: black;">Untuk mengetahui asuhan keperawatan secara komprahensif pada klien dengan tumor otak</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 34pt; text-align: justify; text-indent: -17pt;"><span style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Tujuan khusus</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 34pt; text-align: justify;"><span style="color: black;">Tujuan khusus penulisan dalah perawat dapat :</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 51.05pt; text-align: justify; text-indent: -17.05pt;"><span lang="SV" style="color: black;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Melakukan pengkajian keperawatan pada klien dengan tumor otak</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 51.05pt; text-align: justify; text-indent: -17.05pt;"><span lang="FI" style="color: black;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Melakukan penetapan diagnosa keperawatan pada klien dengan tumor otak.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 51.05pt; text-align: justify; text-indent: -17.05pt;"><span lang="ES" style="color: black;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="ES" style="color: black;">Menetapkan rencana keperawatn dan intervensi pada klien dengan tumor otak.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 51.05pt; text-align: justify; text-indent: -17.05pt;"><span lang="SV" style="color: black;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Melakukan implementasi keperawatan pada klien dengan tumor otak.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 51.05pt; text-align: justify; text-indent: -17.05pt;"><span lang="FI" style="color: black;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Melakukan evaluasi keperawatan pada klien dengan tumor otak.</span></div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="color: black;">BAB II</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="SV" style="color: black;">TINJAUAN TEORI </span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="NO-BOK" style="color: black;">ASKEP PASIEN DENGAN TUMOR OTAK</span></b></div><div class="MsoNormal"><br />
</div><ol start="1" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="color: black; text-align: justify;"><b><span lang="SV">Definisi :</span></b></li>
</ol><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><span lang="SV" style="color: black;">Tumor otak adalah lesi intra kranial yang menempati ruang dalam tulang tengkorak.</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><span lang="SV" style="color: black;">Tumor<span> otak adalah lesi oleh karena ada desakan ruang baik jinak maupun ganas yang tumbuh di otak, meningen dan tengkorak</span> (Price, S.A. & Wilson, L.2001).</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><span lang="SV" style="color: black;"><span> </span>.</span><span lang="SV" style="color: black;"></span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><ol start="2" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="color: black; text-align: justify;"><b><span lang="SV">Klasifikasi</span><span lang="SV"> </span>Tumor otak</b> </li>
</ol><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Tumor yang berasal dari lapisam otak (meningioma dural)</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Tumor yang berkembang didalam / pada syaraf kranial </span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Tumor yang berasal didalam jaringan otak</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Lesi metastatik yang berasal dari bagian tubuh mana saja</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><ol start="3" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="color: black; text-align: justify;"><b><span lang="SV">Patofisiologi</span> </b></li>
</ol><div class="MsoBodyTextIndent" style="margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><span lang="NO-BOK" style="color: black;">Tumor otak menyebabkan gangguan neurologis. Gejala-gejala terjadi berurutan. Hal ini menekankan pentingnya anamnesis dalam pemeriksaan klien. Gejala-gejalanya sebaiknya dibicarakan dalam suatu perspektif waktu.</span></div><div class="MsoBodyTextIndent" style="margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><span lang="NO-BOK" style="color: black;">Gejala neurologik pada tumor otak biasanya dianggap disebabkan oleh 2 faktor gangguan fokal, disebabkan oleh tumor dan tekanan intrakranial. Gangguan fokal terjadi apabila penekanan pada jaringan otak dan infiltrasi/invasi langsung pada parenkim otak dengan kerusakan jaringan neuron. Tentu saja disfungsi yang paling besar terjadi pada tumor yang tumbuh paling cepat.</span></div><div class="MsoBodyTextIndent" style="margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><span lang="NO-BOK" style="color: black;">Perubahan suplai darah akibat tekanan yang ditimbulkan tumor yang tumbuh menyebabkan nekrosis jaringan otak. Gangguan suplai darah arteri pada umumnya bermanifestasi sebagai kehilangan fungsi secara akut dan mungkin dapat dikacaukan dengan gangguan cerebrovaskuler primer. Serangan kejang sebagai manifestasi perubahan kepekaan neuro dihubungkan dengan kompresi invasi dan perubahan suplai darah ke jaringan otak. Beberapa tumor membentuk kista yang juga menekan parenkim otak sekitarnya sehingga memperberat gangguan neurologis fokal.</span></div><div class="MsoBodyTextIndent" style="margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><span lang="NO-BOK" style="color: black;">Peningkatan tekanan intra kranial dapat diakibatkan oleh beberapa faktor : bertambahnya massa dalam tengkorak, terbentuknya oedema sekitar tumor dan perubahan sirkulasi cerebrospinal. Pertumbuhan tumor menyebabkan bertambahnya massa, karena tumor akan mengambil ruang yang relatif dari ruang tengkorak yang kaku. Tumor ganas menimbulkan oedema dalam jaruingan otak. Mekanisme belum seluruhnyanya dipahami, namun diduga disebabkan selisih osmotik yang menyebabkan perdarahan. Obstruksi vena dan oedema yang disebabkan kerusakan sawar darah otak, semuanya menimbulkan kenaikan volume intrakranial. Observasi sirkulasi cairan serebrospinal dari ventrikel laseral ke ruang sub arakhnoid menimbulkan hidrocepalus.</span></div><div class="MsoBodyTextIndent" style="margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><span lang="NO-BOK" style="color: black;">Peningkatan tekanan intrakranial akan membahayakan jiwa, bila terjadi secara cepat akibat salah satu penyebab yang telah dibicarakan sebelumnya. Mekanisme kompensasi memerlukan waktu berhari-hari/berbulan-bulan untuk menjadi efektif dan oelh karena ity tidak berguna apabila tekanan intrakranial timbul cepat. Mekanisme kompensasi ini antara lain bekerja menurunkan volume darah intra kranial, volume cairan serebrospinal, kandungan cairan intrasel dan mengurangi sel-sel parenkim. Kenaikan tekanan yang tidak diobati mengakibatkan herniasi ulkus atau serebulum. Herniasi timbul bila girus medialis lobus temporals bergeser ke inferior melalui insisura tentorial oleh massa dalam hemisfer otak. Herniasi menekan men ensefalon menyebabkab hilangnya kesadaran dan menenkan saraf ketiga. Pada herniasi serebulum, tonsil sebelum bergeser ke bawah melalui foramen magnum oleh suatu massa posterior. Kompresi medula oblongata dan henti nafas terjadi dengan cepat. Intrakranial yang cepat adalah bradicardi progresif, hipertensi sistemik (pelebaran tekanan nadi dan gangguan pernafasan).</span></div><div class="MsoBodyTextIndent" style="margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><br />
</div><ol start="4" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="color: black; text-align: justify;"><b><span lang="SV">Tanda</span> dan Gejala</b></li>
</ol><div class="MsoBodyTextIndent" style="margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><span lang="NO-BOK" style="color: black;">Menurut</span><span style="color: black;"> lokasi tumor :</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Lobus frontalis</span></div><div class="MsoBodyTextIndent2" style="line-height: normal; margin-left: 0.75in; text-align: justify;"><span style="color: black;">Gangguan mental / gangguan kepribadian ringan : depresi, bingung, tingkah laku aneh, sulit memberi argumenatasi/menilai benar atau tidak, hemiparesis, ataksia, dan gangguan bicara.</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Kortek presentalis posterior</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span lang="FI" style="color: black;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Kelemahan/kelumpuhan pada otot-otot wajah, lidah dan jari</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Lobus parasentralis</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Kelemahan pada ekstremitas bawah</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Lobus Oksipitalis</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Kejang, gangguan penglihatan</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Lobus temporalis</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span lang="FI" style="color: black;"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Tinitus, halusinasi pendengaran, afasia sensorik, kelumpuhan otot wajah</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Lobus Parietalis</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>11.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Hilang fungsi sensorik, kortikalis, gangguan lokalisasi sensorik, gangguan penglihatan</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>12.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Cerebulum</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>13.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Papil oedema, nyeri kepala, gangguan motorik, hipotonia, hiperekstremitas esndi</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><br />
</div><ol start="5" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="color: black; text-align: justify;"><b><span lang="SV">Tanda</span> dan Gejala Umum </b></li>
</ol><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Nyeri kepala berat pada pagi hari, main bertambah bila batuk, membungkuk</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Kejang</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span lang="SV" style="color: black;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Tanda-tanda peningkatan tekanan intra kranial : Pandangan kabur, mual, muntah, penurunan fungsi pendengaran, perubahan tanda-tanda vital, afasia.</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Perubahan kepribadian</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Gangguan memori</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: 0in;"><span style="color: black;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Gangguan alam perasaan</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><span style="color: black;">Trias Klasik ;</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Nyeri kepala</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Papil oedema</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Muntah</span></div><div class="MsoBodyTextIndent" style="margin-left: 0.5in; text-align: justify; text-indent: 0.25in;"><br />
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</div><ol start="6" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="color: black; text-align: justify;"><b>Pathway </b>:</li>
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</div><div align="center" class="MsoHeader" style="text-align: center;"><span style="color: black; font-size: 11pt;">Causa Unknown/Idiopatik</span></div><div align="center" class="MsoHeader" style="text-align: center;"><span style="height: 795px; left: -24px; position: relative; top: 6px; width: 651px; z-index: 35;"> <table align="left" cellpadding="0" cellspacing="0"><tbody>
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</div><br clear="ALL" /> <div class="MsoHeader"><span style="position: relative; z-index: 37;"><span style="height: 43px; left: 165px; position: absolute; top: -345px; width: 148px;"><img height="43" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image005.gif" width="148" /></span></span><span style="height: 27px; margin-left: 42px; margin-top: 39px; position: absolute; width: 12px; z-index: 62;"><img height="27" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="12" /></span><span style="height: 30px; margin-left: -25px; margin-top: 75px; position: absolute; width: 186px; z-index: 60;"> <table cellpadding="0" cellspacing="0"><tbody>
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</tbody></table></span><span style="position: relative; z-index: 57;"><span style="height: 27px; left: 150px; position: absolute; top: -69px; width: 12px;"><img height="27" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="12" /></span></span><span style="position: relative; z-index: 56;"><span style="height: 39px; left: 42px; position: absolute; top: -81px; width: 12px;"><img height="39" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></span></span><span style="position: relative; z-index: 55;"><span style="height: 31px; left: 83px; position: absolute; top: -129px; width: 77px;"><img height="31" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image008.gif" width="77" /></span></span><span style="position: relative; z-index: 54;"><span style="height: 31px; left: 43px; position: absolute; top: -129px; width: 42px;"><img height="31" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image009.gif" width="42" /></span></span><span style="position: relative; z-index: 51;"><span style="height: 12px; left: 166px; position: absolute; top: -158px; width: 27px;"><img height="12" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image010.gif" width="27" /></span></span><span style="position: relative; z-index: 50;"><span style="height: 39px; left: 258px; position: absolute; top: -201px; width: 12px;"><img height="39" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></span></span><span style="position: relative; z-index: 47;"><span style="height: 39px; left: 90px; position: absolute; top: -201px; width: 12px;"><img height="39" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></span></span><span style="position: relative; z-index: 43;"><span style="height: 39px; left: 498px; position: absolute; top: -261px; width: 12px;"><img height="39" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></span></span><span style="position: relative; z-index: 42;"><span style="height: 31px; left: 95px; position: absolute; top: -261px; width: 112px;"><img height="31" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image011.gif" width="112" /></span></span><span style="position: relative; z-index: 41;"><span style="height: 39px; left: 90px; position: absolute; top: -261px; width: 12px;"><img height="39" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></span></span><span style="position: relative; z-index: 69;"><span style="height: 39px; left: 498px; position: absolute; top: -201px; width: 12px;"><img height="39" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></span></span><span style="position: relative; z-index: 75;"><span style="height: 27px; left: 522px; position: absolute; top: -141px; width: 12px;"><img height="27" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image006.gif" width="12" /></span></span><span style="position: relative; z-index: 73;"><span style="height: 27px; left: 390px; position: absolute; top: -141px; width: 12px;"><img height="27" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image012.gif" width="12" /></span></span><span style="position: relative; z-index: 63;"><span style="height: 39px; left: 258px; position: absolute; top: -141px; width: 12px;"><img height="39" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image007.gif" width="12" /></span></span><span style="position: relative; z-index: 74;"><span style="height: 30px; left: 347px; position: absolute; top: -105px; width: 126px;"> <table cellpadding="0" cellspacing="0"><tbody>
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<tr> <td> <div class="shape" style="padding: 3.6pt 7.2pt;"> <div class="MsoNormal"><span style="color: navy; font-family: "Georgia","serif"; font-size: 10pt;">Ancaman Kematian</span></div></div></td> </tr>
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<tr> <td> <div class="shape" style="padding: 3.6pt 7.2pt;"> <div class="MsoNormal"><span style="color: navy; font-family: "Georgia","serif"; font-size: 10pt;">Mensesefalon </span></div><div class="MsoNormal"><span style="color: navy; font-family: "Georgia","serif"; font-size: 10pt;">tertekan</span></div></div></td> </tr>
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<tr> <td> <div class="shape" style="padding: 3.6pt 7.2pt;"> <div class="MsoNormal"><span style="color: navy; font-family: "Georgia","serif"; font-size: 10pt;">Bicara Terganggu</span></div><div class="MsoNormal"><span style="color: navy; font-family: "Georgia","serif"; font-size: 10pt;">Berdesis, afasia</span></div></div></td> </tr>
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<tr> <td> <div class="shape" style="padding: 3.6pt 7.2pt;"> <div class="MsoNormal"><span style="color: navy; font-family: "Georgia","serif"; font-size: 10pt;">Herniasi Ulkus</span><span style="color: navy; font-size: 10pt;"></span></div></div></td> </tr>
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</div><ol start="7" style="margin-top: 0in;" type="A"><br clear="ALL" />
<li class="MsoNormal" style="color: black; text-align: justify;"><b><span lang="SV">Pemeriksaan</span> Diagnostik </b></li>
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</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Rontgent tengkorak anterior-posterior</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">EEG</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">CT Scan</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">MRI</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Angioserebral</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><ol start="8" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="color: black; text-align: justify;"><b><span lang="SV">Pengkajian</span><span lang="SV"> </span></b></li>
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</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Data klien : nama, umur, jenis kelamin, agama, suku bangsa, status perkawinan, pendidikan, pekerjaan, golongan darah, penghasilan, alamat, penanggung jawab, dll.</span></div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Riwayat kesehatan<span> </span>: </span></div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">keluhan utama</span></div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Riwayat kesehatan sekarang</span></div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Riwayat Kesehatan lalu</span></div><div class="MsoNormal" style="margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Riwayat Kesehatan Keluarga</span></div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><span style="color: black;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Pemeriksaan fisik :</span></div><div class="MsoNormal" style="margin-left: 63pt; text-align: justify; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Saraf : kaji lima area pengkajian persyarafan, yaitu tingkat kesadaran dalam GCS, status mental, fungsi serebral syaraf kranial, reflek fisiologis dan patologis.</span></div><div class="MsoNormal" style="margin-left: 63pt; text-align: justify; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Kejang, tingkah laku aneh, disorientasi, afasia, penurunan/kehilangan memori, afek tidak sesuai, berdesis</span></div><div class="MsoNormal" style="margin-left: 63pt; text-align: justify; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Penglihatan : penurunan lapang pandang, penglihatan kabur</span></div><div class="MsoNormal" style="margin-left: 63pt; text-align: justify; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Pendengaran : tinitus, penurunan pendengaran, halusinasi</span></div><div class="MsoNormal" style="margin-left: 63pt; text-align: justify; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Jantung : bradikardi, hipertensi</span></div><div class="MsoNormal" style="margin-left: 63pt; text-align: justify; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Sistem pernafasan : irama nafas meningkat, dispnea, potensial obstruksi jalan nafas, disfungsi neuromuskuler</span></div><div class="MsoNormal" style="margin-left: 63pt; text-align: justify; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Sistem hormonal : amenorea, rambut rontok, diabetes melitus</span></div><div class="MsoNormal" style="margin-left: 63pt; text-align: justify; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Motorik : hiperekstensi, kelemahan sendi</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><ol start="9" style="margin-top: 0in;" type="A"><li class="MsoNormal" style="color: black; text-align: justify;"><b>Diagnosa Keperawatan </b></li>
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</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span lang="FI" style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Perubahan perfusi jaringan otak b/d kerusakan sirkulasi akibat penekanan oleh tumor.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span lang="SV" style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Nyeri b/d peningkatan tekanan intrakranial.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span lang="SV" style="color: black;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Kurang pengetahuan mengenai kondisi dan kebutuhan pengobatan b/d ketidakmampuan mengenal informasi.</span></div><div class="MsoBodyText" style="line-height: normal;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.5in; text-indent: -0.25in;"><b><span style="color: black; font-size: 11pt;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black; font-size: 11pt;">Rencana Intervensi</span></b></div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.25in;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span lang="FI" style="color: black; font-size: 11pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Perubahan perfusi jaringan otak b/d kerusakan sirkulasi akibat penekanan oleh tumor.</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="FI" style="color: black; font-size: 11pt; line-height: 150%;">Tujuan : perfusi jaringan serebral menjadi adekuat</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="SV" style="color: black; font-size: 11pt; line-height: 150%;">Kriteria hasil: Tingkat kesadaran stabil atau ada perbaikan, tidak adan tanda – tanda peningaktan TIK.</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><br />
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<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 167.4pt;" valign="top" width="223"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">Intervensi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 202.95pt;" valign="top" width="271"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">Rasional</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 167.4pt;" valign="top" width="223"> <div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Pantau status neurologis secara teratur dan bandingkan dengan nilai standar.</span></div><div class="MsoBodyText"><br />
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</div><div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Pantau tanda vital tiap 4 jam.</span></div><div class="MsoBodyText"><br />
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</div><div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span lang="FI" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Pertahankan posisi netral atau posisi tengah, tinggikan kepala 20<sup>0</sup>-30<sup>0</sup>.</span></div><div class="MsoBodyText"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span lang="FI" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Pantau ketat pemasukan dan pengeluaran cairan, turgor kulit dan keadaan membran mukosa.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Bantu pasien untuk menghindari/membatasi batuk, muntah, pengeluaran feses yang dipaksakan/mengejan.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Perhatikan adanya gelisah yang meningkat, peningkatan keluhan dan tingkah laku yang tidak sesuai lainnya.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 207pt; text-indent: -0.25in;"><span lang="SV" style="color: black; font-family: Symbol; font-size: 10pt;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><b><span lang="SV" style="color: black; font-size: 10pt;"> </span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 202.95pt;" valign="top" width="271"> <div class="MsoBodyText" style="line-height: normal; margin-left: 12.6pt; text-indent: -13.15pt;"><span lang="SV" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Mengkaji adanya perubahan pada tingkat kesadran dan potensial peningaktan TIK dan bermanfaat dalam menentukan okasi, perluasan dan perkembangan kerusakan SSP.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 12.6pt; text-indent: -13.15pt;"><span lang="SV" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Normalnya autoregulasi mempertahankan aliran darah ke otak yang stabil. Kehilanagn autoregulasi dapat mengikuti kerusakan vaskularisasi serebral lokal dan menyeluruh.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 12.6pt; text-indent: -13.15pt;"><span lang="SV" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Kepala yang miring pada salah satu sisi menekan vena jugularis dan menghambat aliran darah vena yang selanjutnya akan meningkatkan TIK.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 12.6pt; text-indent: -13.15pt;"><span lang="SV" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Bermanfaat sebagai indikator dari cairan total tubuh yang terintegrasi dengan perfusi jaringan.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 12.6pt; text-indent: -13.15pt;"><span lang="SV" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Aktivitas ini akan meningkatkan tekanan intra toraks dan intra abdomen yang dapat meningkatkan TIK.</span></div><div class="MsoBodyText" style="margin-left: -0.55pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 12.6pt; text-indent: -13.15pt;"><span lang="SV" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Petunjuk non verbal ini mengindikasikan adanya penekanan TIK atau mennadakan adanya nyeri ketika pasien tidak dapat mengungkapkan keluhannya secara verbal.</span></div><div class="MsoBodyText" style="margin-left: 189pt;"><br />
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</tbody></table><div class="MsoBodyText" style="margin-left: 0.75in;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><i><span lang="SV" style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span></i><span dir="LTR"></span><span lang="SV" style="color: black;">Nyeri b/d peningkatan tekanan intrakranial<i>.</i></span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="SV" style="color: black;">Tujuan : nyeri berkurang hingga hilang.</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="SV" style="color: black;">Kriteria hasil: Klien melaporkan nyeri berkurang/terkontrol, klien menunjukkan perilaku untuk mengurangi kekambuhan.</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><br />
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<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 212.15pt;" valign="top" width="283"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">Intervensi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 212.2pt;" valign="top" width="283"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">Rasional</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 212.15pt;" valign="top" width="283"> <div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Teliti keluhan nyeri: intensitas, karakteristik, lokasi, lamanya, faktor yang memperburuk dan meredakan.</span></div><div class="MsoBodyText"><br />
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</div><div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Observasi adanya tanda-tanda nyeri non verbal seperti ekspresi wajah, gelisah, menangis/meringis, perubahan tanda vital.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Instruksikan pasien/keluarga untuk melaporkan nyeri dengan segera jika nyeri timbul.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span lang="FI" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Berikan kompres dingin pada kepala.</span></div><div class="MsoBodyText" style="margin-left: 189pt;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 212.2pt;" valign="top" width="283"> <div class="MsoBodyText" style="line-height: normal; margin-left: 3.85pt; text-indent: -7.05pt;"><span lang="FI" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Nyeri merupakan pengalaman subjektif dan harus dijelaskan oleh pasien. Identifikasi karakteristik nyeri dan faktor yang berhubungan merupakan suatu hal yang amat penting untuk memilih intervensi yang cocok dan untuk mengevaluasi keefektifan dari terapi yang diberikan.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 3.85pt; text-indent: -7.05pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Merupakan indikator/derajat nyeri yang tidak langsung yang dialami.</span></div><div class="MsoBodyText" style="margin-left: -3.2pt;"><br />
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</div><div class="MsoBodyText" style="line-height: normal; margin-left: 3.85pt; text-indent: -7.05pt;"><span lang="SV" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Pengenalan segera meningkatkan intervensi dini dan dapat mengurangi beratnya serangan.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 3.85pt; text-indent: -7.05pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Meningkatkan rasa nyaman dengan menurunkan vasodilatasi.</span></div><div class="MsoBodyText" style="margin-left: 189pt;"><br />
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</tbody></table><div class="MsoBodyText" style="margin-left: 0.75in;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span style="color: black;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Kurang pengetahuan mengenai kondisi dan kebutuhan pengobatan b/d ketidakmampuan mengenal informasi.</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span style="color: black;">Tujuan : tingkat pengetahuan dan pemahaman klien dan keluarga tentang proses penyakit bertambah.</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span style="color: black;">Kriteria hasil: Klien/keluarga mengungkapkan pemahaman tentang kondisi dan pengobatan, memulai perubahan perilaku yang tepat.</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><br />
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<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 212.15pt;" valign="top" width="283"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">Intervensi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 212.2pt;" valign="top" width="283"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">Rasional</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 212.15pt;" valign="top" width="283"> <div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Diskusikan etiologi individual dari sakit kepala bila diketahui.</span></div><div class="MsoBodyText"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Bantu pasien dalam mengidentifikasikan kemungkinan faktor predisposisi.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Diskusikan mengenai pentingnya posisi/letak tubuh yang normal.</span></div><div class="MsoBodyText"><br />
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</div><div class="MsoBodyText" style="line-height: normal; margin-left: 9pt; text-indent: -9pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Diskusikan tentang obat dan efek sampingnya.</span></div><div class="MsoBodyText" style="margin-left: 189pt;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 212.2pt;" valign="top" width="283"> <div class="MsoBodyText" style="line-height: normal; margin-left: 6.6pt; text-indent: -7.35pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Mempengaruhi pemilihan terhadap penanganan dan berkembnag ke arah proses penyembuhan.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 6.6pt; text-indent: -7.35pt;"><span lang="SV" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Menghindari/membatasi faktor-faktor yang sering kali dapat mencegah berulangnya serangan.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 6.6pt; text-indent: -7.35pt;"><span lang="SV" style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Menurunkan regangan pada otot daerah leher dan lengan dan dapat menghilangkan ketegangan dari tubuh dengan sangat berarti.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 6.6pt; text-indent: -7.35pt;"><span style="color: black; font-family: Symbol;"><span>·<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Pasien mungkin<span> </span>menjadi sangat ketergantungan terhadap obat dan tidak mengenali bentuk terapi yang lain.</span></div><div class="MsoBodyText" style="margin-left: 189pt;"><br />
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</tbody></table><b><span lang="FI" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 140%;"><br clear="all" style="page-break-before: always;" /> </span></b> <div align="center" class="MsoNormal" style="line-height: 140%; text-align: center;"><b><span lang="FI" style="color: black;">BAB III</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="FI" style="color: black;">ASUHAN KEPERAWATAN PADA ”Ny. </span><span style="color: black;">S”</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span style="color: black;">DENGAN TUMOR OTAK DI RUANG IRNA B<sub>1</sub> </span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="FI" style="color: black;">RSDK SEMARANG</span></b></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.7pt; text-align: justify; text-indent: -18.7pt;"><b><span lang="FI" style="color: black;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="FI" style="color: black;">PENGKAJIAN</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span lang="FI" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><i><span lang="FI" style="color: black;">Tanggal masuk<span> </span><span> </span>:<span> </span>22 Oktober 2008 <span> </span></span></i></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span lang="NO-BOK" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><i><span lang="FI" style="color: black;">Tan</span></i><i><span lang="NO-BOK" style="color: black;">ggal pengkajian<span> </span>:<span> </span>27Oktober 2008 <span> </span>Jam : 08.00 WIB</span></i></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span lang="NO-BOK" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><i><span lang="NO-BOK" style="color: black;">No register<span> </span><span> </span><span> </span>:<span> </span>5870202</span></i></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span lang="IT" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><i><span lang="IT" style="color: black;">Diagnosa Medis<span> </span>: TUMOR OTAK</span></i></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span lang="NO-BOK" style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="NO-BOK" style="color: black;">Identitas Klien</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in;"><span lang="FI" style="color: black;">Nama<span> </span>: Ny. S<br />
Jenis klamin<span> </span>: wanita</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="FI" style="color: black;">Usia<span> </span>: 21 Tahun</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="NO-BOK" style="color: black;">Pendidikan<span> </span>: SMP</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="NO-BOK" style="color: black;">Pekerjaan<span> </span>: Ibu Rumah Tangga</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="NO-BOK" style="color: black;">Status perkawinan<span> </span>: Kawin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="NO-BOK" style="color: black;">Suku bangsa<span> </span>: Jawa / Indonesia</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="NO-BOK" style="color: black;">Agama<span> </span>: Islam</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="NO-BOK" style="color: black;">Al</span><span lang="SV" style="color: black;">amat<span> </span>: Semarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><b><i><span lang="SV" style="color: black;">Penanggung jawab klien</span></i></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="SV" style="color: black;">Nama<span> </span>: Tn. </span><span lang="FI" style="color: black;">R</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="FI" style="color: black;">Pekerjaan<span> </span>: Nelayan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="FI" style="color: black;">Alamat<span> </span>: Semarang</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify;"><span lang="IN" style="color: black;">Hubungan</span><span lang="FI" style="color: black;"> dengan klien<span> </span>: Suami</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">Riwayat Kesehatan</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -18.7pt;"><span lang="FI" style="color: black;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Keluhan Utama<span> </span>: Nyeri kepala </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -18.7pt;"><span lang="NO-BOK" style="color: black;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="NO-BOK" style="color: black;">Riwayat Penyakit Sekarang </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span lang="SV" style="color: black; font-family: Wingdings;"><span>F<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="NO-BOK" style="color: black;">Klien mengeluh nyeri kepala berat kurang lebih 20 hari SMRS. Nyeri kepala yang dirasakan berenyut-denyut, makain lama makin sering dan makin berat dengan skala nyeri 5-6 (nyeri sedang). </span><span lang="SV" style="color: black;">Nyeri yang dirasakan awalnya hanya pada bagian depan kepala, makin hebat hingga keseluruh bagian kepala terasa nyeri. Saat dikaji, Ny S mengatakan bahwa nyeri kepala dirasakan sepanjang hari dan tidak berkurang dengan obat.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 1in; text-align: justify; text-indent: -0.25in;"><span lang="SV" style="color: black; font-family: Wingdings;"><span>F<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Klien juga mengeluh tidak dapat melihat sejak 3 hari SMRS. Awal serangan penglihatan klien remang-remang, makin lama makin kabur hingga akhirnya klien tidak bisa melihat sama sekali meskipun dengan cahaya atau sinar yang terang, visus mata kanan 0, dan mata kiri 0. keluarga mengatakan sempat membawa klien diperiksa ke klinik mata, namun dokter menyarankan untuk dirawat karena kehilangan penglihatan disebabkan oleh tumor otak.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -18.7pt;"><span lang="NO-BOK" style="color: black;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="NO-BOK" style="color: black;">Riwayat Penyakit Dahulu</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span lang="NO-BOK" style="color: black;">Suami Klien mengatakan sejak kurang lebih 1 tahun belakangan Ny.S sering mengeluh nyeri kepala. Namun hal ini tidak pernah dirasakan dan hanya diberikan obat warung seperti mixagrip atau bodrex.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify;"><span lang="NO-BOK" style="color: black;">Keluarga mengatakan tidak ada riwayat trauma kepala, sakit berat atau infeksi berat baik pada telinga, mata maupun gigi dan mulut.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.75in; text-align: justify; text-indent: -18.7pt;"><span lang="NO-BOK" style="color: black;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="NO-BOK" style="color: black;">Riwayat Penyakit Keluarga</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="NO-BOK" style="color: black;">Klien mengatakan tidak ada anggota keluarga yang menderita penyakit seperti yang diderita klien saat ini. Selain itu dalam keluarga tidak ada riwayat penyakit keturunan, penyakit menahun, asma, TBC, DM dan Hipertensi.</span></div><div class="MsoBodyText" style="line-height: 200%; margin-left: 0.75in;"><span style="height: 26px; left: 0px; margin-left: 479px; margin-top: 33px; position: absolute; width: 26px; z-index: 10;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image021.gif" width="26" /></span><span style="height: 26px; left: 0px; margin-left: 395px; margin-top: 33px; position: absolute; width: 26px; z-index: 9;"><img height="26" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image022.gif" width="26" /></span><span lang="NO-BOK" style="color: black;">Genogram :</span></div><div class="MsoBodyText" style="text-indent: 28.05pt;"><span> <table align="left" cellpadding="0" cellspacing="0"><tbody>
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</div><br clear="ALL" /> <div class="MsoBodyText" style="text-indent: 28.05pt;"><span style="height: 134px; left: 0px; margin-left: 119px; margin-top: 9px; position: absolute; width: 326px; z-index: -76;"><img height="134" src="file:///C:/Users/MUJIB/AppData/Local/Temp/msohtmlclip1/01/clip_image024.gif" width="326" /></span><span lang="NO-BOK" style="color: black;"></span></div><div class="MsoBodyText" style="text-indent: 28.05pt;"><br />
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</div><br clear="ALL" /> <div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span lang="NO-BOK" style="color: black;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="NO-BOK" style="color: black;">Pemeriksaan Fisik</span></b></div><div class="MsoBodyText" style="margin-left: 53.85pt; text-indent: -17.85pt;"><span lang="NO-BOK" style="color: black;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="NO-BOK" style="color: black;">Tanda-</span><span style="color: black;">tanda</span><span lang="NO-BOK" style="color: black;"> vital</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 59.4pt; width: 540px;"><tbody>
<tr style="height: 27.1pt;"> <td style="border: 1pt solid windowtext; height: 27.1pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span lang="IN" style="color: black;">Tanggal / jam</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 27.1pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">20-10-2008 / 08.00</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 27.1pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">21-10-2008 / 08.00</span><span style="color: black;"></span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 27.1pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">22-10-2008 / 08.00</span><span style="color: black;"></span></div></td> </tr>
<tr style="height: 27.1pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 27.1pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span lang="IN" style="color: black;">TD<span> (mmHg)</span></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 27.1pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">150/90</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 27.1pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">140/90</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 27.1pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">140/80</span></div></td> </tr>
<tr style="height: 27.1pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 27.1pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span lang="IN" style="color: black;">HR<span> </span><span><span> </span>: Frekuensi</span></span></div><div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in 6pt 30.6pt;"><span lang="IN" style="color: black;">Irama</span></div><div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in 6pt 30.6pt;"><span lang="IN" style="color: black;">Regangan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 27.1pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">60 x /menit</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">Teratur</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">Normal</span><span style="color: black;"><span> </span></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 27.1pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">70 x /menit</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">Teratur</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">Normal</span><span style="color: black;"><span> </span></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 27.1pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">74 x /menit</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">Teratur</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">Normal</span><span style="color: black;"><span> </span></span></div></td> </tr>
<tr style="height: 28.15pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 28.15pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span lang="IN" style="color: black;">RR<span><span> </span>:<span> </span>Frekuensi</span></span></div><div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in 6pt 30.6pt;"><span lang="IN" style="color: black;">Irama</span></div><div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in 6pt 30.6pt;"><span lang="IN" style="color: black;">Kedalaman</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 28.15pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">20 x /menit</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">Teratur</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">Normal</span><span style="color: black;"><span> </span></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 28.15pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">18 x /menit</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">Teratur</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">Normal</span><span style="color: black;"><span> </span></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 28.15pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">18 x /menit</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">Teratur</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">Normal</span><span style="color: black;"><span> </span></span></div></td> </tr>
<tr style="height: 27.1pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 27.1pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span lang="IN" style="color: black;">Suhu<span> ( <sup>o</sup>C )</span></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 27.1pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">36,7</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 27.1pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">36,5</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 27.1pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: center;"><span style="color: black;">36,8</span></div></td> </tr>
</tbody></table><div class="MsoBodyText" style="margin-left: 0.5in;"><br />
</div><div class="MsoBodyText" style="margin-left: 53.85pt; text-indent: -17.85pt;"><span style="color: black;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Kepala dan leher</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 59.4pt; width: 542px;"><tbody>
<tr style="height: 29.7pt;"> <td style="border: 1pt solid windowtext; height: 29.7pt; padding: 0in 5.4pt; width: 73.6pt;" valign="top" width="98"> <div align="center" class="MsoBodyText" style="margin-top: 6pt; text-align: center;"><span lang="IN" style="color: black;">Yang Dikaji</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 29.7pt; padding: 0in 5.4pt; width: 333.1pt;" valign="top" width="444"> <div align="center" class="MsoBodyText" style="margin-top: 6pt; text-align: center;"><span lang="IN" style="color: black;">Keterangan</span></div></td> </tr>
<tr style="height: 157.2pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 157.2pt; padding: 0in 5.4pt; width: 73.6pt;" valign="top" width="98"> <div class="MsoBodyText"><span lang="IN" style="color: black;">Bentuk</span></div><div class="MsoBodyText"><span lang="IN" style="color: black;">Rambut</span></div><div class="MsoBodyText"><span lang="IN" style="color: black;">Mata</span><span style="color: black;"></span></div><div class="MsoBodyText"><br />
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</div><div class="MsoBodyText"><span lang="IN" style="color: black;">Telinga</span></div><div class="MsoBodyText"><br />
</div><div class="MsoBodyText"><span lang="IN" style="color: black;">Hidung</span></div><div class="MsoBodyText"><br />
</div><div class="MsoBodyText"><span lang="IN" style="color: black;">Mulut</span><span style="color: black;"></span></div><div class="MsoBodyText"><span lang="IN" style="color: black;">Leher</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 157.2pt; padding: 0in 5.4pt; width: 333.1pt;" valign="top" width="444"> <div class="MsoBodyText"><span lang="IN" style="color: black;">Mesosephal, mengeluh nyeri kepala</span></div><div class="MsoBodyText"><span lang="IN" style="color: black;">Hitam, agak lebat, tidak rontok, tidak berketombe</span></div><div class="MsoBodyText"><span lang="IN" style="color: black;">Simetris, konjuktiva tidak anemis, sclera tidak ikterik, tidak dapat melihat, visus kanan 0/ kiri 0, mata terbuka terus dan sulit berkedip, sulit atau tidak dapat menggerakkan bola mata keatas-bawah, kiri-kanan, air mata keluar terus menerus.</span></div><div class="MsoBodyText"><span lang="SV" style="color: black;">Simetris, fungsi pendengaran baik denganb rangsangansuara yang agak keras, serumen tidak ada.</span></div><div class="MsoBodyText"><span lang="SV" style="color: black;">Penciuman berkurang, tidak dapat menghidu bau kopi, bentuk normal, tidak ada serumen, sekret dan infeksi.</span></div><div class="MsoBodyText"><span style="color: black;">Mukosa lembab, tidak ada cyanosis, gigi agak kotor.</span></div><div class="MsoBodyText"><span style="color: black;">Bentuk simetris, tidak ada perbesaran kelenjar limfe dan kelenjar tiroid.</span></div></td> </tr>
</tbody></table><div class="MsoBodyText" style="line-height: normal; margin-left: 0.5in;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.5in;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.5in;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.5in;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.5in;"><br />
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</div><div class="MsoBodyText" style="margin-left: 53.85pt; text-indent: -17.85pt;"><span style="color: black;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Jantung</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 59.4pt; width: 540px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 57.95pt;" width="77"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Tanggal / Jam</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 113.05pt;" valign="top" width="151"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">27-10-2008 / 08.00</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">28-10-2008 / </span><span style="color: black;"></span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">29-10-2008 / </span><span style="color: black;"></span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 57.95pt;" valign="top" width="77"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Inspeksi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 113.05pt;" valign="top" width="151"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">Ictus cordis tidak tampak</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">Ictus cordis tidak tampak</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Ictus cordis tidak tampak</span><span lang="IT" style="color: black; font-size: 11pt;"></span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 57.95pt;" valign="top" width="77"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Palpasi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 113.05pt;" valign="top" width="151"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span lang="IT" style="color: black; font-size: 11pt;">Ic teraba di SIC V LMCS</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span lang="IT" style="color: black; font-size: 11pt;">Ic teraba di SIC V LMCS</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span lang="IT" style="color: black; font-size: 11pt;">Ic teraba di SIC V LMCS</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 57.95pt;" valign="top" width="77"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Perkusi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 113.05pt;" valign="top" width="151"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">konfigurasi jantung DBN</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">konfigusrasi jantung DBN</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">konfigusrasi jantung DBN</span><span lang="IT" style="color: black; font-size: 11pt;"></span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 57.95pt;" valign="top" width="77"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Auskultasi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 113.05pt;" valign="top" width="151"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span lang="IT" style="color: black; font-size: 11pt;">BJ I,II murni, bising (-)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span lang="IT" style="color: black; font-size: 11pt;">BJ I,II murni, bising (-)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span lang="IT" style="color: black; font-size: 11pt;">BJ I,II murni, bising (-)</span></div></td> </tr>
</tbody></table><div class="MsoBodyText" style="line-height: normal;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><br />
</div><div class="MsoBodyText" style="margin-left: 53.85pt; text-indent: -17.85pt;"><span style="color: black;"><span>d.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Paru</span><span style="color: black;">-paru</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 59.4pt; width: 540px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 57.95pt;" width="77"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Tanggal / Jam</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 113.05pt;" valign="top" width="151"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">27-10-2008 / 08.00</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">28-10-2008 / </span><span style="color: black;"></span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">29-10-2008 / </span><span style="color: black;"></span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 57.95pt;" valign="top" width="77"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Inspeksi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 113.05pt;" valign="top" width="151"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span lang="SV" style="color: black; font-size: 10pt;">Pergerakan simetris ka/ki, bentuk normochest</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span lang="SV" style="color: black; font-size: 10pt;">Pergerakan simetris ka/ki, bentuk normochest</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span lang="SV" style="color: black; font-size: 10pt;">Pergerakan simetris ka/ki, bentuk normochest</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 57.95pt;" valign="top" width="77"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Palpasi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 113.05pt;" valign="top" width="151"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 10pt;">Sterm Fremitus Ka = Ki</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 10pt;">Sterm Fremitus Ka = Ki</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 10pt;">Sterm Fremitus Ka = Ki</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 57.95pt;" valign="top" width="77"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Perkusi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 113.05pt;" valign="top" width="151"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span lang="SV" style="color: black; font-size: 10pt;">Sonor pada semua lapang paru </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span lang="SV" style="color: black; font-size: 10pt;">Sonor pada semua lapang paru</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span lang="SV" style="color: black; font-size: 10pt;">Sonor pada semua lapang paru</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 57.95pt;" valign="top" width="77"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 6pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Auskultasi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 113.05pt;" valign="top" width="151"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 10pt;">Vesikuler ka/ki, tidak ada wheezing, ronchi dll</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 10pt;">Vesikuler ka/ki, tidak ada wheezing, ronchi dll</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 10pt;">Vesikuler ka/ki, tidak ada wheezing, ronchi dll</span></div></td> </tr>
</tbody></table><div class="MsoBodyText" style="line-height: normal;"><br />
</div><div class="MsoBodyText" style="line-height: normal;"><br />
</div><div class="MsoBodyText" style="margin-left: 53.85pt; text-indent: -17.85pt;"><span style="color: black;"><span>e.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Abdomen </span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 59.4pt; width: 552px;"><tbody>
<tr style="height: 22.7pt;"> <td style="border: 1pt solid windowtext; height: 22.7pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoBodyText" style="margin-top: 6pt; text-align: center;"><span style="color: black;">Abdomen</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 22.7pt; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">27-10-2008 / 08.00</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 22.7pt; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">28-10-2008 </span><span style="color: black;"></span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 22.7pt; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in;"><span style="color: black; font-size: 11pt;">29-10-2008 </span><span style="color: black;"></span></div></td> </tr>
<tr style="height: 23.8pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 23.8pt; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><b><span style="color: black; font-size: 11pt;">Inspeksi</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 23.8pt; padding: 0in 5.4pt; width: 117pt;" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Datar, tidak ada lesi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 23.8pt; padding: 0in 5.4pt; width: 117pt;" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Datar</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 23.8pt; padding: 0in 5.4pt; width: 117pt;" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Datar</span></div></td> </tr>
<tr style="height: 25.6pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 25.6pt; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><b><span style="color: black; font-size: 11pt;">Auscultasi</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 25.6pt; padding: 0in 5.4pt; width: 117pt;" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Bising usus 15 x/mt</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 25.6pt; padding: 0in 5.4pt; width: 117pt;" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Bising usus 18 x/mt</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 25.6pt; padding: 0in 5.4pt; width: 117pt;" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Bising usus 18 x/mt</span></div></td> </tr>
<tr style="height: 27.4pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 27.4pt; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><b><span style="color: black; font-size: 11pt;">Palpasi</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 27.4pt; padding: 0in 5.4pt; width: 117pt;" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><span lang="NL" style="color: black; font-size: 11pt;">Tidak ada perbesaran hati,limpa dan tidak da nyeri tekan pada semua kuadran</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 27.4pt; padding: 0in 5.4pt; width: 117pt;" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><span lang="NL" style="color: black; font-size: 11pt;">Tidak ada perbesaran hati,limpa dan tidak da nyeri tekan pada semua kuadran</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 27.4pt; padding: 0in 5.4pt; width: 117pt;" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><span lang="NL" style="color: black; font-size: 11pt;">Tidak ada perbesaran hati,limpa dan tidak da nyeri tekan pada semua kuadran</span></div></td> </tr>
<tr style="height: 25.6pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 25.6pt; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><b><span style="color: black; font-size: 11pt;">Percusi</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 25.6pt; padding: 0in 5.4pt; width: 117pt;" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Suara timpani</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 25.6pt; padding: 0in 5.4pt; width: 117pt;" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Suara timpani</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 25.6pt; padding: 0in 5.4pt; width: 117pt;" width="156"> <div align="left" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: left;"><span style="color: black; font-size: 11pt;">Suara timpani</span></div></td> </tr>
</tbody></table><div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in 0.0001pt 14.2pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in 0.0001pt 14.2pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in 0.0001pt 14.2pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in 0.0001pt 14.2pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in 0.0001pt 14.2pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in 0.0001pt 14.2pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin: 6pt 0in 0.0001pt 14.2pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-top: 6pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 53.85pt; text-indent: -17.85pt;"><span style="color: black;"><span>f.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Ekstremitas </span></div><div class="MsoBodyText" style="margin-left: 27pt;"><b><i><span style="color: black;">Ektremitas atas</span></i></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 33.45pt; width: 589px;"><tbody>
<tr> <td rowspan="2" style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 49.35pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Tanggal / Jam</span></div></td> <td colspan="4" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 2.8in;" valign="top" width="269"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Kanan</span></div></td> <td colspan="4" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 190.7pt;" valign="top" width="254"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Kiri</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 62.15pt;" valign="top" width="83"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Kesemutan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 48.5pt;" valign="top" width="65"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Edema</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45.95pt;" valign="top" width="61"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Baal</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Nyeri</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63.1pt;" valign="top" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Kesemutan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.85pt;" valign="top" width="62"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Edema</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 44.9pt;" valign="top" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Baal</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 35.85pt;" valign="top" width="48"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Nyeri</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 49.35pt;" valign="top" width="66"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">27/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">08.00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 62.15pt;" width="83"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 48.5pt;" width="65"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45.95pt;" width="61"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63.1pt;" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.85pt;" width="62"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><b><span style="color: black;">-</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 44.9pt;" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 35.85pt;" width="48"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 49.35pt;" valign="top" width="66"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">28/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">08.00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 62.15pt;" width="83"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 48.5pt;" width="65"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45.95pt;" width="61"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63.1pt;" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.85pt;" width="62"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><b><span style="color: black;">-</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 44.9pt;" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 35.85pt;" width="48"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 49.35pt;" valign="top" width="66"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">29/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">08.00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 62.15pt;" width="83"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div><div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 48.5pt;" width="65"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45.95pt;" width="61"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">√</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63.1pt;" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">√</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.85pt;" width="62"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><b><span style="color: black;">-</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 44.9pt;" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">√</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 35.85pt;" width="48"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> </tr>
</tbody></table><div class="MsoBodyText" style="line-height: normal; margin-left: 28.05pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 28.05pt;"><b><i><span style="color: black;">Keterangan : </span></i></b></div><div class="MsoBodyText" style="line-height: normal; margin-left: 28.05pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 28.05pt;"><span style="color: black;">√<span> </span><span> </span>: ada</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 28.05pt;"><span style="color: black;">-<span> </span>: tidak ada</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 28.05pt;"><br />
</div><div class="MsoBodyText" style="margin-left: 28.05pt;"><b><i><span style="color: black;">Ekstremitas bawah</span></i></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 33.75pt; width: 586px;"><tbody>
<tr> <td rowspan="2" style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 49.65pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Tanggal / Jam</span></div></td> <td colspan="4" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 197.35pt;" valign="top" width="263"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Kanan</span></div></td> <td colspan="4" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 192.65pt;" valign="top" width="257"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Kiri</span></div></td> </tr>
<tr style="height: 13.95pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.95pt; padding: 0in 5.4pt; width: 60.3pt;" valign="top" width="80"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Kesemutan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.95pt; padding: 0in 5.4pt; width: 46.85pt;" valign="top" width="62"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Edema</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.95pt; padding: 0in 5.4pt; width: 48.85pt;" valign="top" width="65"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Baal</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.95pt; padding: 0in 5.4pt; width: 41.35pt;" valign="top" width="55"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Nyeri</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.95pt; padding: 0in 5.4pt; width: 0.85in;" valign="top" width="82"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Kesemutan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.95pt; padding: 0in 5.4pt; width: 49.65pt;" valign="top" width="66"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Edema</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.95pt; padding: 0in 5.4pt; width: 42.1pt;" valign="top" width="56"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Baal</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.95pt; padding: 0in 5.4pt; width: 39.7pt;" valign="top" width="53"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Nyeri</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 49.65pt;" valign="top" width="66"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">27/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">08.00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.3pt;" width="80"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.85pt;" width="62"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 48.85pt;" width="65"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 41.35pt;" width="55"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><b><span style="color: black;">-</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.85in;" width="82"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.65pt;" width="66"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 42.1pt;" width="56"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 39.7pt;" width="53"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 49.65pt;" valign="top" width="66"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">28/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.3pt;" width="80"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.85pt;" width="62"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 48.85pt;" width="65"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 41.35pt;" width="55"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><b><span style="color: black;">-</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.85in;" width="82"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.65pt;" width="66"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 42.1pt;" width="56"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 39.7pt;" width="53"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 49.65pt;" valign="top" width="66"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">29/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.3pt;" width="80"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.85pt;" width="62"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 48.85pt;" width="65"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 41.35pt;" width="55"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><b><span style="color: black;">-</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.85in;" width="82"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 49.65pt;" width="66"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 42.1pt;" width="56"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">√</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 39.7pt;" width="53"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> </tr>
</tbody></table><div class="MsoBodyText" style="margin-left: 0.5in;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 28.05pt;"><b><i><span style="color: black;">Keterangan : </span></i></b></div><div class="MsoBodyText" style="line-height: normal; margin-left: 28.05pt;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 28.05pt;"><span style="color: black;">√<span> </span><span> </span>: ada</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 28.05pt;"><span style="color: black;">-<span> </span>: tidak ada</span></div><div class="MsoBodyText" style="margin-left: 0.5in;"><br />
</div><div class="MsoBodyText" style="margin-left: 53.85pt; text-indent: -17.85pt;"><span style="color: black;"><span>g.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Sistem Persyarafan</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.7in; width: 564px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 0.75in;" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 10pt;">Tanggal / Jam</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 50.6pt;" width="67"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Kesadaran</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 56.1pt;" width="75"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Membuka mata</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 55.3pt;" width="74"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Respon motorik</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Respon verbal</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 0.5in;" width="48"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Total GCS</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Nyeri kepala</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Pandangan kabur</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">27/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">08.00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 50.6pt;" width="67"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 10pt;">Compos-mentis</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 56.1pt;" width="75"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Spontan (4)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 55.3pt;" width="74"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Dengan perintah (6)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Berorientasi (5)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.5in;" width="48"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">15</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">√</span><span lang="IN" style="color: black; font-size: 10pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">√</span><span lang="IN" style="color: black; font-size: 10pt;"></span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">28/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 50.6pt;" width="67"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 10pt;">Compos-mentis</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 56.1pt;" width="75"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Spontan (4)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 55.3pt;" width="74"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Dengan perintah (6)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Berorientasi (5)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.5in;" width="48"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">15</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">√</span><span lang="IN" style="color: black; font-size: 10pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">√</span><span lang="IN" style="color: black; font-size: 10pt;"></span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">29/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 50.6pt;" width="67"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 10pt;">Compos-mentis</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 56.1pt;" width="75"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Spontan (4)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 55.3pt;" width="74"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Dengan perintah (6)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">Berorientasi (5)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.5in;" width="48"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 10pt;">15</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">√</span><span lang="IN" style="color: black; font-size: 10pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">√</span><span lang="IN" style="color: black; font-size: 10pt;"></span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-indent: 21.3pt;"><b><span lang="SV" style="color: black;">Fungsi Serebral/ Status Mental</span></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt; width: 590px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Fungsi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 352.7pt;" valign="top" width="470"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Respon</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoNormal" style="line-height: 150%;"><span lang="IT" style="color: black;">Orientasi</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="IT" style="color: black;">Mood/ Perilaku</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="IT" style="color: black;">Wicara</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="IT" style="color: black;">Penampilan</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="IT" style="color: black;">Memori</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Emosional</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Komunikasi</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Kognitif</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Pemahaman </span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Bahasa</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 352.7pt;" valign="top" width="470"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Baik, dapat mengenal orang tua dan suami, dapat menyebutkan hari dan dapat mengenal tempat (rumah sakit).</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Tampak cemas, kadang terkesan putus asa, gelisah dan mengeluh sulit tidur.</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Komunikasi lancar, dapat menjawab pertanyaan, kadang-kadang blocking dan menolak bicara</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Cukup rapi</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Dapat mengingat kejadian 6 bulan yang lalu dan kejadian yang baru saja terjadi pagi tadi</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Cemas dan gelisah, mengatakan apakah fungsi mata untuk melihat dapat kembali normal</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Klien dapat berkomunikasi dengan baik, menjawab pertanyan dan mau berkomunikasi</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Baik, tidak ada kehilangan ingatan</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Baik, klien mengerti bahwa penyakit yang dialami cukup berat. Mengatakan tidak mengetahui penyebab dan akibat dari penyakit yang diderita.</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Baik, dapat berkomunikasi dengan bahasa Indonesia</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;"><span> </span><span>Syaraf kranial</span></span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 19.6pt; width: 595px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 131.4pt;" valign="top" width="175"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Nervus</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 207pt;" valign="top" width="276"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Respon</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Kanan</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Kiri</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 131.4pt;" valign="top" width="175"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">N I Olfaktorius</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">N.II Optikus</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">N.III Okulomotor</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">N.IV Trochlear</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">N.VI Abdusen</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">N.V Trigeminal</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="PT-BR" style="color: black;">N.VII Fasialis</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="PT-BR" style="color: black;">N.VIII Vestibulotrochelaris</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="PT-BR" style="color: black;">N.IX Glossopharingeus</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="IT" style="color: black;">N.X Fagus</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="IT" style="color: black;">N.XI Accesorius</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">N.XII Hipoglosus</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 207pt;" valign="top" width="276"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Klien tidak dapat menghidu bau kopi dan teh</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Tidak dapat melihat, reflek cahaya baik, visus ka/ki = 0, keluar air mata terus menerus. Hasil optalmoskopi papil edema +.</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Lebar pupil ka/ki = 3 mm, reaksi cahaya baik, klien dapat menggerakkan bola mata tapi sulit dan lemah.</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Klien kesulitan menggerakkan bola mata ke bawah.</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Klien kesulitan menggerakkan bola mata ke lateral.</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Klien dapat mengunyah, dapat mengatupkan kedua rahang, sensasi wajah baik.</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Klien dapat mengernyitkan dahi, klien dapat tersenyum.</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Klien dapat mendengar detik jam dalam jarak 20 cm.</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Klien dapat menelan, klien dapat merasakan rasa pahit</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Klien dapat menelan makanan, rangsangan muntah baik, bicara normal.</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Klien dapat mengangkat bahu, klien dapat memalingkan wajah.</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Klien dapat menggerakkan lidah.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Disfungsi</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Disfungsi</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Parese</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Parese</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Parese</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Disfungsi</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Disfungsi</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Parese</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Parese</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Parese</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Normal</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Normal</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Normal</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Normal</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Normal</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Normal</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Normal</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in;"><span lang="SV" style="color: black;">Kesan: disfungsi nervus I dan II, parese nervus III, IV dan VI.</span></div><div class="MsoNormal" style="line-height: 150%;"><b><span lang="SV" style="color: black;">Motorik</span></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 90.5pt;" valign="top" width="121"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td colspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 181.1pt;" valign="top" width="241"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Ekstremitas Superior</span></div></td> <td colspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 181.1pt;" valign="top" width="241"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Ekstremitas Inferior</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 90.5pt;" valign="top" width="121"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 90.55pt;" valign="top" width="121"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Dektra</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 90.55pt;" valign="top" width="121"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Sinistra</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 90.55pt;" valign="top" width="121"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Dekstra</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 90.55pt;" valign="top" width="121"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="SV" style="color: black;">Sinistra</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 90.5pt;" valign="top" width="121"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Kekuatan otot</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 90.55pt;" valign="top" width="121"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">5</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 90.55pt;" valign="top" width="121"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">5</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 90.55pt;" valign="top" width="121"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">5</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 90.55pt;" valign="top" width="121"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">5</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 90.5pt;" valign="top" width="121"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Tonus otot</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 90.55pt;" valign="top" width="121"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Baik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 90.55pt;" valign="top" width="121"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Baik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 90.55pt;" valign="top" width="121"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Baik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 90.55pt;" valign="top" width="121"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Baik</span></div></td> </tr>
</tbody></table><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><b><span lang="SV" style="color: black;">Refleks dan Sensibilitas</span></b></div><table align="left" border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 6.75pt; margin-right: 6.75pt;"><tbody>
<tr style="height: 20.1pt;"> <td rowspan="2" style="border: 1pt solid windowtext; height: 20.1pt; padding: 0in 5.4pt; width: 50.5pt;" valign="top" width="67"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Refleks</span></div></td> <td colspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 20.1pt; padding: 0in 5.4pt; width: 144.3pt;" valign="top" width="192"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Ekstremitas Superior</span></div></td> </tr>
<tr style="height: 20.85pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 20.85pt; padding: 0in 5.4pt; width: 72.15pt;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Dekstra</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 20.85pt; padding: 0in 5.4pt; width: 72.15pt;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Sinistra</span></div></td> </tr>
<tr style="height: 82pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 82pt; padding: 0in 5.4pt; width: 50.5pt;" valign="top" width="67"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Biseps</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Triceps</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Radius</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Ulna</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 82pt; padding: 0in 5.4pt; width: 72.15pt;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">+</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">+</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">+</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">+</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 82pt; padding: 0in 5.4pt; width: 72.15pt;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">+</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">+</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">+</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">+</span></div></td> </tr>
<tr style="height: 20.85pt;"> <td colspan="3" style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 20.85pt; padding: 0in 5.4pt; width: 194.8pt;" valign="top" width="260"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Sensibilitas</span></div></td> </tr>
<tr style="height: 143.85pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 143.85pt; padding: 0in 5.4pt; width: 50.5pt;" valign="top" width="67"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Taktil</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Nyeri</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Suhu</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 143.85pt; padding: 0in 5.4pt; width: 72.15pt;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">+</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">+</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">+</span></div><div class="MsoNormal" style="line-height: 150%;"><br />
</div><div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 143.85pt; padding: 0in 5.4pt; width: 72.15pt;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> </tr>
</tbody></table><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 55.05pt;"><tbody>
<tr> <td rowspan="2" style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 66.8pt;" valign="top" width="89"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Refleks</span></div></td> <td colspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 2in;" valign="top" width="192"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Ekstremitas Inferior</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Dektra</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Sinistra</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 66.8pt;" valign="top" width="89"> <div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">Achiles</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">Babinski</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">Chadok</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">Oppenheim</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">Gordon</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">+</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">negatif</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">negatif</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">negatif</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">negatif</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">+</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">negatif</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">negatif</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">negatif</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="DE" style="color: black;">negatif</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 66.8pt;" valign="top" width="89"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Sensibilitas</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><br />
</div></td> </tr>
<tr style="height: 81.25pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 81.25pt; padding: 0in 5.4pt; width: 66.8pt;" valign="top" width="89"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Taktil</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Nyeri</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Suhu</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 81.25pt; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 81.25pt; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="SV" style="color: black;">Normal </span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="margin-left: 18.7pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 18.7pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoBodyText" style="margin-left: 53.85pt; text-indent: -17.85pt;"><span lang="IN" style="color: black;"><span>h.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Sistem</span><span lang="IN" style="color: black;"> Integumen</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 0.75in; width: 559px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 49.9pt;" width="67"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black; font-size: 11pt;">Tanggal / Jam</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 71.75pt;" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Warna kulit</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 53.7pt;" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Turgor</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 74.7pt;" width="100"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Mukosa bibir</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 79.35pt;" width="106"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Capilary refill </span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1.25in;" width="120"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Kelainan kulit </span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 49.9pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">2710/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">08.00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 71.75pt;" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Tidak ada ikterik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.7pt;" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Baik </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.7pt;" width="100"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Lembab </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 79.35pt;" width="106"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">< 3 detik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.25in;" width="120"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">-</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 49.9pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">28/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 71.75pt;" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Tidak ada ikterik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.7pt;" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Baik </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.7pt;" width="100"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Lembab </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 79.35pt;" width="106"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">< 3 detik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.25in;" width="120"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">-</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 49.9pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">29/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 71.75pt;" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Tidak ada ikterik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 53.7pt;" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Baik </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.7pt;" width="100"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Lembab </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 79.35pt;" width="106"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">< 3 detik</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.25in;" width="120"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">-</span></div></td> </tr>
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</div><div class="MsoBodyText" style="margin-left: 53.85pt; text-indent: -17.85pt;"><span lang="IN" style="color: black;"><span>i.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Sistem </span><span style="color: black;">imunitas :</span><span lang="IN" style="color: black;"></span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="IN" style="color: black;">Klien mengatakan tidak ada riwayat alergi terhadap makanan atau obat-obatan tertentu.</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="SV" style="color: black;">Jumlah leukosit dalam batas normal : 7.100 /mmK (27-10-2008)</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="color: black;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">Status</span></b><b><span lang="IN" style="color: black;"> nutrisi</span></b></div><div class="MsoBodyText" style="margin-left: 0.75in; text-indent: -0.25in;"><span lang="IN" style="color: black;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Antropometri</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><b><i><span lang="IN" style="color: black;">Sebelum masuk rumah sakit</span></i></b><i><span lang="IN" style="color: black;"> (2 bulan yang lalu)</span></i></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="IN" style="color: black;">BB <span> </span>:<span> </span>-<span> </span><span> </span>TB<span> </span>:<span> </span>-<span> </span><span> </span>LILA<span> </span>:<span> </span>-</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><br />
</div><div class="MsoBodyText" style="margin-left: 0.75in;"><b><i><span lang="IN" style="color: black;">Saat Dirawat</span></i></b><i><span lang="IN" style="color: black;"> :</span></i><span lang="IN" style="color: black;"> <span> </span></span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="IN" style="color: black;">BB <span> </span>:<span> </span>48<span> </span>Kg<span> </span><span> </span>TB<span> </span>:<span> </span>153 Cm<span> </span>LILA<span> </span>: 29Cm</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><b><i><span lang="IN" style="color: black;">Perhitungan :</span></i></b></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="IN" style="color: black;">BB normal = TB – 100 <span> </span>= 153 – 100 <span> </span>= 53 kg</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="IN" style="color: black;">BB ideal <span> </span>= (TB-100) + 10% (TB-100)</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="IN" style="color: black;"><span> </span>= 153– 100 + 10% X 53<span> </span>= 53 – 5,3<span> </span>= 47,7 Kg.</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><br />
</div><div class="MsoBodyText" style="margin-left: 0.75in;"><b><i><span lang="IN" style="color: black;">IMT ( Indeks Massa Tubuh ) </span></i></b><b><span lang="IN" style="color: black;"><span> </span>Nilai standar IMT</span></b></div><table align="left" border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 6.75pt; margin-right: 6.75pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 80.2pt;" valign="top" width="107"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Nilai</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 74.8pt;" valign="top" width="100"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Kategori</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 80.2pt;" valign="top" width="107"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;"><20</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.8pt;" valign="top" width="100"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Underweight</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 80.2pt;" valign="top" width="107"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">20-25</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.8pt;" valign="top" width="100"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">BB normal</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 80.2pt;" valign="top" width="107"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">25-30</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.8pt;" valign="top" width="100"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Overweight</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 80.2pt;" valign="top" width="107"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">>30</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 74.8pt;" valign="top" width="100"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Obesitas</span></div></td> </tr>
</tbody></table><div class="MsoBodyText" style="line-height: normal; margin-left: 18.7pt;"><span lang="IN" style="color: black;"><span> </span>BB<span> </span></span></div><div class="MsoBodyText" style="line-height: normal; text-indent: 46.75pt;"><span lang="IN" style="color: black;">IMT<span> </span>= _____<span> </span></span></div><div class="MsoBodyText" style="line-height: normal; text-indent: 28.05pt;"><span lang="IN" style="color: black;"><span> </span>TB(mm)</span><span style="color: black;"> ²</span></div><div class="MsoBodyText" style="line-height: normal; text-indent: 28.05pt;"><br />
</div><div class="MsoBodyText" style="text-indent: 28.05pt;"><span style="color: black;"><span> </span>=<span> </span>48/ (1,53)<sup>2</sup> <span> </span>= 48 / 2,34<span> </span>= 20,51 kg/m<sup>2</sup> </span></div><div class="MsoBodyText" style="line-height: normal;"><span style="color: black;"><span> </span>Klien memiliki BB normal sesuai standar IMT</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><br />
</div><div class="MsoBodyText" style="margin-left: 0.75in;"><br />
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</div><div class="MsoBodyText" style="margin-left: 0.75in; text-indent: -0.25in;"><span lang="IN" style="color: black;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Penampilan fisik</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="IN" style="color: black;">Penampilan umum klien tampak lemah, sesak napas, conjuktiva anemis, tonus otot baik.</span></div><div class="MsoBodyText" style="margin-left: 0.75in; text-indent: -0.25in;"><span lang="IN" style="color: black;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><b><u><span lang="IN" style="color: black;">Diit</span></u></b></div><div class="MsoBodyText" style="margin-left: 1in; text-indent: -0.25in;"><span lang="IN" style="color: black; font-family: Wingdings;"><span>F<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Sebelum sakit klien biasa makan 3 kali sehari, nasi dengan lauk dan sayuran.</span></div><div class="MsoBodyText" style="margin-left: 1in; text-indent: -0.25in;"><span lang="IN" style="color: black; font-family: Wingdings;"><span>F<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Saat sakit, sebelum dirawat klien tidak mengalami kesulitan menelan, klien makan bubur nasi biasa 3 x sehari, minum air hangat 4 – 6 gelas sehari.</span></div><div class="MsoBodyText" style="margin-left: 1in; text-indent: -0.25in;"><span lang="IN" style="color: black; font-family: Wingdings;"><span>F<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Saat dirawat klien mendapat diit nasi biasa 1900 kkalori, dan dapat dihabiskan semua porsi yang disediakan.</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span style="color: black;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">Status higienis </span></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 41.4pt; width: 576px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 46.85pt;" valign="top" width="62"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="SV" style="color: black; font-size: 11pt;">Tanggal</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 88.15pt;" valign="top" width="118"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Mandi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Menggosok gigi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 97.15pt;" valign="top" width="130"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Memotong kuku</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 109.85pt;" valign="top" width="146"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">Keramas</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 46.85pt;" valign="top" width="62"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">27/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 88.15pt;" width="118"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">2 x sehari (lap)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.25in;" width="120"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">+</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 97.15pt;" width="130"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 109.85pt;" width="146"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 46.85pt;" valign="top" width="62"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">28/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 88.15pt;" width="118"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">2 x sehari (lap)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.25in;" width="120"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">+</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 97.15pt;" width="130"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 109.85pt;" width="146"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 46.85pt;" valign="top" width="62"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">29/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 88.15pt;" width="118"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">2 x sehari (lap)</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.25in;" width="120"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">+</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 97.15pt;" width="130"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 109.85pt;" width="146"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="margin-left: 18.7pt; text-align: justify;"><span lang="SV" style="color: black;"><span> </span>Ket :</span></div><div class="MsoNormal" style="margin-left: 18.7pt; text-align: justify;"><span lang="SV" style="color: black;"><span> </span>+ : dilakukan</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify; text-indent: 0.25in;"><span lang="SV" style="color: black;">-<span> </span>: tidak dilakukan</span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 18.7pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span style="color: black;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">Status Eliminasi</span></b></div><div class="MsoBodyText" style="margin-left: 0.5in;"><span lang="IN" style="color: black;">Sebelum dirawat :</span></div><div class="MsoBodyText" style="margin-left: 0.75in; text-indent: -0.25in;"><span lang="IN" style="color: black; font-family: Wingdings;"><span>F<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Klien biasa BAB 1 kali sehari, konsistensi lunak, warna kuning kecoklatan</span></div><div class="MsoBodyText" style="margin-left: 0.75in; text-indent: -0.25in;"><span lang="IN" style="color: black; font-family: Wingdings;"><span>F<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Klien biasa BAK 6 – 8 kali sehari, jumlah ± 1200 cc/hari, warna kuning jernih.</span></div><div class="MsoBodyText" style="margin-left: 0.5in;"><span lang="IN" style="color: black;">Selama dirawat </span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span lang="IN" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">BAB</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 59.4pt; width: 552px;"><tbody>
<tr style="height: 14.6pt;"> <td style="border: 1pt solid windowtext; height: 14.6pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div class="MsoBodyText" style="line-height: normal;"><span style="color: black;">TGL<span> </span></span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 14.6pt; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Frekuensi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 14.6pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Warna</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 14.6pt; padding: 0in 5.4pt; width: 2.25in;" valign="top" width="216"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Konsistensi</span></div></td> </tr>
<tr style="height: 13.65pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 13.65pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">27/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.65pt; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.65pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div align="center" class="MsoBodyText" style="text-align: center;"><span lang="IN" style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.65pt; padding: 0in 5.4pt; width: 2.25in;" valign="top" width="216"> <div align="center" class="MsoBodyText" style="text-align: center;"><span lang="IN" style="color: black;">-</span></div></td> </tr>
<tr style="height: 21.05pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 21.05pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">28/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 21.05pt; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="color: black;">1 x</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 21.05pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div align="center" class="MsoBodyText" style="text-align: center;"><span lang="IN" style="color: black;">Kuning kecoklatan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 21.05pt; padding: 0in 5.4pt; width: 2.25in;" valign="top" width="216"> <div align="center" class="MsoBodyText" style="text-align: center;"><span lang="IN" style="color: black;">lunak</span></div></td> </tr>
<tr style="height: 17.4pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 17.4pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">29/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 17.4pt; padding: 0in 5.4pt; width: 81pt;" valign="top" width="108"> <div align="center" class="MsoBodyText" style="text-align: center;"><span style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 17.4pt; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div align="center" class="MsoBodyText" style="text-align: center;"><span lang="IN" style="color: black;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 17.4pt; padding: 0in 5.4pt; width: 2.25in;" valign="top" width="216"> <div align="center" class="MsoBodyText" style="text-align: center;"><span lang="IN" style="color: black;">-</span></div></td> </tr>
</tbody></table><div class="MsoBodyText" style="line-height: normal; margin-left: 0.5in;"><span lang="IN" style="color: black;"><span> </span>Ket :</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 46.05pt; text-indent: 25.95pt;"><span lang="IN" style="color: black;">- : tidak ada</span></div><div class="MsoBodyText" style="line-height: normal;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span lang="IN" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">BAK</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 59.4pt; width: 552px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 50.15pt;" valign="top" width="67"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">Tanggal</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 63.8pt;" valign="top" width="85"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Frekuensi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 84.05pt;" valign="top" width="112"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Jumlah</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Warna</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Nyeri</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 50.15pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">27/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63.8pt;" valign="top" width="85"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">3 x</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84.05pt;" valign="top" width="112"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">± 500 cc</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">Kuning jernih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> </tr>
<tr style="height: 16.8pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 16.8pt; padding: 0in 5.4pt; width: 50.15pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">28/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.8pt; padding: 0in 5.4pt; width: 63.8pt;" valign="top" width="85"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">4 x</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.8pt; padding: 0in 5.4pt; width: 84.05pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black;">± 550 cc</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.8pt; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black;">Kuning jernih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.8pt; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 50.15pt;" valign="top" width="67"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">2910/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63.8pt;" valign="top" width="85"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">4 x</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 84.05pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black;">± 550 cc</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 99pt;" valign="top" width="132"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black;">Kuning jernih</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">-</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="margin-left: 18.7pt; text-align: justify;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.5in;"><span style="color: black; font-size: 8pt;"><span> </span></span><span lang="IN" style="color: black;">Ket :</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 46.05pt; text-indent: 25.95pt;"><span lang="IN" style="color: black;">- : tidak ada</span></div><div class="MsoNormal" style="margin-left: 18.7pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 18.7pt; text-align: justify;"><span style="color: black; font-size: 8pt;"><span> </span></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span style="color: black;"><span>7.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">Status Mobilisasi</span></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 41.4pt;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 65.75pt;" valign="top" width="88"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">Tanggal</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 123.25pt;" valign="top" width="164"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Duduk</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Berdiri</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Jalan</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 65.75pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">27/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 123.25pt;" valign="top" width="164"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">Bisa</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black;">Bisa</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black;">Bisa</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 65.75pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">28/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 123.25pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black;">Bisa</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black;">Bisa</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black;">Bisa</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 65.75pt;" valign="top" width="88"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">29/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 123.25pt;" valign="top" width="164"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black;">Bisa</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 117pt;" valign="top" width="156"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black;">Bisa</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.75in;" valign="top" width="168"> <div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black;">Bisa</span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span style="color: black;"><span>8.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">Status Ekonomi Kesehatan</span></b></div><div class="MsoBodyText" style="margin-left: 0.5in;"><span style="color: black;">Suami klien sebagai penanggung jawab rumah tangga bekerja sebagai nelayan, istri klien tidak bekerja.</span></div><div class="MsoBodyText" style="margin-left: 0.5in;"><span lang="FI" style="color: black;">Saat dirawat klien menggunakan asuransi kesehatan jamkesmas atau gakin</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span style="color: black;"><span>9.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">Tindakan kolaborasi kesehatan</span></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 41.4pt; width: 576px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div class="MsoBodyText" style="line-height: normal;"><span style="color: black;">Tanggal</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 3.25in;" valign="top" width="312"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Tindakan kolaboasi</span></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 135pt;" valign="top" width="180"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Ahli</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">21/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 3.25in;" valign="top" width="312"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">oftalmoskopi</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 135pt;" valign="top" width="180"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Spesialis mata</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">27/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 3.25in;" valign="top" width="312"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">CT scan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 135pt;" valign="top" width="180"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Residen Penyakit syaraf</span></div></td> </tr>
<tr style="height: 3.5pt;"> <td colspan="3" style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 3.5pt; padding: 0in 5.4pt; width: 6in;" valign="top" width="576"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> </tr>
</tbody></table><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span style="color: black;"><span>10.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">Hasil Pemeriksaan Penunjang Diagnostik</span></b></div><div class="MsoBodyText" style="margin-left: 0.75in; text-indent: -0.25in;"><span lang="IN" style="color: black;"><span>a.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Laboratorium </span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 41.4pt; width: 576px;"><tbody>
<tr> <td rowspan="2" style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 1.25in;" width="120"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Pemeriksaan</span></div></td> <td rowspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Nilai Normal</span></div></td> <td rowspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Satuan</span></div></td> <td colspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">19/10/08</span></div></td> <td colspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div class="MsoNormal"><span lang="IN" style="color: black;">21/10/08</span><span style="color: black;"></span></div></td> <td colspan="2" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div class="MsoNormal"><span lang="IN" style="color: black;">23/10/08</span><span style="color: black;"></span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Nilai</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" width="24"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Nilai</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" width="24"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">Nilai</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Hb</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">13 - 16</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">%</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">10,4</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black; font-size: 11pt;">L</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Ht</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">40 - 54</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">%</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">31</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black; font-size: 11pt;">L</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Eritrosit</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">45 - 65</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">jt/mmk</span><span lang="IN" style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">39</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black; font-size: 11pt;">L</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Leucosit</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">4 - 11</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">ribu/mmk</span><span lang="IN" style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">7100</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Trombosit</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">150 - </span><span style="color: black;">4</span><span lang="IN" style="color: black;">00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">ribu</span><span lang="IN" style="color: black;">/mm</span><span style="color: black;">k</span><span lang="IN" style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">247</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">GDS</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">80 – 110</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">mg/DL</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">128</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Ureum </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">15 – 39</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black;">mg/DL</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">32</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Creatinin</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">0.60 – 1.30</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IN" style="color: black;">mg/DL</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">1,32</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Natrium</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">136 – 145</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">mmol/L</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">133</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">L</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Kalium</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">3,5 – 5,10</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">mmol/L</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">4,1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div class="MsoBodyText" style="line-height: normal;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Chlorida</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">98 – 107</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">mmol/L</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">103</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div class="MsoBodyText" style="line-height: normal;"><span lang="IN" style="color: black;">Calsium</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1in;" valign="top" width="96"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span style="color: black;">2,12 – 2,52</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 63pt;" valign="top" width="84"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black;">mmol/L</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt;">-</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 45pt;" valign="top" width="60"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 0.25in;" valign="top" width="24"> <div align="center" class="MsoBodyText" style="line-height: normal; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 3.5pt;"> <td colspan="9" style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 3.5pt; padding: 0in 5.4pt; width: 6in;" valign="top" width="576"> <div align="center" class="MsoBodyText" style="text-align: center;"><br />
</div></td> </tr>
</tbody></table><div class="MsoBodyText" style="margin-left: 0.75in; text-indent: -0.25in;"><span lang="IN" style="color: black;"><span>b.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Hasil CT scan : Tgl. 27/10/2008</span></div><div class="MsoBodyText" style="margin-left: 0.75in;"><b><i><u><span lang="IN" style="color: black;">Kesan : </span></u></i></b></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="IN" style="color: black;">Masssa pada regio temporoparietal kanan. Cenderung Astrocytoma disertai efek masa yang jelas. Hidrocephalus obstruktifus.</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.75in;"><br />
</div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.75in; text-indent: -0.25in;"><span lang="IN" style="color: black;"><span>c.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Hasil funduskopy : tgl 21/10/2008</span></div><div class="MsoBodyText" style="line-height: normal; margin-left: 0.75in;"><b><i><u><span lang="IN" style="color: black;">Kesan :</span></u></i></b></div><div class="MsoBodyText" style="margin-left: 0.75in;"><span lang="IN" style="color: black;">- papil edema.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="color: black;"><span>11.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="color: black;">Terapi Medis</span></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt; width: 600px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 0.75in;" width="72"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="IN" style="color: black; font-size: 11pt;">Nama obat</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 58.9pt;" width="79"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="IN" style="color: black; font-size: 11pt;">Car</span></b><b><span lang="SV" style="color: black; font-size: 11pt;">a pemberian</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 46.75pt;" width="62"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV" style="color: black; font-size: 11pt;">dosis</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 113.15pt;" width="151"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV" style="color: black; font-size: 11pt;">indikasi</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 69.2pt;" width="92"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="SV" style="color: black; font-size: 11pt;">Ko</span></b><b><span style="color: black; font-size: 11pt;">ntra indikasi</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 1.5in;" width="144"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black; font-size: 11pt;">Efek samping</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 10pt;">Tramadol </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 58.9pt;" valign="top" width="79"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 10pt;">Oral</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.75pt;" valign="top" width="62"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 10pt;">2 x 50mg</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 113.15pt;" valign="top" width="151"> <div class="MsoNormal" style="margin: 3pt 0in;"><span lang="SV" style="color: black; font-size: 10pt;">Efektif mengobati nyeri akut dan kronik yang kuat</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 69.2pt;" valign="top" width="92"> <div class="MsoNormal" style="margin: 3pt 0in;"><span lang="SV" style="color: black; font-size: 10pt;">Hipersensitivitas terhadap tramadol</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div class="MsoNormal" style="margin: 3pt 0in;"><span lang="SV" style="color: black; font-size: 10pt;">pusing, sedasi, lelah, sakit kepala, pruritus, berkeringat, kulit kemerahan, mulut kering, mual, muntah. Dispepsia dan obstipasi.</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 10pt;">Dexame-thazone</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 58.9pt;" valign="top" width="79"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 10pt;">Injeksi IV</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.75pt;" valign="top" width="62"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 10pt;">3 x 2 ampul</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 113.15pt;" valign="top" width="151"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 10pt;">Mngatasi gejala inflamasi akut, alergi, kolagen, keadaan darurat seperti status asmatikus, reaksi anafilaksis, insufisiensi aderenal, edema serebral.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 69.2pt;" valign="top" width="92"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 10pt;">Tukak lambung, ggn fungsi ginjal, glukoma, hipersensitivitas</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 10pt;">Perdarahan ulkus peptikum, hipokalemia, osteoporosis, ggn hati, moon face, sakit kepala serta acne</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 0.75in;" valign="top" width="72"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 10pt;">diazepam</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 58.9pt;" valign="top" width="79"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 10pt;">oral</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 46.75pt;" valign="top" width="62"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 10pt;">2 x 1 tablat</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 113.15pt;" valign="top" width="151"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black;">obat penenang, </span><span style="color: black; font-size: 11pt;">memperpendek mengatasi gejala yang timbul separti gelisah yang berlebihan.</span><span style="color: black; font-size: 10pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 69.2pt;" valign="top" width="92"> <div class="MsoNormal" style="margin: 3pt 0in;"><span lang="SV" style="color: black; font-size: 10pt;">Hipersensitiv </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 1.5in;" valign="top" width="144"> <div class="MsoNormal" style="margin: 3pt 0in;"><span style="color: black; font-size: 11pt;">pusing, mengantuk</span><span lang="SV" style="color: black; font-size: 11pt;"></span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="color: black;"><span>12.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="color: black;">Monitor Harian Pemberian Obat </span></b></div><table align="left" border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 6.75pt; margin-right: 6.75pt; width: 595px;"><tbody>
<tr style="height: 17.7pt;"> <td style="border: 1pt solid windowtext; height: 17.7pt; padding: 0in 5.4pt; width: 52.15pt;" width="70"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="IN" style="color: black; font-size: 11pt;">TGL</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 17.7pt; padding: 0in 5.4pt; width: 112.2pt;" width="150"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="IN" style="color: black; font-size: 11pt;">Nama Obat</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 17.7pt; padding: 0in 5.4pt; width: 84.05pt;" width="112"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="IN" style="color: black; font-size: 11pt;">Dosis</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 17.7pt; padding: 0in 5.4pt; width: 1.25in;" width="120"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="IN" style="color: black; font-size: 11pt;">Cara Pemberian</span></b></div></td> <td colspan="4" style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 17.7pt; padding: 0in 5.4pt; width: 1.5in;" width="144"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="IN" style="color: black; font-size: 11pt;">Waktu pemberian</span></b></div><div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="IN" style="color: black; font-size: 11pt;">( Jam)</span></b></div></td> </tr>
<tr style="height: 17.25pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 17.25pt; padding: 0in 5.4pt; width: 52.15pt;" valign="top" width="70"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">27/10/08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 17.25pt; padding: 0in 5.4pt; width: 112.2pt;" valign="top" width="150"> <div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Infus RL</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Dexametahson</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Ranitidine</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Diazepam</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Tramadol</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 17.25pt; padding: 0in 5.4pt; width: 84.05pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">3x1 ampul</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">2x1 ampul</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">2x2 mg</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">2x50 mg</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 17.25pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">IV</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">IV</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">IV</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Oral</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">oral</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 17.25pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">10</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">10</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">10</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">08</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 17.25pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">18</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">18</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 17.25pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">02</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">02</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">22</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">20</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">20</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 17.25pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">-</span></div></td> </tr>
<tr style="height: 13.35pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 13.35pt; padding: 0in 5.4pt; width: 52.15pt;" valign="top" width="70"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">28/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.35pt; padding: 0in 5.4pt; width: 112.2pt;" valign="top" width="150"> <div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Infus RL</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Dexametahson</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Ranitidine</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Diazepam</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Tramadol</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.35pt; padding: 0in 5.4pt; width: 84.05pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">3x1 ampul</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">2x1 ampul</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">2x2 mg</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">2x50 mg</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.35pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">IV</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">IV</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">IV</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Oral</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">oral</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.35pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">10</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">10</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">10</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">08</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.35pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">18</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">18</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.35pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">02</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">02</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">22</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">20</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">20</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 13.35pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">-</span></div></td> </tr>
<tr style="height: 18.05pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 18.05pt; padding: 0in 5.4pt; width: 52.15pt;" valign="top" width="70"> <div class="MsoNormal"><span style="color: black; font-size: 11pt;">29/10/08</span><span lang="IN" style="color: black; font-size: 11pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 18.05pt; padding: 0in 5.4pt; width: 112.2pt;" valign="top" width="150"> <div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Infus RL</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Dexametahson</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Ranitidine</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Diazepam</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Tramadol</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 18.05pt; padding: 0in 5.4pt; width: 84.05pt;" valign="top" width="112"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">3x1 ampul</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">2x1 ampul</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">2x2 mg</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">2x50 mg</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 18.05pt; padding: 0in 5.4pt; width: 1.25in;" valign="top" width="120"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">IV</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">IV</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">IV</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">Oral</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">oral</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 18.05pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">10</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">10</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">10</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">08</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">08</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 18.05pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">18</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">18</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 18.05pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">02</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">02</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">22</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">20</span></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">20</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 18.05pt; padding: 0in 5.4pt; width: 27pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="IN" style="color: black; font-size: 11pt; line-height: 150%;">-</span></div></td> </tr>
</tbody></table><div class="MsoNormal"><br />
</div><div class="MsoNormal"><br />
</div><b><span style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span></b> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.7pt; text-align: justify; text-indent: -18.7pt;"><b><span style="color: black;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">ANALISA DATA</span></b></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; margin-left: 23.4pt; width: 598px;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 25.55pt;" valign="top" width="34"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span style="color: black;">No</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 262.45pt;" valign="top" width="350"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span style="color: black;">Data<span> </span>Fokus</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 79.65pt;" valign="top" width="106"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span style="color: black;">Problem</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 80.6pt;" valign="top" width="107"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span style="color: black;">Etilogi</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 25.55pt;" valign="top" width="34"> <div class="MsoNormal"><span style="color: black; font-size: 11pt;">1.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 262.45pt;" valign="top" width="350"> <div class="MsoNormal"><span lang="PT-BR" style="color: black; font-size: 11pt;">DS :</span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="FI" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Klien</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> </span><span lang="FI" style="color: black; font-size: 11pt;">mengatakan nyeri kepala sepanjang hari</span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="FI" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Klien mengatakan nyeri yang dirasakan berenyut-denyut </span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="FI" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Nyeri biasanya dimulai dari bagian depan kepala dan menyebar hingga ke seluruh kepala.</span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="FI" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Klien merasakan skala nyeri 6. </span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="FI" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Nyeri yang dirasakan bertambah berat bila beraktifitas atau berjalan dan tidak berkurang dengan istirahat maupun obat.</span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="FI" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Nyeri telah terjadi 20 hari dan kadang nyeri berlangsung hingga sepanjang hari.</span></div><div class="MsoNormal"><span lang="NO-BOK" style="color: black; font-size: 11pt;">DO : </span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="SV" style="font-family: Symbol;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Klien tampak meringis</span><span lang="SV" style="color: black;"></span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="SV" style="font-family: Symbol;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Hasil CT scan kepala : massa pada regio temporoparietal kanan, hidrocephalus obstruktifus.</span><span lang="SV" style="color: black;"></span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="SV" style="font-family: Symbol;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Tanda-tanda vital : TD 150/90, N 60x/menit RR 20x/menit</span><span lang="SV" style="color: black;"></span></div><div class="MsoNormal" style="margin-left: 9pt;"><br />
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</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 79.65pt;" valign="top" width="106"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV" style="color: black; font-size: 11pt;">Nyeri</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 80.6pt;" valign="top" width="107"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="SV" style="color: black; font-size: 11pt;">Peningkatan TIK</span></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 25.55pt;" valign="top" width="34"> <div class="MsoNormal"><span style="color: black; font-size: 11pt;">2.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 262.45pt;" valign="top" width="350"> <div class="MsoNormal"><span lang="PT-BR" style="color: black; font-size: 11pt;">DS : </span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="FI" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Klien mengeluh tidak dapat melihat sama sekali</span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="SV" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Klien mengeluh tidak dapat melihat perawat pemeriksa, suami dan keluarga.</span></div><div class="MsoNormal"><span lang="SV" style="color: black; font-size: 11pt;">DO :</span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="IT" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IT" style="color: black; font-size: 11pt;">Visus kanan dan kiri = 0</span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="IT" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IT" style="color: black; font-size: 11pt;">Disfungsi nervus II, parese nervus III, IV, VI.</span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="IT" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IT" style="color: black; font-size: 11pt;">Air mata keluar terus menerus</span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="IT" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IT" style="color: black; font-size: 11pt;">Hasil funduskopi : papil edema</span></div><div class="MsoNormal" style="margin-left: 23.05pt; text-indent: -14.05pt;"><span lang="IT" style="font-family: Symbol; font-size: 11pt;"><span>*<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IT" style="color: black; font-size: 11pt;">Aktifitas klien tergantung keluarga.</span></div><div class="MsoNormal" style="margin-left: 9pt;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 79.65pt;" valign="top" width="106"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IT" style="color: black; font-size: 11pt;">Resti injuri</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 80.6pt;" valign="top" width="107"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="IT" style="color: black; font-size: 11pt;">Kehilangan penglihatan</span></div></td> </tr>
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</div><div class="MsoNormal" style="line-height: 150%; margin-left: 18.7pt; text-align: justify; text-indent: -18.7pt;"><b><span lang="PT-BR" style="color: black;"><span>C.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">PRIORITAS MASALAH</span></b><span lang="PT-BR" style="color: black; font-size: 11pt; line-height: 150%;"></span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span lang="SV" style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Nyeri kepala berhubungan dengan peningkatan TIK</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span lang="SV" style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Resiko tinggi injuri berhubungan dengan kehilangan penglihatan</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify;"><br />
</div></div><b><span lang="SV" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt;"><br clear="all" style="page-break-before: always;" /> </span></b> <div class="Section2"> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.7pt; text-align: justify; text-indent: -18.7pt;"><b><span lang="FI" style="color: black;"><span>D.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">RENCANA</span></b><b><span lang="FI" style="color: black;"> ASUHAN KEPERAWATAN</span></b></div><div class="MsoNormal"><span style="color: black; font-size: 11pt;">NAMA<span> </span>:<span> </span>Ny. S<span> </span>NO<span> </span>CM<span> </span>: </span></div><div class="MsoNormal"><span lang="FI" style="color: black; font-size: 11pt;">UMUR<span> </span>:<span> </span>21 Tahun<span> </span><span> </span><span> </span>P.N<span> </span>: RAJU</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="FI" style="color: black; font-size: 11pt; line-height: 150%;">DIAGNOSA MEDIS<span> </span>:<span> </span>TUMOR OTAK</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; width: 979px;"><tbody>
<tr style="height: 5.4pt;"> <td style="border: 1pt solid windowtext; height: 5.4pt; padding: 0in 5.4pt; width: 28.85pt;" width="38"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="NO-BOK" style="color: black;">NO</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 129.55pt;" width="173"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="NO-BOK" style="color: black;">DIAGNOSA KEPERAWATAN</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 2.75in;" width="264"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="NO-BOK" style="color: black;">TUJUAN DAN KRITERIA</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 337.75pt;" width="450"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="NO-BOK" style="color: black;">INTERVENSI</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 40.25pt;" width="54"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="NO-BOK" style="color: black;">TTD</span></b></div></td> </tr>
<tr style="height: 5.4pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 5.4pt; padding: 0in 5.4pt; width: 28.85pt;" valign="top" width="38"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="NO-BOK" style="color: black;">1.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 129.55pt;" valign="top" width="173"> <div class="MsoNormal"><span lang="SV" style="color: black;">Nyeri kepala berhubungan dengan peningkatan TIK</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 2.75in;" valign="top" width="264"> <div class="MsoNormal" style="text-align: justify;"><span lang="SV" style="color: black;">Setelah dilakukan tindakan keperawatan selama 3 x 7 Jam, nyeri klien berkurang sampai dengan hilang dengan kriteria hasil :</span></div><div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Skala nyeri 1-4</span><span lang="PT-BR" style="color: black;"></span></div><div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Tampak rileks dan istirahat</span><span lang="PT-BR" style="color: black;"></span></div><div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Melaporkan secara verbal nyeri berkurang</span><span lang="PT-BR" style="color: black;"></span></div><div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Tanda-tanda dalam batas normal: TD 120/80, N 80-100x/mnt, RR 12-20x/menit.</span><span lang="PT-BR" style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 337.75pt;" valign="top" width="450"> <div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Pemantauan tingkat nyeri dan TTV tiap 4 jam :</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Observasi perubahan keadaan umum klien seperti berkeringat dingin, meringis dan pingsan</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Catat pernyataan verbal klien akan nyeri</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Lakukan pemeriksaan tekanan darah, nadi suhu dan pernafasan.</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Monitor perubahan pernafasan, frekwensi, irama dan kedalaman pernafasan</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Monitor akan tanda-tanda peningkatan TIK : muntah proyektil, nyeri kepala dan papil edema.</span></div><div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Lakukan manajemen nyeri :</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Berikan posisi kepala 30 derajat.</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Lakukan tindakan sentuhan terupeutiki : massage ringan pada kepala yang sakit.</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Dorong penggunaan tehnik relaksasi : nafas dalam 10 kali dalam satu priode latihan. Berikan 3 kali periode sehari.</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Berikan aktifitas hiburan: mendengarkan musik.</span></div><div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Tindakan kolaboratif :</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Berikan obat penghilang nyeri (analgetik) untuk mengurangi nyeri : tramado 2x50mg/oral jam 07.00 dan 19.00</span></div><div class="MsoNormal" style="text-align: justify;"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span style="color: black; font-size: 10pt; line-height: 150%;">raju</span></div></td> </tr>
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</div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none; width: 979px;"><tbody>
<tr style="height: 5.4pt;"> <td style="border: 1pt solid windowtext; height: 5.4pt; padding: 0in 5.4pt; width: 28.85pt;" width="38"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="NO-BOK" style="color: black;">NO</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 129.55pt;" width="173"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="NO-BOK" style="color: black;">DIAGNOSA KEPERAWATAN</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 2.75in;" width="264"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="NO-BOK" style="color: black;">TUJUAN DAN KRITERIA</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 337.75pt;" width="450"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="NO-BOK" style="color: black;">INTERVENSI</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 40.25pt;" width="54"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span lang="NO-BOK" style="color: black;">TTD</span></b></div></td> </tr>
<tr style="height: 5.4pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 5.4pt; padding: 0in 5.4pt; width: 28.85pt;" valign="top" width="38"> <div align="center" class="MsoNormal" style="text-align: center;"><span lang="NO-BOK" style="color: black;">2.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 129.55pt;" valign="top" width="173"> <div class="MsoNormal"><span lang="NO-BOK" style="color: black;">Resiko tinggi injuri berhubungan dengan kehilangan penglihatan</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 2.75in;" valign="top" width="264"> <div class="MsoNormal" style="text-align: justify;"><span lang="NO-BOK" style="color: black;">Setelah dilakukan tindakan keperawatan selama 3 x 7 Jam, tidak terjadi cedera. <span> </span>kriteria hasil :</span></div><div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="NO-BOK" style="color: black;">Klien dapat mengenali kerusakan sensori.</span><span lang="PT-BR" style="color: black;"></span></div><div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Klien dapat menerapkn perilaku untuk mengkompensasi kekurangan.</span><span lang="PT-BR" style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 337.75pt;" valign="top" width="450"> <div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Tindakan pengamanan dan pencegahan jatuh :</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Pastikan pengaman tempat tidur terpasang dengan tepat</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="SV" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Pastikan lantai ruangan rawat inap dan kamar mandi tidak licin.</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="SV" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Berikan pegangan pada sisi dinding ruangan dan kamar mandi.</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="SV" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Anjurkan keluarga untuk mengantar atau mengiringi klien saat akan menuju kamar mandi.</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="SV" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Beritahukan dan informasikan pada klien setiap akan melakukan tindakan atau prosedur.</span></div><div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Pengelolaan aktivitas perawatan diri :</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Bantu dalam pemenuhan kebutuhan harian klien</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Awasi klien saat melakukan aktivitas</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Libatkan keluarga dalam perawatan diri klien</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Dekatkan barang-barang kebutuhan klien sehari-hari diatas meja samping tempat tidur klien.</span></div><div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 5.4pt; padding: 0in 5.4pt; width: 40.25pt;" valign="top" width="54"> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><br />
</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 10pt; line-height: 150%;">Raju. <span> </span></span></div></td> </tr>
</tbody></table><div class="MsoNormal" style="margin: 6pt 0in;"><br />
</div></div><b><span lang="PT-BR" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt;"><br clear="all" style="page-break-before: always;" /> </span></b> <div class="MsoNormal" style="line-height: 150%; margin-left: 18.7pt; text-align: justify; text-indent: -18.7pt;"><b><span lang="PT-BR" style="color: black;"><span>E.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="PT-BR" style="color: black;">CATATAN KEPERAWATAN</span></b><b><span lang="PT-BR" style="color: black; font-size: 14pt; line-height: 150%;"></span></b></div><div class="MsoNormal"><span lang="PT-BR" style="color: black; font-size: 10pt;">NAMA<span> </span>:<span> </span>Ny. S<span> </span><span> </span><span> </span></span></div><div class="MsoNormal"><span lang="PT-BR" style="color: black; font-size: 10pt;">UMUR<span> </span>:<span> </span>21 tahun<span> </span><span> </span><span> </span>P.N<span> </span><span> </span>: RAJU KAPADIA</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="PT-BR" style="color: black; font-size: 10pt; line-height: 150%;">DX. MEDIS <span> </span>:<span> </span>TUMOR OTAK</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: medium none;"><tbody>
<tr style="height: 22.55pt;"> <td style="border: 1pt solid windowtext; height: 22.55pt; padding: 0in 5.4pt; width: 41.4pt;" width="55"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black;">TGL/JAM</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 22.55pt; padding: 0in 5.4pt; width: 0.5in;" width="48"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black;">NO DX</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 22.55pt; padding: 0in 5.4pt; width: 210.95pt;" width="281"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black;">IMPLEMENTASI </span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 22.55pt; padding: 0in 5.4pt; width: 154.7pt;" width="206"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black;">RESPON KLIEN</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 22.55pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black;">TTD</span></b></div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 9pt;">27/10/08</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">08.00</span><span style="color: black; font-size: 10pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span style="color: black; font-size: 11pt;">I</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in; text-align: justify;"><span lang="PT-BR" style="color: black; font-size: 11pt;">Melakukan pemantauan perubahan keadaan umum klien.</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> :<span> </span>Klien mengeluh nyeri pada kepala </span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> : tampak meringis, skala nyeri 5.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;"><span> </span><span> </span></span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"></span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">09.00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="text-align: justify;"><span lang="PT-BR" style="color: black; font-size: 11pt;">Melakukan pemeriksaan tanda-tanda vital dan tanda-tanda peningktaan TIK</span><span lang="ES" style="color: black; font-size: 11pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> :<span> </span>Klien mengeluh berdebar-debar , nyeri kepala namun tidak ada muntah</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> : </span></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">TD : 150/90 N : 80x/mnt </span><b><span lang="PT-BR" style="color: black; font-size: 11pt;"></span></b></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">S : 36,8</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> , </span></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Kesadaran CM, tidak ada muntah proyektil</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">13.00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in; text-align: justify;"><span lang="PT-BR" style="color: black; font-size: 11pt;">Melakukan tindakan manajemen nyeri, meliputi :</span></div><ul style="margin-top: 0in;" type="disc"><li class="MsoNormal" style="color: black; margin-bottom: 3pt; margin-top: 3pt; text-align: justify;"><span lang="PT-BR" style="font-size: 11pt;">Memberikan posisi kepala 30 derajat lebih tinggi.</span></li>
<li class="MsoNormal" style="color: black; margin-bottom: 3pt; margin-top: 3pt; text-align: justify;"><span lang="PT-BR" style="font-size: 11pt;">Mengajarkan tehnik nafas dalam sebanyak 3 kali.</span></li>
<li class="MsoNormal" style="color: black; margin-bottom: 3pt; margin-top: 3pt; text-align: justify;"><span lang="PT-BR" style="font-size: 11pt;">Melakukan tindakan massage ringan pada kepala</span></li>
</ul></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> : Klien mengatakan nyeri kepala tidak berkurang setelah latihan nafas dalam</span></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> : klien tampak meringis, skala nyeri 5.</span><span lang="PT-BR" style="color: black;"> </span><b><span lang="PT-BR" style="color: black; font-size: 11pt;"></span></b></div><div class="MsoNormal" style="margin-left: -0.35pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;"><span> </span></span></b><span lang="PT-BR" style="color: black;">TD : 150/90 N : 80x/mnt </span><b><span lang="PT-BR" style="color: black; font-size: 11pt;"></span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 9pt;">27/10/08</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">10.00</span><span style="color: black; font-size: 10pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">II</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Menjelaskan prosedur atau tindakan yang akan dilakukan pada klien : menyuntik.</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="FI" style="color: black; font-size: 11pt;">S:<span> </span></span></b><span lang="FI" style="color: black; font-size: 11pt;">klien mengatakan siap untuk diberikan suntikan intravena.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="NO-BOK" style="color: black; font-size: 11pt;">O: </span></b><span lang="NO-BOK" style="color: black; font-size: 11pt;">- </span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="NO-BOK" style="color: black; font-size: 11pt;">10.30</span><span lang="NO-BOK" style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="NO-BOK" style="color: black; font-size: 11pt;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="NO-BOK" style="color: black; font-size: 11pt;">Memasang pengaman tempat tidur klien.</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="NO-BOK" style="color: black; font-size: 11pt;">S:<span> </span></span></b><span lang="NO-BOK" style="color: black; font-size: 11pt;">klien mengatakan selalu berpegang pada pagar pengaman tempat tidur.</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">11.00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Mendekatkan barang-barang kebutuhn klien disamping meja tempat tidur.</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S : </span></b><span lang="PT-BR" style="color: black; font-size: 11pt;">Klien berterima kash dan merasa terbantu dengan didekatkan barang dimeja.</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">12.00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Melakukan pengelolaan ruangan untuk mencegah terjadinya jatuh pada klien:</span></div><div class="MsoNormal" style="margin-left: 0.3in; text-align: justify; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="ES" style="color: black; font-size: 11pt;">Memastikan lantai ruangan dan kamar mandi tidak licin.</span><span lang="SV" style="color: black; font-size: 11pt;"></span></div><div class="MsoNormal" style="margin-left: 0.3in; text-align: justify; text-indent: -9pt;"><span lang="FI" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Memotivasi keluarga untuk mengiringi klien saat akan beraktivitas toileting.</span></div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div><div class="MsoNormal" style="text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S : </span></b><span lang="PT-BR" style="color: black; font-size: 11pt;">Keluarga mengatakan memahami pentingnya menjaga klien agar tidak terjatuh</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O </span></b><span lang="PT-BR" style="color: black; font-size: 11pt;">: lantai ruangan dan kamar mandi tidak licin.</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 22.55pt;"> <td style="border: 1pt solid windowtext; height: 22.55pt; padding: 0in 5.4pt; width: 41.4pt;" width="55"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black;">TGL/JAM</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 22.55pt; padding: 0in 5.4pt; width: 0.5in;" width="48"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black;">NO DX</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 22.55pt; padding: 0in 5.4pt; width: 210.95pt;" width="281"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black;">IMPLEMENTASI </span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 22.55pt; padding: 0in 5.4pt; width: 154.7pt;" width="206"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black;">RESPON KLIEN</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; height: 22.55pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="text-align: center;"><b><span style="color: black;">TTD</span></b></div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 9pt;">28/10/08</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">08.00</span><span style="color: black; font-size: 10pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span style="color: black; font-size: 11pt;">I</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span style="color: black; font-size: 11pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black; font-size: 11pt;">Mencatat pernyataan verbal klien akan nyeri yang dirasakan.</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> Melakukan pemeriksaan tanda-tanda vital dan tanda-tanda peningktaan TIK</span><span style="color: black; font-size: 11pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="FI" style="color: black; font-size: 11pt;">S</span></b><span lang="FI" style="color: black; font-size: 11pt;"> :<span> </span>Klien mengeluh nyeri kepala </span></div><div class="MsoNormal" style="margin-left: -0.35pt;"><b><span lang="FI" style="color: black; font-size: 11pt;">O</span></b><span lang="FI" style="color: black; font-size: 11pt;"> : Skala nyeri 5, tampak<span> </span>meringis.</span><span lang="PT-BR" style="color: black;"> </span></div><div class="MsoNormal" style="margin-left: -0.35pt;"><span lang="PT-BR" style="color: black;">TD : 140/90 N : 70x/mnt </span><b><span lang="PT-BR" style="color: black; font-size: 11pt;"></span></b></div><div class="MsoNormal" style="margin-left: -0.35pt;"><span lang="PT-BR" style="color: black;">S : 36,8</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> , </span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;">Kesadaran CM, tidak ada muntah proyektil </span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="FI" style="color: black; font-size: 11pt;">08.10</span><span lang="FI" style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="ES" style="color: black; font-size: 11pt;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="ES" style="color: black; font-size: 11pt;">Melaksanakan hasil kolaborasi memberikan obat anti nyeri : Tramadol tablet peroral dengan dosis 50 mg.</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> : klien mengatakan nyeri kepala sedikit berkurang setelah diberikan obat tramadol tablet</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><br />
</div><div class="MsoNormal" style="margin-left: -0.35pt;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">13.00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black; font-size: 11pt;">Melakukan</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> tindakan manajemen nyeri, meliputi :</span></div><ul style="margin-top: 0in;" type="disc"><li class="MsoNormal" style="color: black; margin-bottom: 3pt; margin-top: 3pt; text-align: justify;"><span lang="PT-BR" style="font-size: 11pt;">Memberikan posisi kepala 30 derajat lebih tinggi.</span></li>
<li class="MsoNormal" style="color: black; margin-bottom: 3pt; margin-top: 3pt; text-align: justify;"><span lang="PT-BR" style="font-size: 11pt;">Mengajarkan tehnik nafas dalam sebanyak 5 kali.</span></li>
<li class="MsoNormal" style="color: black; margin-bottom: 3pt; margin-top: 3pt; text-align: justify;"><span lang="PT-BR" style="font-size: 11pt;">Melakukan tindakan massage ringan pada kepala.</span></li>
</ul></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> : Klien nyeri tidak berkurang setelah dilakukan latihan nafas dalam.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> : skala nyeri 4, masih tampak meringis.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 9pt;">28/10/08</span></div><div align="center" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">10.00</span><span style="color: black; font-size: 10pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">II</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Menjelaskan prosedur atau tindakan yang akan dilakukan pada klien : menyuntik</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S:<span> </span></span></b><span lang="FI" style="color: black; font-size: 11pt;">klien mengatakan siap untuk diberikan suntikan intravena.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">11.00</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="NO-BOK" style="color: black; font-size: 11pt;">Memasang pengaman tempat tidur klien.</span><span lang="PT-BR" style="color: black; font-size: 11pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O: </span></b><span lang="PT-BR" style="color: black; font-size: 11pt;">klien berterimakasih dan mengatakan tidak pernah terjatuh dari tempat tidur selama ini.<b> </b></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">12.00</span><span lang="PT-BR" style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Melakukan pengawasan pengelolaan<span> </span>aktivitas sehari-hari klien :</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Membantu dalam pemenuhan kebutuhan harian klien</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Mengawasi klien saat melakukan aktivitas</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Melibatkan keluarga dalam perawatan diri klien</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Mendekatkan barang-barang kebutuhan klien sehari-hari diatas meja samping tempat tidur klien.</span></div><div class="MsoNormal" style="margin-left: 12.6pt; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="SV" style="color: black; font-size: 11pt;">S : </span></b><span lang="SV" style="color: black; font-size: 11pt;">-klien mengatakan selama ini kebutuhan dirinya masih dapat terpenuhi walaupaun matanya tidak bisa melihat.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="SV" style="color: black; font-size: 11pt;">O </span></b><span lang="SV" style="color: black; font-size: 11pt;">: Keluarga aktif terlibat dalam perawatan klien, klien dapat berjalan sampai kamar mandi dengan diiringi oleh keluarganya.</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">12.30</span><span style="color: black;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Memastikan lantai ruangan dan kamar mandi dalam keadaan aman dan tidak licin.</span><span lang="SV" style="color: black; font-size: 11pt;"></span></div><div class="MsoNormal" style="margin: 3pt 0in; text-align: justify;"><br />
</div><div class="MsoNormal" style="margin: 3pt 0in; text-align: justify;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O : </span></b><span lang="PT-BR" style="color: black; font-size: 11pt;">lantai ruangan dan kamar mandi tidak licin</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 9pt;">29/10/08</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span style="color: black; font-size: 11pt;">08.00</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">I</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Mencatat pernyataan verbal klien akan nyeri yang dirasakan. Melakukan pemeriksaan tanda-tanda vital dan tanda-tanda peningktaan TIK</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="FI" style="color: black; font-size: 11pt;">S</span></b><span lang="FI" style="color: black; font-size: 11pt;"> :<span> </span>Klien mengeluh nyeri kepala </span></div><div class="MsoNormal" style="margin-left: -0.35pt;"><b><span lang="FI" style="color: black; font-size: 11pt;">O</span></b><span lang="FI" style="color: black; font-size: 11pt;"> : Skala nyeri 4, tampak<span> </span>meringis.</span><span lang="PT-BR" style="color: black;"> </span></div><div class="MsoNormal" style="margin-left: -0.35pt;"><span lang="PT-BR" style="color: black;">TD : 140/80 N : 74x/mnt </span><b><span lang="PT-BR" style="color: black; font-size: 11pt;"></span></b></div><div class="MsoNormal" style="margin-left: -0.35pt;"><span lang="PT-BR" style="color: black;">S : 36,8</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> , </span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;">Kesadaran CM, tidak ada muntah proyektil</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">09.00</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="ES" style="color: black; font-size: 11pt;">Melaksanakan hasil kolaborasi memberikan obat anti nyeri : Tramaol tablet peroral dengan dosis 50 mg.</span><span lang="SV" style="color: black; font-size: 11pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> :<span> </span>klien mengatakan nyeri kepala sedikit berkurang setelah diberikan obat tramadol tablet</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O </span></b><span lang="PT-BR" style="color: black; font-size: 11pt;">: Skala nyeri 3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span style="color: black; font-size: 11pt;">TGL/JAM</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">NO DX</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" width="281"> <div align="center" class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: center; text-indent: -12.6pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">IMPLEMENTASI</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" width="206"> <div align="center" class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-align: center; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">RESPON KLIEN</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">TTD</span></b></div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 9pt;">29/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">13.00</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Melakukan</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> tindakan manajemen nyeri, meliputi :</span></div><ul style="margin-top: 0in;" type="disc"><li class="MsoNormal" style="color: black; margin-bottom: 3pt; margin-top: 3pt; text-align: justify;"><span lang="PT-BR" style="font-size: 11pt;">Memberikan posisi kepala 30 derajat lebih tinggi.</span></li>
<li class="MsoNormal" style="color: black; margin-bottom: 3pt; margin-top: 3pt; text-align: justify;"><span lang="PT-BR" style="font-size: 11pt;">Mengajarkan tehnik nafas dalam sebanyak 7 kali.</span></li>
<li class="MsoNormal" style="color: black; margin-bottom: 3pt; margin-top: 3pt; text-align: justify;"><span lang="PT-BR" style="font-size: 11pt;">Melakukan tindakan massage ringan pada kepala</span></li>
</ul></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> : Klien nyeri tidak berkurang setelah dilakukan latihan nafas dalam.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> : skala nyeri 3, masih tampak meringis.</span><span lang="NO-BOK" style="color: black; font-size: 11pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
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<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">13.30</span><span style="color: black; font-size: 9pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Memonitor tanda-tanda vital klien</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> : </span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> : TD ; 140/90. N ; 68x/mnt.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span> </span>S ; 36,7.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
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<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoBodyText" style="line-height: normal; margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 9pt;">22/10/08</span></div><div align="center" class="MsoNormal" style="text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">10.00</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">II</span></b></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Menjelaskan prosedur atau tindakan yang akan dilakukan pada klien : merapikan tempat tidur, menyuntik</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;">:<span> </span>klien berteima kasih dan mengerti.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O:</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> </span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
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<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">10.05</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="NO-BOK" style="color: black; font-size: 11pt;">Memasang pengaman tempat tidur klien.</span><span lang="PT-BR" style="color: black; font-size: 11pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">S : </span></b><span lang="PT-BR" style="color: black; font-size: 11pt;">Klien melaporkan tidak pernah terjatuh dari tempat tidur</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O:</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> </span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
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<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext; border-style: none solid; border-width: medium 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">11.00</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Melakukan pengawasan pengelolaan<span> </span>aktivitas sehari-hari klien :</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Membantu dalam pemenuhan kebutuhan harian klien</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Mengawasi klien saat melakukan aktivitas</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Melibatkan keluarga dalam perawatan diri klien</span></div><div class="MsoNormal" style="margin-left: 30.6pt; text-align: justify; text-indent: -0.25in;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Mendekatkan barang-barang kebutuhan klien sehari-hari diatas meja samping tempat tidur klien.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="SV" style="color: black; font-size: 11pt;">S : </span></b><span lang="SV" style="color: black; font-size: 11pt;">\klien mengatakan selama ini dapat memnuhi kebutuhan diri dibantu oleh suami dan orang tuanya..</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="SV" style="color: black; font-size: 11pt;">O </span></b><span lang="SV" style="color: black; font-size: 11pt;">: Keluarga aktif terlibat dalam perawatan klien, klien dapat berjalan sampai kamar mandi dengan diiringi oleh keluarganya.</span></div></td> <td style="border-color: -moz-use-text-color windowtext -moz-use-text-color -moz-use-text-color; border-style: none solid none none; border-width: medium 1pt medium medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> </tr>
<tr style="height: 16.05pt;"> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; height: 16.05pt; padding: 0in 5.4pt; width: 41.4pt;" valign="top" width="55"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span style="color: black; font-size: 11pt;">12.30</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 0.5in;" valign="top" width="48"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 210.95pt;" valign="top" width="281"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-align: justify; text-indent: -12.6pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Memastikan lantai ruangan dan kamar mandi aman dan tidak </span><span lang="SV" style="color: black; font-size: 11pt;">licin</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 154.7pt;" valign="top" width="206"> <div class="MsoNormal" style="margin: 3pt 0in 3pt 16.4pt; text-indent: -16.4pt;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">O</span></b><span lang="PT-BR" style="color: black; font-size: 11pt;"> : lantai kamar mandi dan ruangan tidak licin.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; height: 16.05pt; padding: 0in 5.4pt; width: 35.5pt;" width="47"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><br />
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</tbody></table><b><span lang="PT-BR" style="color: black; font-family: "Times New Roman","serif"; font-size: 11pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span></b> <div class="MsoNormal" style="line-height: 150%; text-align: justify;"><b><span lang="PT-BR" style="color: black;">CATATAN PERKEMBANGAN</span></b><b><span lang="PT-BR" style="color: black; font-size: 14pt; line-height: 150%;"></span></b></div><div class="MsoNormal"><span lang="PT-BR" style="color: black; font-size: 10pt;">NAMA<span> </span>:<span> </span>Ny.S<span> </span><span> </span></span></div><div class="MsoNormal"><span lang="PT-BR" style="color: black; font-size: 10pt;">UMUR<span> </span>: 21 tahun<span> </span><span> </span>P.N<span> </span><span> </span>: Raju K</span></div><div class="MsoNormal" style="line-height: 150%;"><span lang="PT-BR" style="color: black; font-size: 10pt; line-height: 150%;">DX. MEDIS <span> </span>:<span> </span>TUMOR OTAK</span></div><table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: medium none;"><tbody>
<tr> <td style="border: 1pt solid windowtext; padding: 0in 5.4pt; width: 27.3pt;" width="36"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">NO</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 60.95pt;" width="81"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">TGL/JAM</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 133.15pt;" width="178"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">DIAGNOSA KEPERAWATAN</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 223.7pt;" width="298"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">EVALUASI</span></b></div></td> <td style="border-color: windowtext windowtext windowtext -moz-use-text-color; border-style: solid solid solid none; border-width: 1pt 1pt 1pt medium; padding: 0in 5.4pt; width: 33.45pt;" width="45"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">TTD</span></b></div></td> </tr>
<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 27.3pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">1</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.95pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">27/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">14.00</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 133.15pt;" valign="top" width="178"> <div class="MsoNormal" style="margin: 3pt 0in;"><span lang="SV" style="color: black;">Nyeri kepala berhubungan dengan peningkatan TIK</span><b><span lang="SV" style="color: black; font-size: 11pt;"></span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 223.7pt;" valign="top" width="298"> <div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">S : </span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="FI" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Klien mengatakan masih terasa nyeri pada kepala.</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">O: </span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Tampak</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> meringis, skala nyeri 5.</span></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">TD : 150/90 N : 80x/mnt </span><b><span lang="PT-BR" style="color: black; font-size: 11pt;"><span> </span></span></b><span lang="PT-BR" style="color: black;">S : 36,8</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> , </span></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Kesadaran</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> CM, </span></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">tidak ada muntah proyektil<b> </b></span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">A </span></b><span lang="PT-BR" style="color: black; font-size: 11pt;">:<b> </b>Masalah nyeri kepala belum teratasi</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="ES" style="color: black; font-size: 11pt;">P</span></b><span lang="ES" style="color: black; font-size: 11pt;"> : Lanjutkan seluruh intervensi, optimalkan latihan nafas dalam menjadi 5 kali latihan. </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 33.45pt;" valign="top" width="45"> <div class="MsoNormal" style="margin: 3pt 0in;"><br />
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<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 27.3pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">2</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.95pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">27/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">14.00</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 133.15pt;" valign="top" width="178"> <div class="MsoNormal" style="margin: 3pt 0in;"><span lang="PT-BR" style="color: black;">Resiko tinggi injuri berhubungan dengan kehilanga</span><span lang="SV" style="color: black;">n penglihatan</span><span lang="SV" style="color: black; font-size: 11pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 223.7pt;" valign="top" width="298"> <div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">S : </span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Klien mengtakan masih tidak bisa melihat lingkungan.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Klien mengatakan tidak pernah terjadi jatuh atau cedera selama dirumah sakit.</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">O: </span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="FI" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Visus ka/ki : 0</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="FI" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Klien melakukan aktifitas dibantu keluarga.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Tidak ditemukan jatuh dan cedera.</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">A </span></b><span lang="SV" style="color: black; font-size: 11pt;">:<b> </b>Resti injuri tidak terjadi</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="ES" style="color: black; font-size: 11pt;">P</span></b><span lang="ES" style="color: black; font-size: 11pt;"> : Lanjutkan seluruh intervensi, optimalkan tindakan pengamanan dan pencegahan cedera. .</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 33.45pt;" valign="top" width="45"> <div class="MsoNormal" style="margin: 3pt 0in;"><br />
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<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 27.3pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="SV" style="color: black; font-size: 11pt;">3</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.95pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="SV" style="color: black; font-size: 11pt;">28/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="SV" style="color: black; font-size: 11pt;">14.00</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 133.15pt;" valign="top" width="178"> <div class="MsoNormal" style="margin: 3pt 0in;"><span lang="SV" style="color: black;">Nyeri kepala berhubungan dengan peningkatan TIK</span><b><span lang="SV" style="color: black; font-size: 11pt;"></span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 223.7pt;" valign="top" width="298"> <div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">S : </span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Klien mengatakan nyeri pada kepala berkurang hanya sesaat setelah makan obat tramadol.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="FI" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Klien mngatakan nyeri kepala tidak berkurang dengan tindakan latihan nafas dalam.</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">O: </span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Tampak</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> meringis, skala nyeri 5.</span></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">TD : 140/80 N : 74x/mnt </span><b><span lang="PT-BR" style="color: black; font-size: 11pt;"><span> </span></span></b><span lang="PT-BR" style="color: black;">S : 36,8</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> , </span></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Kesadaran</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> CM, </span></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Tidak ada muntah proyektil<b> </b></span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">A </span></b><span lang="PT-BR" style="color: black; font-size: 11pt;">:<b> </b>Masalah nyeri kepala belum teratasi</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="ES" style="color: black; font-size: 11pt;">P</span></b><span lang="ES" style="color: black; font-size: 11pt;"> : Lanjutkan seluruh intervensi, optimalkan latihan nafas dalam menjadi 7 kali latihan dan tindakan massage ringan pada kepala..</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 33.45pt;" valign="top" width="45"> <div class="MsoNormal" style="margin: 3pt 0in;"><br />
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<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 27.3pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">4</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.95pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">28/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">14.00</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 133.15pt;" valign="top" width="178"> <div class="MsoNormal" style="margin: 3pt 0in;"><span lang="PT-BR" style="color: black;">Resiko tinggi injuri berhubungan dengan kehilangan penglihatan</span><span lang="PT-BR" style="color: black; font-size: 11pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 223.7pt;" valign="top" width="298"> <div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">S : </span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Klien mengatakan masih tidak bisa melihat lingkungan.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Klien mengatakan tidak pernah terjadi jatuh atau cedera selama dirumah sakit.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Klien merasa terbantu dengan keterlibatan keluarga.</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">O: </span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="FI" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Visus ka/ki : 0</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="FI" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Klien melakukan aktifitas dibantu keluarga.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Tidak ditemukan jatuh dan cedera.</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">A </span></b><span lang="SV" style="color: black; font-size: 11pt;">:<b> </b>Resti injuri tidak terjadi</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="ES" style="color: black; font-size: 11pt;">P</span></b><span lang="ES" style="color: black; font-size: 11pt;"> : Lanjutkan seluruh intervensi, optimalkan peran keluarga dalam pemenuhan aktifitas klien : membantu toileting, menyuapi makan, dan ADL yang lain.</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 33.45pt;" valign="top" width="45"> <div class="MsoNormal" style="margin: 3pt 0in;"><br />
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<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 27.3pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">5</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.95pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">28/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">14.00</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 133.15pt;" valign="top" width="178"> <div class="MsoNormal" style="margin: 3pt 0in;"><span lang="SV" style="color: black;">Nyeri kepala berhubungan dengan peningkatan TIK</span><b><span lang="SV" style="color: black; font-size: 11pt;"></span></b></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 223.7pt;" valign="top" width="298"> <div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">S : </span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Klien mengatakan nyeri pada kepala berkurang hanya sesaat setelah makan obat tramadol.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Klien mngatakan nyeri kepala tidak berkurang dengan tindakan latihan nafas dalam dan usapan punggung.</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">O: </span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Tampak</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> meringis, skala nyeri 4.</span></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">TD : 140/80 N : 70x/mnt </span><b><span lang="PT-BR" style="color: black; font-size: 11pt;"><span> </span></span></b><span lang="PT-BR" style="color: black;">S : 37</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> , </span></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black;">Kesadaran</span><span lang="PT-BR" style="color: black; font-size: 11pt;"> CM, </span></div><div class="MsoNormal" style="margin-left: 8.65pt; text-indent: -9pt;"><span lang="PT-BR" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="PT-BR" style="color: black; font-size: 11pt;">Tidak ada muntah proyektil<b> </b></span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="PT-BR" style="color: black; font-size: 11pt;">A </span></b><span lang="PT-BR" style="color: black; font-size: 11pt;">:<b> </b>Masalah nyeri kepala belum teratasi</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="ES" style="color: black; font-size: 11pt;">P</span></b><span lang="ES" style="color: black; font-size: 11pt;"> : Lanjutkan seluruh intervensi, optimalkan latihan nafas dalam menjadi 10kali latihan dan tindakan massage kepala. Berikan tindakan aktivitas hiburan :(terapi musik) bila memungkinkan.</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><br />
</div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 33.45pt;" valign="top" width="45"> <div class="MsoNormal" style="margin: 3pt 0in;"><br />
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<tr> <td style="border-color: -moz-use-text-color windowtext windowtext; border-style: none solid solid; border-width: medium 1pt 1pt; padding: 0in 5.4pt; width: 27.3pt;" valign="top" width="36"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">6</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 60.95pt;" valign="top" width="81"> <div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">28/10/08</span></div><div align="center" class="MsoNormal" style="margin: 3pt 0in; text-align: center;"><span lang="PT-BR" style="color: black; font-size: 11pt;">14.00</span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 133.15pt;" valign="top" width="178"> <div class="MsoNormal" style="margin: 3pt 0in;"><span lang="PT-BR" style="color: black;">Resiko tinggi injuri berhubungan dengan kehilangan penglihatan</span><span lang="PT-BR" style="color: black; font-size: 11pt;"></span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 223.7pt;" valign="top" width="298"> <div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">S : </span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Klien mengtakan masih tidak bisa melihat lingkungan.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Klien mengatakan tidak pernah terjadi jatuh atau cedera selama dirumah sakit.</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">O: </span></b></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="FI" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Visus ka/ki : 0</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="FI" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black; font-size: 11pt;">Klien melakukan aktifitas dibantu keluarga.</span></div><div class="MsoNormal" style="margin: 3pt 0in 3pt 12.6pt; text-indent: -9pt;"><span lang="SV" style="color: black; font-size: 11pt;"><span>-<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black; font-size: 11pt;">Tidak ditemukan jatuh dan cedera.</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="SV" style="color: black; font-size: 11pt;">A </span></b><span lang="SV" style="color: black; font-size: 11pt;">:<b> </b>Resti injuri tidak terjadi</span></div><div class="MsoNormal" style="margin: 3pt 0in;"><b><span lang="ES" style="color: black; font-size: 11pt;">P</span></b><span lang="ES" style="color: black; font-size: 11pt;"> : Lanjutkan seluruh intervensi, pasang pengaman tempat tidur, iringi klien toileting </span></div></td> <td style="border-color: -moz-use-text-color windowtext windowtext -moz-use-text-color; border-style: none solid solid none; border-width: medium 1pt 1pt medium; padding: 0in 5.4pt; width: 33.45pt;" valign="top" width="45"> <div class="MsoNormal" style="margin: 3pt 0in;"><br />
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</tbody></table><b><span lang="ES" style="color: black; font-family: "Times New Roman","serif"; font-size: 11pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span></b> <div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="ES" style="color: black;">BAB IV</span></b></div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="ES" style="color: black;">PEMBAHASAN</span></b></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 34.2pt;"><span lang="ES" style="color: black;">Dalam bab ini penyusun akan membahas permasalahan yang ditemukan selama melakukan Asuhan Keperawatan Pada Ny.S dengan diagnosa medis tumor otak di ruang IRNA B1 saraf Rumah Sakit Dokter Kariadi Semarang yang dilakukan selama 3 hari (pada tanggal 27 s/d 29 Oktober 2008). Pada pembahasan ini akan diuraikan sejauh mana pelaksanaan pemberian Asuhan Keperawatan secara nyata meliputi proses keperawatan seperti pengkajian, diagnosa, perencanaan, implementasi dan evaluasi yang dikaitkan dengan konsep teori yang ada.</span></div><div class="MsoNormal" style="text-align: justify; text-indent: 34.2pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span style="color: black;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">Pengkajian</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span style="color: black;">Pengkajian merupakan tahap awal dalam proses keperawatan. Dalam tahap ini penyusun berusaha mengkaji secara menyeluruh meliputi bio-psiko-sosio-spritual. Dalam proses pengkajian penyusun mengumpulkan data melalui wawancara langsung kepada keluarga, perawat dan tenaga kesehatan lainnya. Penyusun juga melakukan observasi dan pemeriksaan fisik, mempelajari catatan keperawatan dan catatan medis, serta hasil-hasil laboratorium dan status rawat inap klien. Penyusun melakukan pengkajian lebih focus pada system persyarafan sesuai dengan kasus tumor otak yang diderita klien, tanpa mengabaikan system tubuh yang lain dan data sekunder seperti data dari pemeriksaan laboratorium dan pemeriksaan penunjang lainya. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span style="color: black;">Hasil dari pengkajian yang dilakukan berupa data focus yang diperoleh dari klien Ny.S <span> </span>dengan tumor otak sangat khas dan menunjukan adanya penekanan pada syaraf kranial dan menunjukkan tanda topis berdasarkan daerah otak yang tertekan tumor. Tanda-tanda yang didapatkan pada klien Ny. S yang khas adalah kehilangan penglihatan yang imanifestasikan oleh disfungsi syaraf kranial II (optikus) serta kelemahan pada syaraf karanial III (okulomotorius), IV (trochlearis) dan VI (abdusen). Selain itu tanda dan gejala lain yang didapati pada klien adalah berkurangnya pendengaran dan nyeri kepala. Tanda atau gejala nyeri kepala bukan merupakan tanda topis yang kahs meliankan tanda dan gejala umum yang selalu terjadi pada tumor otak. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span style="color: black;">Berdasarkan rekomendasi tinjauan teoritis menunjukkan bahwa tanda dan gejala khas pada klien Ny.S merupakan manifestasi penekanan tumor pada lobus parietalis dengan gejala yaitu Astrogonosis ( gangguan pendengaran dn penglihatan). Hal ini juga didukung dengan hasil pemeriksaan diagnostik CT Scan yang dilakukan<span> </span>yaitu terdapat </span><span lang="IN" style="color: black;">Masssa pada regio temporoparietal kanan. Cenderung Astrocytoma disertai efek masa yang jelas.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span lang="IN" style="color: black;">Hasil funduskopi yang dilakukan menunjukkan hasil adanya papil edema. Keadaan ini merupakan manifestasi klienik dari peneknan tumor pada otak. Namun papil edema juga dapat menyebabkan oabstruksi drainage vena retina yang menyebabkan kompresi syaraf optikus sehingga menyebabkan gangguan penglihatan. Tidak didapatkan tanda dan gejala yang lain seperti muntah dan kejang dari pengkajian yang dilakukan pada klien Ny. S. </span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="color: black;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="color: black;">Diagnosa Keperawatan</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span lang="ES" style="color: black;">Pada kasus yang terjadi pada Ny. S dengan TUMOR OTAK penyusun menemukan dua diagnosa keperawatan, yaitu : </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span lang="SV" style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Nyeri berhubungan dengan peningkatan TIK</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><span lang="SV" style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="SV" style="color: black;">Resiko tinggi injuri berhubungan dengan kehilangan penglihatan</span></div><div class="MsoNormal" style="margin-left: 16.2pt; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span lang="SV" style="color: black;">Diagnosa keperawatan nyeri berhubungan dengan peningkatan TIK menjadi prioritas masalah yang utama pada klien krena merupakan masalah nyata yang sangat dikeluhkan olah klien dan salah satu alasan yang membuat klien masuk kerumah sakit. Penyebab nyeri adalah peningkatan TIK dimana tumor yang terdapat dalam intrakranial menyebabkan perubahan sirkulasi LCS dan edema otak hingga menekan jaringan otak. Nyeri yang dirasakan klien sepanjang hari dan menggangu aktifiats klien sehari-hari. Nyeri yang dirasakan memberikan akibat lain seperti perasaan berdebar-debar dan gangguan istirahat serta tidur klien. Teori merekomendasikan bahwa nyeri kepala yang dialami oleh klien Ny S merupakan intractable pain yaitu nyeri yang susah untuk dihilangkan karena penyebabnya jelas yaitu tumor pada intrakranial. Hasil pengkajian nyeri yang dilakukan didapatkan bahwa skala nyeri yang dialami oleh Ny. S termasuk nyeri sedang (5-6).</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span lang="SV" style="color: black;">Diagnosa yang menjadi perioritas ke-2 yaitu resiko tinggi injuri berhubungan dengan kehilangan penglihatan. Merupakan masalah nyata dan utama pada klien Ny S dimana kehilangan penglihatan yang terjadi memungkinkan terjadinya kejadian jatuh dan cedera. Proses hilangnya penglihatan telah dijabarkan diatas baik pada tinjauan teoritis maupun pembahasan. Masalah utama adalah bagaimana klien dapat beradaptasi dengan proses kehilangan penglihatan dalam melakukan aktifitas sehari-hari agar tidak terjadi cedera. Tujuan lain yang ingin dicapai perawat pada diagnosa ini adalah mengoptimalkan keselamatan pasien (patient safety) yaitu mencegah terjadinya Kejadian yang Tak Diinginkan (KTD) seperti pasien terjatuh dan lain-lain.<span> </span></span></div><div class="MsoNormal" style="margin-left: 16.2pt; text-align: justify; text-indent: 37.95pt;"><br />
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</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span lang="SV" style="color: black;"><span>C.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="SV" style="color: black;">Perencanaan</span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span lang="SV" style="color: black;">Pada tahap perencanaan penyusun menetukan tujuan dan rencana tindakan. Tujuan yang dirumuskan untuk Ny S memiliki kriteria spesifik, dapat diukur, dapat dicapai, realitas dan sesuai dengan waktu. Waktu dari tujuan yang diberikan pada setiap diagnosa adalah 7 jam, sesuai dengan jumlah jam dalam shift pagi. Hal ini untuk memudahkan proses evaluasi pada masing-masing tindakan di diagnosa, tanpa mengabaikan pendelagasian tugas atau tindakan pada perawat jaga pada shift berikutnya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span lang="SV" style="color: black;">Berdasarkan prioritas masalah yang ditetapkan bahwa tindakan perencanaan utama adalah masalah nyeri kepala. Nyeri kepala adalah masalah nyata yang dirasakan Ny.S an merupakan keluhan utama yang sangat mengganggu. </span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span style="color: black;"><span>D.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">Pelaksanaan </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span lang="SV" style="color: black;">Sesuai dengan perencanaan yang ditetapkan, pelaksanaan dilakukan pada masing-masing diagnosa berdasarkan prioritas masalah yang ditetapkan. </span><span style="color: black;">Untuk diagnosa nyeri berhubungan dengan peningkatan TIK, rencana tindakan yang ditetapkan sebagian besar dapat dilaksanakan. Tindakan keperawatan yang bersifat monitoring dilakukan untuk melihat progres nyeri yang dirasakan klien dan perubahan keadaan umum dan tanda-tanda vital akibat peningkatan TIK. Tindakan selanjutnya untuk nyeri adalah tindakan manajemen nyeri nonfarmakologis. Beberapa tindakan yang dilaksanakan pada Ny S adalah <span> </span>tindakan relaksassi nafas dalam yang dilakukan secara bertahap mulai dari 3 kali pada hari pertama, 5 kali pada hari kedua dan 7 kali pada hari ketiga. Klien dapat melakukan latihan ini dengan baik dan keterlibatan keluarga juga cukup maksimal saat latihan nafas dalam.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span style="color: black;">Manajemen nyeri nonfarmakologis berikutnya adalah tehnik distraksi usapan punggung. Pelaksanaan tindakan ini dilakukan dengan ketelibatan penuh suami korban, perawat hanya memberikan contoh dan membantu keluarga tentang cara pelaksanaan. Hal ini untuk menjaga privasi Ny S. </span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span style="color: black;">Tindakan lain yang dilakukan untuk mengurangi nyeri klien adalah tindakan kolaboratif pemberian obat anti nyeri yaitu Tramadol tablet 2x50 mg. klien menuturkan bahwa pemberian obat tramadol dapat mengurangi nyeri hanya sesaat setelah minum obat hingga maksimal hingga 4 jam sesuai dengan efektifitas daya kerja obat. Untuk mengantisipasi hal ini, tindakan manajemen nyeri nonfarmakologis dilakukan setelah 4 jam saat efektifitas daya kerja obat menurun.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span style="color: black;">Terdapat satu tindakan yang ditetapkan untuk mengurangi nyeri klien namun tidak dilaksanakan,yaitu terapi aktifitas hiburan dengan mendengarkan musik. Hal ini dikarenakan masalah tehnis tidak tersedianya media bantu berupa radio atau MP3 player baik dari pihak perawat maupun klien. Namun klien dan keluarga telah dijelaskan bahwa terapi musik dapat dijadikan terapi untuk mengalihkan nyeri yang dirasakan dan pelaksanaannya diserahkan sepenuhnya kepada keluarga.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span style="color: black;">Untuk pelaksanaan tindakan pada diagnosa resiko tinggi injuri, semua tindakan yang direncanakan dapat dilaksanakan secara maksimal pada klien. Fokus dari tindakan untuk diagnosa ini adalah mencegah terjadi hal-hal yang tidak diinginkan akibat kehilangan pandangan pada klien. Tindakan yang dilakukan adalah menjaga keamanan fisik baik pada diri klien maupun ruangan rumah sakit hingga pengamanan tempat tidur klien. Perawat juga memaksimalkan keterlibatan keluarga terutma dalam pemenuhan kebutuhan klien ke toilet dan hal lainnya. </span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: -0.25in;"><b><span style="color: black;"><span>E.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span style="color: black;">Evaluasi </span></b></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span style="color: black;">Tahap evaluasi adalah merupakan tahap penilaian terhadap keberhasilan asuhan keperawatan yang diberikan. Tahap ini merupakan perbandingan antara kriteria hasil yang diharapkan dengan kondisi yang ditampilkan oleh klien. Kegiatan evaluasi meliputi evaluasi proses formatif dan sumatif. Evaluasi formatif dilakukan setiap kali selesai melakukan tindakan keperawatan yang didokumentasikan dalam bentuk respon klien terhadap implementasi keperawatan yang dilkukan. Sedangkan evaluasi sumatif dilakukan pada setiap akhir shift untuk setiap harinya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span style="color: black;">Evaluasi dilakukan pada setiap akhir dari shift dinas sesuai dengan waktu yang ditetapkan saat membuat rencana perawatan. Hal ini untuk memudahkan pemantauan secara individu oleh primary nursing terhadap segala tindakan yang dilakukan. Namun pendelegasian tugas tetap dilakukan dengan melibatkan perawat jaga pada shift berikutnya.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span style="color: black;">Hasil evaluasi dari masing masing diagnosa adalah, untuk diagnosa nyeri kepala hingga hari ketiga masalah nyeri masih didapatkan atau belum teratasi. Beberapa kendala yang didapatkan dilapangan untuk mengatasi nyeri tersebut salah satunya adalah nyeri yang dialami klien merupakan nyeri yang sulit dihilangkan karena kausanya belum diatasi yaitu tumor otak. Berbagai tindakan yang dilakukan seperti tindakan nonfarmakologis nafas dalam serta usapan punggung, hanya berdampak sesaat dan tidak mengatasi nyeri yang sepanjang hari. Namun secara umum dapat dilaporkan bahwa nyeri berkurang dari skala 5 menjadi skala 4 setelah hari ketiga.</span></div><div class="MsoNormal" style="line-height: 150%; margin-left: 0.25in; text-align: justify; text-indent: 36.15pt;"><span style="color: black;">Untuk diagnosa resiko injuri hingga hari ketiga tidak didapatkan laporan bahwa klien jatuh atau cedera, dengan demikian dapat dianalis bahwa resiko tinggi injuri tidak terjadi. Namun semau rencana tindakan yang ditetapkan tetap dilaksanakan karen penyebab dari resti injuri masih berlangsung, yaitu klien masih dalam keadaan kehilangan penglihatan.</span></div><b><i><span style="color: black; font-family: "Times New Roman","serif"; font-size: 14pt; line-height: 150%;"><br clear="all" style="page-break-before: always;" /> </span></i></b> <h2 align="center" style="line-height: 150%; margin: 0in 0in 0.0001pt; text-align: center;"><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; font-style: normal; line-height: 150%;">BAB<span> </span>V</span></h2><h2 align="center" style="line-height: 150%; margin: 0in 0in 0.0001pt; text-align: center;"><span lang="IN" style="color: black; font-family: "Times New Roman","serif"; font-size: 12pt; font-style: normal; line-height: 150%;">P E N U T U P</span></h2><div class="MsoNormal"><br />
</div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="color: black;"><span>A.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="color: black;">Kesimpulan</span></b></div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.25in; text-align: justify; text-indent: 34.2pt;"><span lang="IN" style="color: black;">Tumor otak adalah lesi intra kranial yang menempati ruang dalam tulang tengkorak. Terdapat bermacam – macam klasifikasi, baik atas dasar jaringan asal tumor maupun atas dasar lokasi tumor. Penyebab tumor masih sangat sedikit yang diketahui. Radiasi merupakan satu faktor untuk timbulnya tumor otak, trauma, infeksi dan toksin belum dapat dibuktikan sebagai penyebab timbulnya tumor otak.</span></div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.25in; text-align: justify; text-indent: 34.2pt;"><span lang="IN" style="color: black;">Telah diberikan asuhan keperawatan secara komprahensif pada klien Ny S dengan masalah tumor otak di ruang B1 syaraf RSUP Dr Karyadi Semarang. Asuhan keperawatan diberikan secara kontinyue selama 3 hari berturut-turut. Didapatkan dua masalah keperawatan utama pada Ny S dengan tumor otak yaitu nyeri kepala dan resiko tinggi injury.</span></div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.25in; text-align: justify; text-indent: 34.2pt;"><span lang="IN" style="color: black;">Rencana keperawatan ditetapkan dengan waktu yang dapat diukur serta kriteria hasil yang sesuai dengan kondisi lapangan dan klien. Pelaksanaan setiap tindakan telah maksimal dan didukung penuh olah keluarga serta petugas kesehatan dan perawat yang lain. Perencanaan yang dilakukan lebih mengutamakan tindakan mandiri keperawatan seperti tindakan manajemen nyeri nonfarmakologis serta tindakan pencegahan jatuh pada klien yang dalam keadaan kehilangan pandangan.</span></div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.25in; text-align: justify; text-indent: 34.2pt;"><span lang="IN" style="color: black;">Implementasi keperawatan diberikan secara komprehensif dengan melibatkan peran optimal keluarga klien. Tindakan untuk mengatasi nyeri diberikan latihan nafas dalam dan massage ringan pada kepala. Dan tindakan ini dapat dilakukan secara baik oleh klien.</span></div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.25in; text-align: justify; text-indent: 34.2pt;"><span lang="IN" style="color: black;">Hasil dari evaluasi yang dilakukan adalah kedua masalah belum dapat teratasi. Nyeri yang dirasakan klien masih terjadi hingga rencana tindakan yang ditetapkan tetap diberikan pada klien. Sedangkan untuk diagnosa resiko tinggi injuri, tidak didapatkan laporan akan terjadinya injuri karena kehilangan penglihatan pada Ny S. </span></div><div class="MsoNormal" style="margin-left: 0.25in; text-align: justify; text-indent: 34.2pt;"><br />
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</div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.5in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="color: black;"><span>B.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="color: black;">Saran</span></b></div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.25in; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="color: black;">Bagi Perawat </span></b></div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.75in; text-align: justify; text-indent: 0.25in;"><span lang="IN" style="color: black;">Diharapkan perawat dapat lebih meningkatkan pengetahuan dan keterampilan dalam merawat klien dengan kasus apapun. Maksimalkan tindakan mandiri perawat dalam mengatasi semua masalah keperawatan klien. Pada kasus klien dengan tumor otak, diharapkan perawat dapat melakukan pengkajian yang spesifik terutama yang berkaitan dengan sistem syaraf kranial dan reflek-reflek baik yang fisiologis maupun patologis. Karena dengan dasar pengkajian yang baik, maka perawat akan dapat menetapkan diagnosa yang tepat serta tindakan yang tepat pula.</span></div><div class="MsoNormal" style="line-height: 130%; text-align: justify;"><br />
</div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="color: black;">Bagi Ilmu Perawat</span></b></div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.75in; text-align: justify; text-indent: 0.25in;"><span lang="IN" style="color: black;">Perlu dilakukan penelitian dan pendalaman ilmu keperawatan tentang suhan keperawatan klien dengan sistem syaraf terutama tumor otak. Diharapkan akan berkembangnya dan bertambahnya referensi tentang asuhan keperawatan klien dengan tumor otak bagi ilmu keperawatan.</span></div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.75in; text-align: justify; text-indent: -0.25in;"><b><span lang="IN" style="color: black;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span></b><span dir="LTR"></span><b><span lang="IN" style="color: black;">Bagi Klien Dan Keluarga</span></b></div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.75in; text-align: justify; text-indent: 0.25in;"><span lang="IN" style="color: black;">Bagi klien diharapkan dapat menerima perubahan status kesehatan dengan mental yang kuat dan tepat.diharapkan klien dapat berkompensasi positif terhadap setiap perubahan fungsi fisik dan psikologis baik dalam menghadapi proses penyakit maupun dampak dari pengobatan Keluarga diharapkan dapat mendukung klien dalam keadaan apapun terutama dengan keterbatasan fisik yang terjadi akibat dari penyakit ini.</span></div><div class="MsoNormal" style="line-height: 130%; margin-left: 0.25in; text-align: justify; text-indent: 34.2pt;"><br />
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</div><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;"><b><span lang="IN" style="color: black;">DAFTAR PUSTAKA</span></b></div><div align="center" class="MsoNormal" style="text-align: center;"><br />
</div><div class="MsoNormal" style="margin: 12pt 0in 12pt 17.85pt; text-align: justify; text-indent: -17.85pt;"><span lang="IN" style="color: black;"><span>1.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Aru W. Sudono, dkk; <i>Buku Ajar Ilmu Penyakit Dalam Jilid II Edisi IV</i>; Jakarta, FKUI, 2006.</span></div><div class="MsoNormal" style="margin: 12pt 0in 12pt 17.85pt; text-align: justify; text-indent: -17.85pt;"><span lang="IN" style="color: black;"><span>2.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Doengoes, M.E.; <i>Rencana Asuhan Keperawatan : Pedoman Untuk Perencanaan dan Pendokumentasian Perawatan Pasien</i>; Jakarta; EGC; 2002. </span></div><div class="MsoNormal" style="margin: 12pt 0in 12pt 17.85pt; text-align: justify; text-indent: -17.85pt;"><span lang="FI" style="color: black;"><span>3.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="IN" style="color: black;">Hudak, Carolyn M, Gallo, Barbara M., <i>Critical Care Nursing: A Holistik Approach</i> (Keperawatan kritis: pendekatan holistik). </span><span lang="FI" style="color: black;">Alih bahasa: Allenidekania, Betty Susanto, Teresa, Yasmin Asih. Edisi VI, Vol: 2. Jakarta: EGC; 2000.</span></div><div class="MsoNormal" style="margin: 12pt 0in 12pt 17.85pt; text-align: justify; text-indent: -17.85pt;"><span lang="FI" style="color: black;"><span>4.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">Price, S.A. & Wilson, L.; <i>Patofisiologi : Konsep Klinis dan Proses-Proses Penyakit, Edisi 8; </i><span> </span>Jakarta: EGC; 2001.</span></div><div class="MsoNormal" style="margin: 12pt 0in 12pt 17.85pt; text-align: justify; text-indent: -17.85pt;"><span lang="FI" style="color: black;"><span>5.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span style="color: black;">Smeltzer, Susan C; <i>Buku Ajar Keperawatan Medikal Bedah, Brunner and Suddarth, Edisi 8 Volume 2;</i> Jakarta; EGC; 2001.</span><span lang="FI" style="color: black;"></span></div><div class="MsoNormal" style="margin: 12pt 0in 12pt 17.85pt; text-align: justify; text-indent: -17.85pt;"><span lang="FI" style="color: black;"><span>6.<span style="font: 7pt "Times New Roman";"> </span></span></span><span dir="LTR"></span><span lang="FI" style="color: black;">------ <i>ISO : Informasi Spesialite Obat Indonesia</i>; Jakarta; Penerbit ISFI; 2007.</span></div></div>RATU JAYAhttp://www.blogger.com/profile/00317555203542019059noreply@blogger.com0