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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">“Tyhpus Abdominalis adalah demam
infeksius yang di tularkan melalui kontaminasi makanan, susu, suplai air”
(Hinchliff, 1999, hlm 448).</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.85pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">“Typhus
Abdominalis merupakan penyakit infeksi akut usus halus” (Mansjoer, et.al, 2001
hlm 421).</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.85pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 34.05pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">“Typhus Abdominalis adalah penyakit
infeksi akut yang biasanya terdapat pada saluran cerna dengan gejala demam
lebih dari 1 minggu dan<span style="mso-spacerun: yes;">&nbsp; </span>terdapat
gangguan kesadaran” (Suriadi, et.al, 2001 hlm 281).</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Etiologi
</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">“Penyebab Typhus Abdominalis adalah kuman
salmonella thyposa yang termasuk golongan bakteri berbentuk batang, gram
negatif, mempunyai flagel yang memungkinkan kuman ini dapat bergerak, tidak
berspora serta mempunyai tiga (3) jenis anti gen yaitu Antigen O (AgO): antigen
pada bagian sama (badan), Antigen H (AgH) : antigen pada bagian flagel. Flagel
adalah alat bergerak dan antigen V<sub>1</sub> (AgV<sub>1</sub>) : Antigen pada
bagian kapsul (pembungkus soma)” (Rumahorbo, et al, 2000 hlm 75). Gambar kuman
salmonella typhi dapat dilihat pada <span style="mso-bidi-font-weight: bold;">Gambar
22.</span></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Gambar
2.2</span></b><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"> kuman salmonella typhi</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><img height="239" src="file:///C:\Users\ZALLIE~1.ASU\AppData\Local\Temp\msohtmlclip1\01\clip_image002.jpg" width="299" /></span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 150%;">(Sumber: Akhyar, 2008. <a href="http://www.wordpress.com/"><span style="color: windowtext;">http://www.wordpress.com</span></a>
</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 150%;">diperoleh tanggal 21
juli 2008)</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Patofisiologi
</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Makanan atau minuman yang telah
terkontaminasi kuman salmonella masuk kedalam lambung. Sebagian besar kuman di
musnahkan oleh asam lambung dan sebagian lagi masuk ke usus halus, kejaringan
limfoid plaque peyeri di ileum terminalis yang mengalami hipertrofi. Di tempat
ini komplikasi perdarahan dan perforasi intestinal dapat terjadi, kuman
salmonella typhi kemudian menembus ke lamina propia, masuk aliran limfa dan
mencapai kelenjar limfe <i style="mso-bidi-font-style: normal;">mesenterial</i>
yang juga mengalami hipertrofi. Setelah melalui kelenjar-kelenjar limfe ini <i style="mso-bidi-font-style: normal;">salmonella typhi</i> masuk ke aliran darah melalui
ductus thoracicus. Kuman-kuman <i style="mso-bidi-font-style: normal;">salmonella
typhi</i> lain mencapai hati melalui sirkulasi portal dari usus <i style="mso-bidi-font-style: normal;">salmonella typhi</i> bersarang di <i style="mso-bidi-font-style: normal;">plaque peyeri</i>, limpa, hati dan bagian-bagian
lain sistem retikulo endotelial, semula disangka demam dan gejala-gejala toksemia
pada Typhus Abdominalis disebabkan oleh endotoksemia, tapi kemudian berdasarkan
penelitian eksperimental di simpulkan bahwa endotoksemia bukan merupakan
penyebab utama demam dan gejala-gejala toksemia pada demam tipoid.</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Endotoksin salmonella typhi berperan
pada patogenesis Typhus Abdominalis, karena membantu terjadinya proses
inflamasi lokal pada jaringan tempat salmonella typhi berkembang biak. Demam
pada tifoid di sebabkan karena salmonella typhi dan endotoksinnya merangsang
sintesis dan penglepasan zat pirogen oleh leukosit pada jaringan yang meradang
(Suriadi, et al. 1999 hlm 436). Skema perjalanan penyakit pada Typhus
Abdominalis dapat dilihat pada</span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;;">
</span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">skema 2.1</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"> </span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 150%;">Skema
2.1</span></b><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 150%;"> perjalanan penykit Typhus Abdominalis</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 150%;"></span></b></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">&nbsp;</span>
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<br /></div>
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<br /></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 115%;">(Sumber:
Suriadi, et al. 2001 hlm 282)</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Tanda
dan Gejala</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Menurut
Mansjoer, (1999 hlm 436) masa tunas Typhus Abdominalis berlangsung 7 – 14
(rata-rata 30 hari) selama inkubasi gejala prodromal (gejala awal tumbuhnya
penyakit / gejala yang tidak khas) <span style="mso-spacerun: yes;">&nbsp;</span>yaitu
:</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Perasaan
tidak enak badan</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Lesu</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Nyeri
kepala</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Diare
</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Anoreksia
</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Nyeri
otot</span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Selain
tanda dan gejala diatas menyusul gejala klinis yang lain (Patriani, 2008, <span style="color: black;"><a href="http://www.google.com/"><span style="color: black; text-decoration: none;">http://www.google.com</span></a></span>
di peroleh tanggal 19 Juli 2008) yaitu:</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Demam
</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Demam
berlangsung selama tiga (3) minggu</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 134.7pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo5; tab-stops: 68.05pt 127.6pt 134.7pt; text-align: justify; text-indent: -83.65pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Minggu
I<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;">&nbsp; </span>Demam
remiten : Biasanya suhu tubuh meningkat pada malam hari dan menurun pada pagi
hari</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 134.7pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo5; tab-stops: 68.05pt 127.6pt 134.7pt; text-align: justify; text-indent: -83.65pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Minggu
II<span style="mso-tab-count: 1;">&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;">&nbsp; </span>Demam
terus : Suhu tubuh terus meningkat</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 134.7pt; margin-right: 0cm; margin-top: 0cm; mso-list: l8 level1 lfo5; tab-stops: 68.05pt 127.6pt 134.7pt; text-align: justify; text-indent: -83.65pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Minggu
III<span style="mso-tab-count: 1;">&nbsp; </span>:<span style="mso-tab-count: 1;">&nbsp; </span>Demam
mulai turun secara berangsur-angsur</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Gangguan
pada saluran cerna</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Lidah
kotor yaitu di tutupi selaput kecoklatan kotor, ujung dan tepi kemerahan,
jarang di sertai tremor.</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Hati
dan limfa membesar yang nyeri pada perabaan</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Terdapat
konstipasi, diare</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Gangguan
kesadaran</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Apatis,
samnolen</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Gejala
lain “Roseola” bintik-bintik kemerahan karena emboli hasil dalam kapiler kulit.</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pemeriksaan
Penunjang</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pemeriksaan
laboratorium menurut Nursalam, et. al, (2005 Hlm 153) yaitu:</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pemeriksaan
darah tepi : di temukan leukopenia, aneosinofilia, anemia, trombositopenia</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Biakan
empedu : terdapat hasil Salmonella Typhosa dapat di temukan dalam darah pasien
pada minggu pertama sakit</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pemeriksaan
widal : bila terjadi aglutinasi untuk membuat diagnosis, pemeriksaan yang di
perlukan ialah titer zat anti terhadap antigen O. titer yang bernilai 1/200
atau lebih dan atau menunjukkan kenaikan yang progresif. Sedangkan titer
terhadap antigen H walaupun tinggi akan tetapi tidak bermakna untuk menegakkan
diagnosa karena titer H dapat tetap tinggi setelah di lakukan imunisasi atau
bila penderita telah lama sembuh.</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Komplikasi</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Komplikasi
Typhus Abdominalis dapat di bagi dalam (Sjaifoellah, 1996 hlm 439) yaitu :</span></div>
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<br /></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Komplikasi
intestinal </span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Peradangan
usus</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Perforasi
usus</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Ileus
paralitik </span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Komplikasi
ekstra-intestinal</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Komplikasi
kardiovaskuler : kegagalan sirkulasi perifer (renjatan sepsis), miokarditis,
trombosis dan tromboflebitis</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l18 level1 lfo11; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Komplikasi
darah : anemia hemolitik, trombositopenia, dan sindrom uremia hemolitik</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Komplikasi
paru : pneumonia, empiema dan pleuritis</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Komplikasi
hepar dan kandung empedu : hepatitis dan koleosistitis</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l18 level1 lfo11; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Komplikasi
tulang : osteomielitis, periostitis, spondilitis dan artritis</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l18 level1 lfo11; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Komplikasi
neuropsikiatrik : delirium, meningismus, meningitis, polineufitis perifer,
sindrom <i style="mso-bidi-font-style: normal;">Guillain – Barre</i>, psikosis
dan sindrom katatonia.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pada
anak-anak demam paratiroid komplikasi jarang terjadi, komplikasi sering terjadi
pada keadaan toksemia berat dan kelemahan umum, terutama bila perawatan pasien
kurang sempurna.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 34.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo2; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Penatalaksanaan
</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Penatalaksanaan
pada Typhus Abdominalis terdiri dari 3 bagian (Sjaifoellah, 1996 hlm 439) yaitu
:</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Perawatan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pasien
Typhus Abdominalis perlu tirah baring absolut sampai minimal 7 hari bebas demam
atau kurang lebih selama 14 hari setelah suhu normal kembali (istirahat total),
kemudian boleh duduk, jika tidak panas lagi boleh berdiri kemudian berjalan di
ruangan. Pasien dengan kesadaran yang menurun, posisi tubuhnya harus di
ubah-ubah pada waktu ± 2 jam untuk menghindari dekubitus.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Diet</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Diet
yang diberikan ialah makanan yang mengandung cukup cairan, rendah serat, tinggi
protein dan tidak menimbulkan gas. Pemberiannya melihat keadaan pasien. </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo13; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Jika
kesadaran pasien masih baik, diberikan makanan lunak dengan lauk pauk dicincang
(hati, daging), sayuran labu siam
/ wortel yang dimasak lunak sekali. Boleh juga diberi tahu, telur setengah
matang atau matang direbus. Susu diberikan 2 x 1 gelas/hari, jika makanan tidak
habis diberikan ekstra susu.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo13; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pasien
yang kesadarannya menurun sekali diberikan makanan cair per sonde, kalori
sesuai dengan kebutuhannya. Pemberiannya diatur setiap 3 jam termasuk makanan
ekstra seperti sari buah, bubur kacang hijau yang di haluskan. Jika kesadaran
membaik makanan beralih secara bertahap (dari cair ke lunak).</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l23 level1 lfo13; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Jika
pasien payah, seperti yang menderita delirium, dipasang infus dengan cairan
glukosa dan NaCL. Jika keadaan sudah tenang berikan makanan per sonde di
samping infus masih diteruskan. Makanan per sonde biasanya merupakan setengah
dari jumlah kalori, setengahnya masih per infus. Secara bertahap dengan melihat
kemajuan pasien beralih ke makanan biasa.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo12; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Obat</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Obat-obat
yang biasa di berikan ialah</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Obat
antimikroba <span style="mso-spacerun: yes;">&nbsp;</span></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kloramfenikol
</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Dengan
penggunaan kloramfenikol, demam pada Typhus Abdominalis turun rata-rata setelah
5 hari.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Tiamfenikol</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Dosis
dan efektivitas tiamfenikol pada Typhus Abdominalis sama dengan kloramfenikol.
Dengan tiamfenikol demam pada Typhus Andominalis turun setelah rata-rata 5 – 6
hari </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Ko
– trimoksazol</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Dengan
ko trimoksazol demam pada Typhus Abdominalis turun rata-rata setelah 5 – 6 hari</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Ampicilin
dan Amoksisilin</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Dalam
hal kemampuannya untuk menurunkan demam, efektifitas ampicilin dan amoksisilin
lebih kecil di bandingkan dengan kloramfenikol. Demam pada Typhus Abdominalis
turun rata-rata setelah 7 – 9 hari.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l7 level1 lfo15; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Sefalosporin
generasi ketiga dan Fluorokinolon</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Dosis
dan lama pemberian yang optimal belum di ketahui dengan pasti. </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l16 level1 lfo14; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Obat
Simtomatik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo16; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Antipiretika
</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Tidak
perlu diberikan secara rutin pada setiap pasien Typhus Abdominalis karena tidak
banyak berguna.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l0 level1 lfo16; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kortikosteroid
</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Diberikan
pada pasien yang toksin dapat diberikan kortikosteroid oral atau parenteral
dalam dosis yang menutun secara bertahap (<i style="mso-bidi-font-style: normal;">off
tapering</i>) selama 5 hari.</span></div>
<div class="MsoNormal" style="line-height: normal; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 3.0cm; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.85pt; margin-right: 0cm; margin-top: 0cm; mso-list: l25 level1 lfo1; text-align: justify; text-indent: -19.85pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Asuhan
Keperawatan</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 19.85pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.85pt;">
<span lang="EN-US" style="color: black; font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">“Asuhan keperawatan adalah
faktor penting dalam survival pasien dan dalam aspek-aspek pemeliharaan,
rehabilitas dan preventif perawatan kesehatan. A</span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">suhan
keperawatan pada klien dengan Typhus Abdominalis di gunakan pendekatan yang
sistematis yang di gunakan untuk mengidentifikasi dan pemecahan masalah konsep
keperawatan di implementasikan secara terpadu dalam tahap yang terorganisir
meliputi : pengkajian diagnosa, perencanaan intervensi dan evaluasi” (Doenges.,
et.al, 1999 hlm 6).</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 34.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo17; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pengkajian</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 34.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Menurut
Suriadi, et al. (2001 hlm 284), dasar data pengkajian pasien dengan Typhus
Abdominalis adalah: <span style="mso-spacerun: yes;">&nbsp;</span></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Identitas
</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 34.05pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Didalam identitas meliputi nama, umur,
jenis kelamin, alamat, pendidikan, no. registrasi, status perkawinan, agama,
pekerjaan, tinggi badan, berat badan, <i style="mso-bidi-font-style: normal;">Medical
Record.</i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Keluhan
utama</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 34.05pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kaji data mengenai penyakit mayor,
pembedahan, penggunaan obat-obat masa lalu, perdarahan Gastrointestinal,
penurunan berat badan atau penambahan berata badan yang tidak diketahui
penyebabnya, perubahan dan kebiasaan defekasi, mual dan muntah.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Riwayat
kesehatan sekarang</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 34.05pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kaji adanya gejala dan tanda
meningkatnya suhu tubuh terutama pada malam hari, nyeri kepala, lidah kotor,
tidak nafsu makan, epistaksis, penurunan kesadaran.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Riwayat
kesehatan keluarga</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 34.05pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Riwayat kesehatan keluarga tentang
penyakit yang berhubungan dengan Gastrointestinal, penyakit keturunan seperti
Diabetes Melitus, kesehatan saat ini dan masalah seperti karsinoma. </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 34.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 34.05pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l22 level1 lfo18; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Riwayat
kebutuhan </span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pola
nutrisi<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>Kebiasaan mengkonsumsi makanan yang tidak diolah dengan baik.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 163.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level1 lfo19; tab-stops: 68.05pt 155.95pt 163.05pt; text-align: justify; text-indent: -112.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pola
cairan<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>Sumber air minum yang tidak sehat, kebiasaan minum kopi, cola dan
alkohol.</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pola
eliminasi<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>Kebiasaan dalam buang air kecil dan buang air besar dan perubahan
pada kebiasaan defekasi dan karakteristik fases.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 163.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l27 level1 lfo19; tab-stops: 68.05pt 155.95pt 163.05pt; text-align: justify; text-indent: -112.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pola
hygiene<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>Kebersihan perseorangan yang cukup</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pola
aktivitas<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>Kelemahan fisik serta pasien akan mengalami keterbatasan gerak
akibat penyakitnya.</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Riwayat
psikososial</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Faktor-faktor sosiologis dan psikologis
serta lingkungan fisik dapat menyebabkan pengaruh kesehatan. Pekerjaan
mempengaruhi status kesehatan klien meliputi apakah ada zat toksik yang dicerna
atau diabsorbsi misalnya arsenik merkuri atau karbon tetraklorida.</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pemeriksaan
fisik</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pemeriksaan
fisik pada Typhus Abdominalis </span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Keadaan
umum</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Biasanya
pada pasien Typhus Abdominalis mengalami badan lemah, panas, pucat, mual, perut
tidak enak, anorexia.</span></div>
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<br /></div>
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<span lang="EN-US" style="color: black; font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="color: red; font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US" style="color: black; font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Mulut</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Stomatis<span style="color: #e36c0a;"> </span><span style="color: black;">bibir<span style="mso-spacerun: yes;">&nbsp; </span>kering dan pecah-pecah, lidah tertutup
selaput putih kotor sementara ujung dan tepinya berwarna kemerahan dan jarang
disertai tremor. </span></span></div>
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<span lang="EN-US" style="color: black; font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="color: black; font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-tab-count: 1;"> </span>Abdomen</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="color: black; font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kaji lokasi nyeri, frekuensi bising usus, massa abdomen. Adanya temuan abnormal harus
di catat. Pemeriksaan abdomen di lakukan dengan cara inspeksi, palpasi, perkusi
dan auskultasi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 34.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l10 level1 lfo17; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Diagnosa
Keperawatan</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Menurut
Suriadi, et al, (2001 hlm 284) diagnosa keperawatan pada klien dengan Typhus
Abdominalis <span style="mso-spacerun: yes;">&nbsp;</span>adalah sebagai berikut :</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Perubahan
nutrisi kurang dari kebutuhan tubuh berhubungan dengan tidak nafsu makan, mual
dan kembung.</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Resiko
kurangnya volume cairan berhubungan dengan kurangnya intake cairan, dan
peningkatan suhu tubuh.</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Perubahan
persepsi sensori berhubungan dengan penurunan kesadaran yang lebih lanjut.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo21; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kurangnya
perawatan diri berhubungan dengan istirahat total.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l19 level1 lfo21; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Hipertermi
berhubungan dengan proses infaksi.</span></div>
<ol start="3" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; mso-list: l10 level1 lfo17; text-align: justify;"><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Perencanaan</span></li>
</ol>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Perencanaan
pada Typhus Abdominalis menurut Suriadi, et. al, (2001 hlm 284) yaitu :</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo22; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Perubahan
nutrisi kurang dari kebutuhan tubuh berhubungan dengan tidak nafsu makan, mual
dan kembung.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 92.15pt 99.25pt; text-align: justify; text-indent: -48.25pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Tujuan <span style="mso-tab-count: 1;">&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>Pasien
mampu mempertahankan kebutuhan nutrisi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -76.6pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kriteria
hasil<span style="mso-tab-count: 1;">&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp; </span>Nafsu makan meningkat</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pasien
mampu menghabiskan makanan sesuai porsi yang di berikan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -76.6pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Intervensi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo24; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Nilai
status nutrisi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo24; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Berikan
makanan yang disertai dengan suplemen nutrisi untuk meningkatkan kuaitas intake
nutrisi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo24; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Anjurkan
untuk makan dengan porsi kecil tapi sering</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo24; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Timbang
berat badan setiap hari pada waktu yang sama dan dengan skala yang sama</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo24; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pertahankan
kebersihan mulut klien</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo24; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Jelaskan
pentingnya intake nutrisi yang adekuat untuk penyembuhan penyakit.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l1 level1 lfo24; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kolaborasi
untuk pemberian makanan melalui perenteral jika pemberian makanan melalui oral
tidak memenuhi kebutuhan gizi.<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo22; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Resiko
kurangnya volume cairan berhubungan dengan kurangnya intake cairan dan
peningkatan suhu tubuh.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 92.15pt 99.25pt; text-align: justify; text-indent: -48.25pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Tujuan<span style="mso-tab-count: 1;">&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>Menunjukkan
tanda-tanda terpenuhinya kebutuhan nutrisi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -76.6pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kriteria
hasil<span style="mso-tab-count: 1;">&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp; </span>Menunjukkan perbaikan keseimbangan cairan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 145.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo23; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Tanda-tanda
vital (TTV) stabil</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 145.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo23; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Membran
mukosa lembab</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 145.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo23; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Turgor
kulit baik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Intervensi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Observasi
tanda-tanda vital (suhu tubuh) paling sedikit setiap empat jam</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Monitor
tanda-tanda meningkatnya kekurangan cairan ; turgor tidak elastis, ubun-ubun cekung,
produksi urine menurun, membran mukosa kering, bibir pecah-pecah</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Observasi
dan catat intake dan output dan mempertahankan intake dan output yang adekuat.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Monitor
dan catat berat badan pada waktu yang sama dan dengan skala yang sama.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Monitor
pemberian cairan melalui intravena setiap jam.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kurangi
kehilangan cairan yang tidak terlihat dengan memberikan kompres dingin.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l15 level1 lfo25; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Berikan
antibiotik sesuai program <span style="mso-spacerun: yes;">&nbsp;</span><span style="mso-spacerun: yes;">&nbsp;</span><span style="mso-spacerun: yes;">&nbsp;&nbsp;</span></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo22; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Perubahan
persepsi sensori berhubungan dengan penurunan kesadaran</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 92.15pt 99.25pt; text-align: justify; text-indent: -48.25pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Tujuan<span style="mso-tab-count: 1;">&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>Mempertahankan
fungsi persepsi sensori</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 127.6pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 120.5pt 127.6pt 5.0cm; text-align: justify; text-indent: -76.6pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kriteria
hasil<span style="mso-tab-count: 1;">&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>Melakukan
kembali / mempertahankan tingkat kesadaran biasanya dan berfungsi persepsi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Intervensi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo26; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kaji
status neurologis</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo26; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Istirahatkan
hingga suhu dan tanda-tanda vital stabil</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo26; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Hindari
aktivitas yang berlebihan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo26; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pantau
tanda-tanda vital </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l21 level1 lfo22; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kurangnya
perawatan diri berhubungan dengan penurunan kesadaran yang lebih lanjut.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 92.15pt 99.25pt; text-align: justify; text-indent: -48.25pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Tujuan<span style="mso-tab-count: 1;">&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>Kebutuhan
perawatan diri terpenuhi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 5.0cm; margin-right: 0cm; margin-top: 0cm; tab-stops: 120.5pt 127.6pt 5.0cm 155.95pt; text-align: justify; text-indent: -90.75pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kriteria
hasil<span style="mso-tab-count: 1;">&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp; </span>Melakukan aktivitas keperawatan<span style="mso-spacerun: yes;">&nbsp; </span>dari dalam, tingkat kemampuan sendiri </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 145.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo23; tab-stops: 120.5pt 127.6pt 5.0cm 155.95pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Mengidentifikasi
sumber pribadi / keluarga dalam memberikan bantuan sesuai kebutuhan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 51.05pt; margin-right: 0cm; margin-top: 0cm; text-align: justify;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Intervensi
</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level1 lfo27; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kaji
aktivitas yang dapat di lakukan klien</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l17 level1 lfo27; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Jelaskan
kepada klien dan keluarga aktivitas yang dapat dan tidak dapat dilakukan hingga
demam berangsur-angsur turun</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Bantu
klien memenuhi kebutuhan dasar</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Dekatkan
alat-alat lainnya pada sisi pasien</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Libatkan
peran keluarga dalam memenuhi kebutuhan dasar klien. </span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Hipertermi
berhubungan dengan proses infeksi </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 99.25pt; margin-right: 0cm; margin-top: 0cm; tab-stops: 92.15pt 99.25pt; text-align: justify; text-indent: -48.25pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Tujuan<span style="mso-tab-count: 1;">&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>Mempertahankan
suhu dalam batas normal</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kriteria
hasil<span style="mso-tab-count: 1;">&nbsp;&nbsp; </span>:<span style="mso-tab-count: 1;"> </span>-<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp; </span>Mendemonstrasikan suhu tubuh dalam batas
normal</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 145.5pt; margin-right: 0cm; margin-top: 0cm; mso-list: l4 level1 lfo23; tab-stops: 120.5pt 127.6pt 5.0cm 155.95pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Tidak
mengalami komplikasi yang berhubungan</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Intervensi</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Kaji
pengetahuan klien dan keluarga tentang hipertemia</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Observasi
suhu, nadi, tekanan darah, pernafasan</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Beri
minum yang cukup</span></div>
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<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Beri
kompres air biasa</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level1 lfo28; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Lakukan
seka</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level1 lfo28; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Pakaikan
baju yang tipis menyerap keringat</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level1 lfo28; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Berikan
obat antipireksia</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 68.05pt; margin-right: 0cm; margin-top: 0cm; mso-list: l20 level1 lfo28; text-align: justify; text-indent: -17.0pt;">
<span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;"><span style="mso-list: Ignore;">8)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="font-family: &quot;times new roman&quot; , &quot;serif&quot;; font-size: 12.0pt; line-height: 200%;">Berikan
cairan parenteral (IV) yang adekuat</span></div>
</content><link rel='replies' type='application/atom+xml' href='http://zallien.blogspot.com/feeds/2462383165235739109/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://zallien.blogspot.com/2013/06/askep-typhus-abdominalis.html#comment-form' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/9212314978052076045/posts/default/2462383165235739109'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/9212314978052076045/posts/default/2462383165235739109'/><link rel='alternate' type='text/html' href='http://zallien.blogspot.com/2013/06/askep-typhus-abdominalis.html' title='askep typhus abdominalis'/><author><name>zallientollen</name><uri>http://www.blogger.com/profile/00434374345752224167</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-9212314978052076045.post-284894809693929352</id><published>2013-08-30T11:39:00.001-07:00</published><updated>2013-08-30T11:39:12.221-07:00</updated><category scheme="http://www.blogger.com/atom/ns#" term="askep kmb"/><title type='text'>ASKEP LIMFOMA</title><content type='html'><!--[if !mso]>
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<div class="MsoNormal" style="line-height: 200%; tab-stops: 18.0pt 45.0pt; text-align: justify;">
<span lang="EN-US"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span lang="SV" style="mso-ansi-language: SV;">Pada bab
ini penulis akan membahas tentang anatomi fisiologi, konsep dasar serta asuhan
keperawatan secara teoritis pada klien dengan gangguan system limpatik.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l10 level1 lfo1; tab-stops: 18.0pt list 36.0pt left 45.0pt; text-align: justify; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Anatomi fisologi system
limpatik</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l10 level2 lfo1; tab-stops: 18.0pt list 36.0pt left 45.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Anatomi system limpatik</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 18.0pt 45.0pt 72.0pt; text-align: justify;">
<span lang="EN-US"><span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span lang="SV" style="mso-ansi-language: SV;">System
limpatk adalah suatu system sirkulasi sekunder atau yang berfungsi mengalirkan
limfe atau getah bening didalam tubuh.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 18.0pt 45.0pt 72.0pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>System limpatik terdiri
dari anyaman pembuluh limfe yang luas dan berhubungan dengan kelompok kecil
jaringan limpatik, yaitu kelenjar limfe. System limpatik juga mencakup organ
limpatik ( misalnya splen ) cairan dari jaringan tubuh yang memasuki pembuluh
limfa disebut limfe ( getah bening ) umumnya limfe bersifat bening dan
menyerupai air, serta memiliki komposisi yang sama seperti plasma darah.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level2 lfo12; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Plexus
lymfaticus, yaitu anyaman penbuluh limfe yang sangat kecil dan dikenal dengan
kapiler limpatik. </span><span lang="EN-US">Kapiler ini berawal diruang
intraseluler jaringan tubuh terbanyak.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level2 lfo12; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Kelenjar limfe yang terdiri
dari kelompok kecil jaringan limpatik dan dilalui oleh limfe sewaktu melintas
ke system pembuluh balik.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level2 lfo12; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kumpulan jaringan lymphoid dalam dinding
saluran cerna ( misalnya tonsil ) dalam splen dan tymus.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level2 lfo12; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span style="height: 780px; left: 0px; margin-left: 110px; margin-top: 24px; mso-ignore: vglayout; position: absolute; width: 550px; z-index: -1;"><img height="780" src="file:///C:\Users\ZALLIE~1.ASU\AppData\Local\Temp\msohtmlclip1\01\clip_image002.jpg" width="550" /></span><span lang="SV" style="mso-ansi-language: SV;">Limpoid yang beredar dan dibentuk dalam jaringan limpoid ( misalnya dalam
kelenjar limfe dan splen<span style="mso-spacerun: yes;">&nbsp; </span>dalam jaringan
lympoid sumsum tulang).</span></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<span lang="SV" style="mso-ansi-language: SV;">Gambar 2.1 Sistem Limpatik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; 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 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;">
<br /></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;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<span lang="SV" style="mso-ansi-language: SV;">( Sumber Standar Perawatan Pasien. 1999 )</span></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l10 level2 lfo1; tab-stops: 18.0pt list 36.0pt left 45.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Fisiologi system limpatik</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level3 lfo12; tab-stops: 18.0pt 54.0pt list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Pembentukan cairan limfe </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; tab-stops: 18.0pt 45.0pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Konsentrasi
protein didalam cairan interstisial rata-rata 2 gr/ 100 ml. konsetrasi protein
cairan limfe yang mengalir kebanyakan berasal dari jaringan perifer dan
mendekati nilai ini atau lebih pekat. Sebaliknya cairan limfe yang terbentuk
dalam hati mempunyai konsentrasi protein 6 gr/100ml dan limfe yang terbentuk
dalam usus mempunyai konsetrasi protein 3-5 gr/100ml karena lebih dari separuh
limfe berasal dari hati dan usus maka cairan limfe duktus torasicus merupakan
campuran dari semua daerah tubuh yang mempunyai konsentrasi protein sebesar 3-5
gr/100ml.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level3 lfo12; tab-stops: 18.0pt 54.0pt list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Kecepatan total aliran limfe</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; tab-stops: 18.0pt 45.0pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Kira-kira
100 ml limfe mengalir melalui duktus torasicus per jam. Pada manusia yang
sedang beristirahat, cairan limfe mengalir ke dalam sirkulasi yang lain sekitar
<span style="mso-spacerun: yes;">&nbsp;</span>20 ml /jam. Total aliran limfe 120
ml/jam. Aliran limfe relatip kecil jika dibandingkan dengan pertukaran cairan
total diantara plasma dan cairan interstisial. Faktor yang menentukan
keseimbangan pertukaran cairan pada membran kapiler darah membantu pergerakan
cairan ke dalam intestinum untuk meningkatkan volume cairan interstisial dan
cairan limfe selurunya pada saat yang bersamaan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level3 lfo12; tab-stops: 18.0pt 54.0pt list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Faktor Penentu Kecepatan Aliran Limfe</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l0 level1 lfo11; tab-stops: 18.0pt 45.0pt list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tekanan cairan interstisial. Peningkatan
tekanan cairan<span style="mso-spacerun: yes;">&nbsp; </span>bebas interstisial diatas
tingkat normal. <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp; </span></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l0 level1 lfo11; tab-stops: 18.0pt 45.0pt list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pompa limfe. Katup-katup ada secara
periodic dalam semua saluran limfe. Pembuluh limfe dapat ditekan oleh kontraksi
dinding pembuluh limfe itu sendiri atau tekanan struktur sekitarnya. (
kontraksi otot, gerakan bagian-bagian tubuh, fulsasi arteri, penekanan jaringan
objek diluar tubuh )</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l6 level3 lfo12; tab-stops: 18.0pt 54.0pt list 63.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Kekuatan pengerak cairan limfe </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; tab-stops: 18.0pt 45.0pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Kekuatan
utama yang menentukan apakah cairan akan bergerak keluar dari darah dan masuk
ke dalam cairan interstisial atau ke arah yang berlawanan akan ditentukan oleh
beberapa faktor yaitu tekanan kapiler, tekanan cairan interstisial, tekanan osmotik
koloid plasma dan tekanan osmotik koloid cairan interstisial.<span style="mso-spacerun: yes;">&nbsp; </span></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l10 level2 lfo1; tab-stops: 18.0pt list 36.0pt left 45.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Fungsi Pembuluh Limfe</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l5 level8 lfo13; tab-stops: 27.0pt 36.0pt list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Menyalurkan keluaran cairan jaringan,
misalnya genangan plasma dari sel interstisial dan membawanya ke system
pembuluh balik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l5 level8 lfo13; tab-stops: 27.0pt 36.0pt list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Menyerap dan mengangkut zat lemak,
misalnya kapiler limfe menyalurkan lemak dari intestinum dan mencurahkannya melalui
duktus toracicus ke dalam vena subclavia sinitra.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l5 level8 lfo13; tab-stops: 27.0pt 36.0pt list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Membentuk mekanisme pertahanan untuk tubuh
misalnya suatu protein asing disalurkan dari daerah yang terinfeksi, sel yang
secara imunologis kompeten membentuk zat anti spesifik terhadap protein
tersebut atau limposit di kirim ke daearh terinfeksi itu.</span></div>
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<span lang="EN-US">Gamabar 2.2. The Structure of a Lymph
Node</span></div>
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<span lang="EN-US">( Sumber Anatomy dan Physiology.2001
)</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Konsep dasar penyakit <span style="mso-spacerun: yes;">&nbsp;</span>lymphoma maligna</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pengertian</span></b></div>
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<span lang="EN-US"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Lymphoma
maligna adalah neoplasma system lymphatic. Pembengkakan getah bening
diakibatkan semakin besarnya ukuran jaringan lympoid bersam-sama dengan
perkembangbiakan <span style="mso-spacerun: yes;">&nbsp;</span>lymphocytes ( seperti
dalam infeksi ) atau sel-sel leukemic dan sel-sel kanker. </span><span lang="SV" style="mso-ansi-language: SV;">( Brunnerr and Sudarth, 2001 hal : 188 ).</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Lymphoma maligna keganasan sel
berasal dari sel limfoid, biasanya diklasifikasikan sesuai derajat diffrensiasi
dan asal sel ganas yang dominan ( Charlere J. Reves 1999, hal : 957 )</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Lymphoma maligna adalah keganasan
sel yang berkenaan dengan system getah bening ( Manica Ester, 1999 hal : 397 ).</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Lymphoma maligna adalah bentuk
keganasan dari system limfatik yaitu sel-sel limforetikuler seperti sel B, Sel
T dan histiosit.</span></div>
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<span lang="EN-US"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Pada
penyakit lymphoma maligna penyebab pasti belum diketahui tetapi ada beberapa
kemungkinan penyebabnya yaitu :</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Faktor keturunan</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Kelainan system kekebalan</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Infeksi virus atau bakteri (
HIV, virus human T-Cell leukemia / lymphoma ( HTLV ), Epstein Barr Virus ( EBV
), Heli Cobacter SP )</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Toksin lingkungan ( Herbisida, pengawet
dan pewarna kimia )</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Patofisiologi</span></b></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Proliferasi abnormal tumur dapat
memberi kerusakan penekanan atau penyumbatan organ tubuh yang diserang, tumur
dapat mulai dikelenjar getah bening ( nodal ) atau diluar kelenjar getah bening
( ekstra nodal ). Gejala pada limphoma secara fisik dapat timbul benjolan yang
kenyal, mudah digerakan ( pada leher, ketiak, dan pangkal paha ) pembesaran
kelenjar tadi dapat dimulai dengan gejala penurunan berat badan, demam,
keringat malam. Namun tidak semua benjolan yang terjadi disistem limpatik
merupakan limphoma. Bisa saja benjolan tersebut hasil perlawanan kelenjar limfa
dengan sejenis virus atau mungkin tuberkulosis limfa.beberapa penderita
mengalami demam Pel-Ebstein, dimana suhu tubuh meninggi selam beberapa hari
yang diselingi dengan suhu normal atau dibawah normal selama beberapa hari atau
beberapa minggu. </span><span lang="SV" style="mso-ansi-language: SV;"></span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Klasifikasi</span></b></div>
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<span lang="SV" style="mso-ansi-language: SV;">Lymphoma
maligna dapat dilasifikasikan menjadi dua :</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Lymphoma Hodgkin</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Lymphoma non hodgkin</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Tanda dan Gejala</span></b></div>
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<span lang="EN-US"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span lang="SV" style="mso-ansi-language: SV;">Tanda dan gejala pada lymphoma maligna ini
secara fisik dapat timbul benjolan yang kenyal, mudah digerakan. </span><span lang="EN-US">Pembesaran kelenjar tadi dapat di mulai dengan gejala :</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Demam berkepanjangan dengan suhu lebih
dari 38 <b style="mso-bidi-font-weight: normal;">°</b>C</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Sering berkeringat malam</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kehilangan berat badan lebih dari 10 %
dalam 6 bulan</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Stadium lymphoma maligna </span></b></div>
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<span lang="EN-US"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span lang="SV" style="mso-ansi-language: SV;">Penyebaran lymphoma maligna dapat
dikelompokan dalam empat ( 4 ) stadium :</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Stadium I<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Penyebaran lymphoma hanya terdapat pada satu kelompok yaitu kelenjar getah
bening </span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Stadium II<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp; </span>:
Penyebaran lymphoma menyerang dua atau lebih kelompok kelenjar getah bening,
tati hanya pada satu sisi.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Stadium III<span style="mso-tab-count: 1;">&nbsp; </span>: Penyebaran lymphoma menyerang dua atau lebih kelompok kelenjar
getah bening, serta pada dada dan perut</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Stadium IV<span style="mso-tab-count: 1;">&nbsp; </span>:
Penyebaran lymphoma selain pada kelenjar getah bening dapat juga mengenai
tulang, hati, paru-paru dan otak.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pemeriksaan Penunjang</span></b></div>
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<span lang="EN-US"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Pada
pemeriksaan darah tepi ditemukan sel muda limpoblas dan biasanya ada
leokositosis ( 60% ) kadang-kadang leucopenia ( 25 % ) jumlah leukosit
neutrofil sering kali rendah, demikian pula dengan kadar temoglobin dan trobosit.
</span><span lang="SV" style="mso-ansi-language: SV;">Secara fotologi anatomi, di
dapatkan gambaran khas yang merupakan gambaran sel keganasan yaitu sel reed Steinberg.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Penatalaksanaan</span></b></div>
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<span lang="EN-US"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span lang="SV" style="mso-ansi-language: SV;">Pengobatan sangat tergantung pada stadium
penyakitnya :</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Stadium I dan II dapat diterapi dengan
menggunakan Radioterapi lapangan luas.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Stadium III A, IIIB atau IV di
rekomendasikan untuk mengunakan kemoterapi sistemik.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Asuhan Keperawatan
Teoritis</span></b></div>
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<span lang="EN-US"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span><span lang="SV" style="mso-ansi-language: SV;">Pelaksanaan
asuhan keperawatan pada klien dengan lymphoma maligna dapat dilakukan dengan
cara pendekatan yang sistematis yaitu dengan pendekatan proses keperawatan.
Pendekatan ini dilakukan untuk mengidentifikasi dan memecahkan masalah yang
dihadapi klien baik yang bersifat bio, psiko, sosial kultural dan spiritual
dimana baik secara teori dan konsep keperawatan secara terpadu dalam tahap yang
terorganisir. </span><span lang="EN-US">Adapun tahapan yang dilakukan yaitu :</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pengkajian</span></b></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Aktivitas / Istirahat</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Kelelahan, kelemahan, atau malaise umum. Kehilangan produktivitas dan penurunan
toleransi latihan. Kebutuhan tidur dan istirahat lebih banyak.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Tanda<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Penurunan kekuatan, bahu merosot, jalan lamban, dan kelelahan</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Sirkulasi</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>Palpitasi, angina / nyeri dada.</span></div>
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<span lang="EN-US">Tanda<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>Takikardia, distrimia.</span></div>
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<span lang="EN-US"><span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Sianosis
wajah dan leher ( Obstruksi drainase vena karena pembesaran nodus limfe adalah
kejadian yang jarang ) ikterus sklera dan ikterik umum sehubungan dengan
kerusakan hati dan obsruksi<span style="mso-spacerun: yes;">&nbsp; </span>nodus limfe,
pucat ( aremia ) diaforensis, keringat malam.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Integritas Ego</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>: <span style="mso-spacerun: yes;">&nbsp;</span>Faktor stress, takut / ansietas sehubungan
dengan diagnosis dan kemungkinan takut mati.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Tanda<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:<span style="mso-spacerun: yes;">&nbsp; </span>Berbagi prilaku, missal marah, menarik diri ,
pasif.</span></div>
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<br /></div>
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<br /></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Eliminasi</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:<span style="mso-spacerun: yes;">&nbsp; </span>Perubahan karakteristik urin dan <span style="mso-spacerun: yes;">&nbsp;</span>peces. Riwayat obstruksi usus contohnya
sindrom malabsorpsi</span></div>
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<span lang="EN-US">Tanda<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>: Nyeri tekan pada
kuadran kanan atas dan pembesaran <span style="mso-spacerun: yes;">&nbsp;</span>pada
hati ( hepatamegali ), nyeri tekan pada kuadran kiri atas dan pembesaran pada
limpa ( splenomegali ), penurunan haluaran urin, urin gelap / pekat, anuria (
obstruksi uretra / gagal ginjal ) disfungsi usus dan kandung kemih.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Makanan / Cairan</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>: Anorexia
/ kehilangan nafsu makan, disfagia ( tekanan pada esophagus ). Adanya penurunan
berat badan sampai dengan 10 % atau lebih selam 6 bulam.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Tanda<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>: Pembengkakan
pada wajah, leher, rahang atau tangan kanan. Ekstremitas : adema ekstreminitas
bawah sehubungan dengan obstruksi vena cava<span style="mso-spacerun: yes;">&nbsp;
</span>inferior dari pembesaran nodus limfa intra abdominal, asites.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Neorosensori</span></div>
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<span lang="EN-US">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>: Nyeri saraf (
Neoralgia ) menunjukan kompresi saraf oleh pembesaran nodus limfa pada brakial,
lumbal, dan pleksus sakral, kelemahan otot dan parestesia.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Tanda<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Status mental : letargi, menarik diri, paraplegia ( kompresi batang spinal,
dari tubuh vertebra,<span style="mso-spacerun: yes;">&nbsp; </span>keterlibatan diskus
pada kompresi / regenerasi atau kompresi suplai darah terhadap batang spinal ).</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Nyeri Kenyamanan</span></div>
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<span lang="EN-US">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>: Nyeri tekan /
nyeri pada nodus limfa yang terkena, misalnya nyeri dada, nyeri punggung, nyeri
tulang umum, nyeri segera pada area yang terkena setelah minum alkohol.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Tanda<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Fokus pada diri sendiri ; prilaku berhati-hati.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Pernapasan</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Dipsnea pada kerja atau istirahat ; nyeri dada.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Tanda<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Dispnea : takikardia, batuk kering non produktif, tanda distress pernapasan,
contoh peningkatan prekwensi pernapasan dan kedalaman, penggunaan otot Bantu,
stridor sianosis, parau / paralysis laryngeal. </span><span lang="EN-US">(
tekanan dari pembesaran nodus pada saraf laryngeal ).</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Keamanan</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Riwayat adanya infeksi, riwayat mononukleus, riwayat ulkus / perforasi
pendarahan gaster, periode demam : keringat malam tanpa menggigil.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Tanda<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>: Demam
menetap dengan suhu 38 <b style="mso-bidi-font-weight: normal;">°</b>C tanpa
gejala infeksi, nodus limfe simetris, membengkak atau membesar, nodus dapat
terasa keras dan kenyal, pruritas umum.</span></div>
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<br /></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Seksualitas</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Masalah tentang fertilitas / kehamilan ( sementara penyakit tidak mempengaruhi,
tetapi pengobatan mempengaruhi ) dan penurunan libido.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">k.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Penyuluhan / pembelajaran</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Faktor resiko keluarga, pekerjaan terpajang pada herbisida ( pekerjaan kayu /
kimia ).</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Diagnosa Keperawatan</span></b></div>
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<span lang="EN-US"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Diagnosa keperawatan adalah suatu pernyataan yang
menjelaskan respon manusia ( status kesehatan atau resiko perubahan pola ) dari
individual atau kelompok dimana perawat secara akontabilitas data
mengidentifikasi dan memberikan intervensi secara pasti untuk menjaga status
kesehatan menurunkan, membatasi, mencegah, dan merubah. </span><span lang="SV" style="mso-ansi-language: SV;">( Nursalam, 2001 : 35 )</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>Berdasarkan diagnosa
keperawatan yang ada dalam teori, perencanaan keperawatan pada pasien dengan
lymphoma maligna. </span><span lang="EN-US">( Doengoes, 2000, hal : 605 ).</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tidak efektifnya bersihan jalan napas
berhubungan dengan obstruksi trakeobronkial : pembesaran nodus mediastinal.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Tujuan<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Mempertahankan pola pernapasan normal / efektif, bebas dipsnea, sianosis, atau
tanda lain distress pernapasan.</span></div>
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<span lang="EN-US">Intervensi<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp; </span>: </span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kaji prekuensi pernapasan, kedalaman,
irama, perhatikan penggunaan otot Bantu, pernapasan cuping hidung, gangguan
pengembangan dada.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tempatkan / berikan posisi yang nyaman (
semi fowler )</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Berikan posisi dan Bantu ubah posisi
secara periodik.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Evaluasi / awasi warna kulit,
perhatikan pucat, terjadinya sianosis.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kaji respons pernapasan terhadap
aktivitas, perhatikan keluhan dispnea, jadwalkan periode istirahat antara
aktivitas.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Berikan lingkungan yang tenang</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Berikan oksigen tambahan.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Perubahan nutrisi kurang dari kebutuhan
tubuh berhubungan dengan intake yang kurang.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Tujuan<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Kebutuhan nutrisi terpenuhi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 126.0pt; tab-stops: 9.0pt 117.0pt; text-align: justify; text-indent: -72.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Intervensi <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp; </span>:</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l12 level1 lfo7; tab-stops: 9.0pt list 72.0pt left 117.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Beri makanan porsi kecil tapi sering</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l12 level1 lfo7; tab-stops: 9.0pt list 72.0pt left 117.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Timbang berat badan sesuai indikasi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l12 level1 lfo7; tab-stops: 9.0pt list 72.0pt left 117.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Sajikan makanan dalam keadaan hangat dan
bervariasi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l12 level1 lfo7; tab-stops: 9.0pt list 72.0pt left 117.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Ciptakan lingkungan yang nyaman saat
makan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l4 level2 lfo5; tab-stops: 9.0pt 36.0pt list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Nyeri berhubungan dengan intrupsi sel
sarap.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 126.0pt; tab-stops: 9.0pt 117.0pt; text-align: justify; text-indent: -72.0pt;">
<span lang="EN-US">Tujuan<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Nyeri berkurang.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 126.0pt; tab-stops: 9.0pt 117.0pt; text-align: justify; text-indent: -72.0pt;">
<span lang="EN-US">Intervensi <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp; </span>: </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l1 level1 lfo8; tab-stops: 9.0pt list 72.0pt left 81.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Tentukan karakteristik dan
lokasi nyeri</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l1 level1 lfo8; tab-stops: 9.0pt list 72.0pt left 81.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pantau tekanan darah, nadi dan pernapasan
tiap 6 jam</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l1 level1 lfo8; tab-stops: 9.0pt list 72.0pt left 81.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Terapkan tehnik relaksasi dan distraksi (
napas dalam )</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l1 level1 lfo8; tab-stops: 9.0pt list 72.0pt left 81.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Beri dan biarkan klien memilih posisi yang
nyaman</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l1 level1 lfo8; tab-stops: 9.0pt list 72.0pt left 81.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Kolaborasi dalam pemberian
analgetik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l4 level2 lfo5; tab-stops: 9.0pt 36.0pt list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Intoleransi aktivitas berhubungan dengan
kelemahan, pertukaran oksigen, malnutrisi, dan kelelahan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 126.0pt; tab-stops: 9.0pt 117.0pt; text-align: justify; text-indent: -72.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Tujuan<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Aktivitas dapat ditingkatkan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 126.0pt; tab-stops: 9.0pt 117.0pt; text-align: justify; text-indent: -72.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Intervensi <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp; </span>:</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l3 level1 lfo9; tab-stops: 9.0pt list 72.0pt left 99.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Evaluasi respon pasien terhadap aktivitas,
peningkatan kelemahan / kelelahan dan perubahan tanda-tanda vital selama dan setelah
aktivitas</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l3 level1 lfo9; tab-stops: 9.0pt list 72.0pt left 99.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Bantu klien dalam memenuhi kebutuhan ADL</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l3 level1 lfo9; tab-stops: 9.0pt list 72.0pt left 99.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Libatkan keluarga dalam perawatan
pasien</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l3 level1 lfo9; tab-stops: 9.0pt list 72.0pt left 99.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Beri aktivitas sesuai kemampuan
pasien</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l4 level2 lfo5; tab-stops: 9.0pt 36.0pt list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Ansietas berhubungan dengan kurang
pengetahuan tentang penyakit, prognosis, pengobatan dan penatalaksanaan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 126.0pt; tab-stops: 9.0pt 117.0pt; text-align: justify; text-indent: -72.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Tujuan<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Ansietas klien berkurang / hilang</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 126.0pt; tab-stops: 9.0pt 117.0pt; text-align: justify; text-indent: -72.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Intervensi <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp; </span>:</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l7 level1 lfo10; tab-stops: 9.0pt list 72.0pt left 117.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kaji dan pantau tanda ansietas yang
terjadi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l7 level1 lfo10; tab-stops: 9.0pt list 72.0pt left 117.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jelaskan prosedur tindakan secara
sederhana sesuai tingkat pemahaman pasien</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 72.0pt; mso-list: l7 level1 lfo10; tab-stops: 9.0pt list 72.0pt left 117.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Diskusikan ketegangan dan
harapan pasien</span></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 9.0pt 117.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; tab-stops: 9.0pt 117.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l4 level1 lfo5; tab-stops: 9.0pt 18.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Implementasi</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 9.0pt 36.0pt; text-align: justify;">
<span lang="EN-US">Merupakan pelaksanaan dari
rencana tindakan keperawatan yang telah disesuaikan dengan tujuan dari tindakan
keperawatan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l4 level1 lfo5; tab-stops: 9.0pt 18.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Evaluasi</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 9.0pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Evaluasi
adalah suatu yang direncanakan dan perbandingan yang sistematik pada status
kesehatan klien.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 9.0pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Evaluasi juga
merupakan hasil akhir dari suatu tindakan, sedangkan hasil yang diharapkan
ialah sesuai dengan perencanaan dan tujuan dari tindakan keperawatan yang
mengambarkan tujuan tercapai atau tidak.</span></div>
</content><link rel='replies' type='application/atom+xml' href='http://zallien.blogspot.com/feeds/284894809693929352/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://zallien.blogspot.com/2013/08/askep-limfoma.html#comment-form' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/9212314978052076045/posts/default/284894809693929352'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/9212314978052076045/posts/default/284894809693929352'/><link rel='alternate' type='text/html' href='http://zallien.blogspot.com/2013/08/askep-limfoma.html' title='ASKEP LIMFOMA'/><author><name>zallientollen</name><uri>http://www.blogger.com/profile/00434374345752224167</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry><entry><id>tag:blogger.com,1999:blog-9212314978052076045.post-4541534385349791037</id><published>2013-08-30T11:31:00.002-07:00</published><updated>2013-08-30T11:34:19.041-07:00</updated><category scheme="http://www.blogger.com/atom/ns#" term="askep kmb"/><title type='text'>Asuhan keperawatan asma bronkhial</title><content type='html'><!--[if !mso]>
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<div class="MsoNormal" style="line-height: 200%; margin-right: -.45pt; tab-stops: 36.0pt 72.0pt 90.0pt right 413.55pt; text-align: justify; text-indent: 45.0pt;">
<span lang="EN-US" style="mso-bidi-font-weight: bold;">Pada bab ini akan dibahas mengenai
konsep teoritis yang terkait dengan asuhan keperawatan yang diberikan kepada
klien. Mulai dari Anatomi dan Fisiologi sistem pernapasan dan konsep dasar asma
bronkhial, serta konsep asuhan keperawatan teoritis pada asma bronkhial.</span></div>
<div class="MsoNormal" style="text-align: justify; text-indent: 42.55pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo4; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Anatomi Sistem Pernapasan</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify; text-indent: 45.8pt;">
<span lang="EN-US">Pernafasan (respirasi) </span><span style="mso-ansi-language: IN;">adalah </span><span lang="EN-US">peristiwa menghirup
udara dari luar yang mengandung O<sub>2</sub> (oksigen) ke dalam tubuh serta
menghembuskan udara yang banyak mengandung CO<sub>2</sub> (karbondioksida)
sebagai sisa oksidasi keluar dari tubuh. Penghisapan udara ini disebut
inspirasi dan menghembuskan udara disebut ekspiras</span><span style="mso-ansi-language: IN;">i</span><span lang="EN-US">.(Syaifuddin,2009,hlm 143)</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US"><span style="mso-spacerun: yes;">&nbsp;</span></span><span lang="SV" style="mso-ansi-language: SV;">Bagian-bagian sistem pernapasan dapat
dilihat pada gambar 2.1 </span></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<span style="height: 251px; left: 0px; margin-left: 54px; margin-top: 20px; mso-ignore: vglayout; position: absolute; width: 452px; z-index: -2;"><img alt="Paru 04" height="251" src="file:///C:\Users\ZALLIE~1.ASU\AppData\Local\Temp\msohtmlclip1\01\clip_image002.jpg" width="452" /></span><span lang="SV" style="mso-ansi-language: SV;">Gambar 2.1. Bagian-bagian Sistem Pernapasan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 21.3pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify; text-indent: 36.0pt;">
<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="tab-stops: 63.0pt 76.5pt;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 81.0pt; tab-stops: 63.0pt 76.5pt; text-align: center; text-indent: -81.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">(<i style="mso-bidi-font-style: normal;">Martini</i>, 2000, hlm.799)</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 18.0pt; text-align: justify; text-indent: 36.0pt;">
<span style="mso-ansi-language: IN;">Menurut Syaifuddin (2009)
sistem pernafasan merupakan suatu gabungan dari keberadaan beberapa organ <span style="mso-spacerun: yes;">&nbsp;</span>yaitu :<span style="mso-spacerun: yes;">&nbsp;
</span></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l3 level1 lfo6; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Hidung </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 42.0pt;">
<span lang="EN-US">Merupakan saluran udara yang pertama,
mempunyai dua lobang dan mempunyai sekat hidung</span><span style="mso-ansi-language: IN;">. Organ ini berfungsi sebagai saluran udara pernafasan, sebagai penyaring
udara, menghangatkan udara dan melembabkannya. </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l3 level1 lfo6; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Faring</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 42.0pt;">
<span style="mso-ansi-language: IN;">Organ ini dibagi
menjadi tiga bagian yaitu nasofaring, orofaring,<i style="mso-bidi-font-style: normal;"> </i>dan laringo faring</span><span lang="EN-US">. Faring Merupakan
tempat persimpangan anatara jalan pernafasan dan jalan makanan</span><span style="mso-ansi-language: IN;">.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; mso-list: l3 level1 lfo6; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span style="mso-ansi-language: IN;">Laring
(Pangkal Tenggorokan)</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 42.0pt;">
<span lang="EN-US">Laring merupakan bagian pertama dari
saluran pernapasan bagian bawah. Laring merupakan jalinan tulang rawan yang
dilengkapi dengan otot. Membran jaringan ikat dan ligamentum sebelah atas pintu
masuk laring membentuk tepi epiglotis, lipatan dari epiglotis aritenoid dan
pita interaritenoid dari sebelah bawah tepi bawah kartilago krikoid. Tepi
tulang dari pita suara asli kiri dan kanan, membatasi dari daerah epiglotis.
Bagian atas disebut supraglotis dan bagian bawah disebut subglotis.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">4<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span style="mso-ansi-language: IN;">Trakea</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 42.0pt;">
<span lang="EN-US">Merupakan lanjutan dari laring yang
dibentuk oleh 16-20 cincin tulang rawan yang berbentuk huruf C</span><span style="mso-ansi-language: IN;">. Panjang trakea 9-11 cm dan terdapat sel-sel
bersilia gunanya untuk mengeluarkan benda-benda asing yang masuk bersama –sama
dengan udara pernafasan.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">5<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Bronkus </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 42.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Merupakan
lanjutan dari trakea yang terdapat pada ketinggian vertebra thorakalis ke 4 dan
5. Bronkus mempunyai struktur serupa dengan trakea dan dilapisi oleh jenis sel
yang sama. Bronkus-bronkus itu berjalan kebawah dan kesamping kearah tampuk
paru-paru. Bronkus kanan lebih pendek dan lebih besar dari pada bronkhus kiri,
terdiri dari 6 -8 cincin dan mempunyai tiga cabang. Bronkus kiri lebih panjang
dan lebih ramping dari yang kanan dan terdiri dari 9 – 12 cincin yang mempunyai
dua cabang. Bronkus dilapisi oleh silia yang berfungsi menangkap
partikel-partikel dan mendorong sekret ke atas untuk selanjutnya dikeluarkan
melalui batuk atau ditelan.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">6<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Paru-paru</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; text-align: justify; text-indent: 42.55pt;">
<span lang="EN-US">Paru-paru merupakan sebuah alat
tubuh yang sebagian besar terdiri dari gelembung-gelembung (alveoli). Alveoli
ini terdiri dari sel-sel epitel dan endotel. Banyaknya alveoli ± 700.000.000
buah paru-paru kiri dan kanan. Paru-paru di bagi 2, yaitu paru-paru kanan yang
terdiri dari 3 lobus yaitu:P lobus pulmo dextra superior, lobus media dan lobus
inferior.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; text-align: justify; text-indent: 42.55pt;">
<span lang="EN-US">Paru-paru kiri terdiri dari 2 lobus
yaitu: pulmo sinistra lobus superior dan lobus inferior</span><span style="mso-ansi-language: IN;">.</span> <span lang="EN-US">Paru-paru kiri mempunyai
10 segmen yaitu 5 buah segmen pada lobus superior dan 5 buah segmen pada
inferior. Paru-paru kanan mempunyai 10 segmen yaitu 5 buah segmen pada lobus
superior, 2 buah segmen pada lobus medialis dan 3 buah segmen pada lobus
inferior.</span><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; text-align: justify; text-indent: 42.55pt;">
<span style="mso-ansi-language: IN;">Paru-paru terletak
pada rongga dada yang menghadap ke tengah rongga dada. Paru-paru di bungkus
oleh selaput yang bernama pleura. Pleura di bagi menjadi 2, yaitu pleura
visceral dan pleura parietal. </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Bagian-bagian paru dapat
dilihat pada gambar 2.2 </span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-align: justify; text-indent: 42.55pt;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<span style="height: 288px; left: 0px; margin-left: 90px; margin-top: 33px; mso-ignore: vglayout; position: absolute; width: 398px; z-index: -1;"><img alt="Paru 02" height="288" src="file:///C:\Users\ZALLIE~1.ASU\AppData\Local\Temp\msohtmlclip1\01\clip_image004.jpg" width="398" /></span><span lang="SV" style="mso-ansi-language: SV;">Gambar 2.2. Bagian-bagian Paru</span></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;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<br /></div>
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<br /></div>
<div align="center" class="MsoNormal" style="line-height: 200%; text-align: center;">
<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 align="center" class="MsoNormal" style="margin-left: 49.65pt; text-align: center; text-indent: -49.65pt;">
<span lang="SV" style="mso-ansi-language: SV;">(Lindsay,
1996, hlm 241)</span></div>
<div class="MsoNormal" style="margin-left: 63.0pt; text-align: justify; text-indent: -63.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 63.0pt; text-align: justify; text-indent: -63.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; tab-stops: 81.0pt; text-align: justify; text-indent: 38.45pt;">
<span lang="SV" style="mso-ansi-language: SV;">Pembuluh darah paru-paru berasal dari ventrikel kanan yang tebal dindingnya
sepertiga dari tebal ventrikel kiri. Paru-paru mempunyai kesanggupan dalam
menampung udara. Dalam keadaan tertentu kesanggupan tersebut akan berubah
misalnya akibat dari suatu penyakit misalnya pernafasan dan aktivitas seperti
olah raga.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; tab-stops: 81.0pt; text-align: justify; text-indent: 38.45pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 1.0cm; margin-right: 0cm; margin-top: 0cm; mso-list: l11 level1 lfo4; tab-stops: list 1.0cm; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp; </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Fisiologi Sistem Pernapasan
</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="SV" style="mso-ansi-language: SV;">Pernafasan
paru-paru merupakan pertukaran oksigen dan karbondioksida yang terjadai di
paru-paru. Oksigen di ambil melalui mulut dan hidung pada waktu bernafas dimana
oksigen masuk melalui trakea sampai ke alveoli berhubungan dengan darah dalam
kapiler pulmonal, alveoli memisahkan oksigan dari darah, oksigen menembus
membrane, dan diambil oleh sel darah merah di bawa ke jantung<span style="mso-spacerun: yes;">&nbsp; </span>dari jantung di pompakan ke seluruh
tubuh.(Syaifuddin, 2006, hlm : 199)</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 1.0cm; text-align: justify; text-indent: 35.45pt;">
<span style="mso-ansi-language: IN;">Proses terjadinya
pernafasan terbagi dalam 2 bagian yaitu</span><span lang="SV" style="mso-ansi-language: SV;"> inspirasi dan ekspirasi</span><span lang="SV" style="mso-ansi-language: IN;"> </span><span lang="SV" style="mso-ansi-language: SV;">(Syaifuddin, 2006, hlm : 198)</span><span style="mso-ansi-language: IN;"> </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 60.55pt; mso-list: l0 level1 lfo5; tab-stops: list 42.55pt; text-align: justify; text-indent: -32.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Inspirasi </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; text-align: justify;">
<span style="mso-ansi-language: IN;">Inspirasi terjadi bila muskulus
diaprghma telah dapat rangsangan dari nervus prenikus lalu mengkerut datar.
Muskulus Interkostalis yang letaknya miring, setelah dapat rangsangan kemudian mengkerut
dan tulang kosta menjadi datar. Dengan demikian jarak antara sternum dan
vertebra semakin luas dan melebar. Rongga dada membesar maka pleura akan
tertarik, dengan demikian menarik paru-paru maka tekanan udara didalamnya
berkurang dan masuklah udara dari luar.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; mso-list: l0 level1 lfo5; tab-stops: list 42.55pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Ekspirasi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; text-align: justify;">
<span lang="FI" style="mso-ansi-language: FI;">Ekspirasi terjadi oleh
perubahan tekanan di dalam paru-paru. Pada saat diafragma dan M.intercostalis
eksterna relaksasi volume rongga thorak menjadi menurun. Penurunan volume
meningkatkan tekanan sehingga udara keluar meninggalkan paru-paru</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-align: justify; text-indent: 21.25pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 1.0cm; margin-right: -.45pt; margin-top: 0cm; tab-stops: 36.0pt 72.0pt 90.0pt right 413.55pt; text-align: justify; text-indent: 35.45pt;">
<span lang="FI" style="mso-ansi-language: FI; mso-bidi-font-weight: bold;">Menurut Alimul
H.Azis (2006, hlm.7) faktor-faktor yang mempengaruhi pernapasan adalah :</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: -.45pt; margin-top: 0cm; mso-list: l13 level1 lfo16; tab-stops: 42.55pt right 413.55pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="mso-bidi-font-weight: bold;">Saraf Otonomik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: -.45pt; margin-top: 0cm; tab-stops: 42.55pt right 413.55pt; text-align: justify;">
<span lang="EN-US" style="mso-bidi-font-weight: bold;">Rangsangan simpatis dan parasimpatis dari saraf otonomik dapat
mempengaruhi kemampuan untuk dilatasi dan kontriksi, hal ini dapat terlihat
simpatis maupun parasimpatis. Ketika terjadi rangsangan, ujung saraf dapat
mengeluarkan neurotransmitter (untuk simpatis dan mengeluarkan noradrenalin
yang berpengaruh pada bronkodilatasi dan untuk parasimpatis mengeluarkan
asetilkolin yang berpengaruh pada bronkokontriksi (karena pada saluran
pernapasan terdapat reseptor adrenergik dan reseptor kolinergik.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: -.45pt; margin-top: 0cm; mso-list: l13 level1 lfo16; tab-stops: 42.55pt right 413.55pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="mso-bidi-font-weight: bold;">Hormon dan Obat</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: -.45pt; margin-top: 0cm; tab-stops: 42.55pt right 413.55pt; text-align: justify;">
<span lang="EN-US" style="mso-bidi-font-weight: bold;">Semua hormon termasuk derivat katekolamine dapat melebarkan saluran
pernapasan. Obat yang tergolong parasimpatis, seperti sulfasatropin dan ekstrakbeladona,
dapat melebarkan saluran napas, sedangkan obat yang menghambat adrenergik tipe
betha (khususnya betha 2), seperti obat yang tergolong penyakat beta
non-selektif, dapat mempersempit saluran napas (bronkokontriksi).</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: -.45pt; margin-top: 0cm; tab-stops: 42.55pt right 413.55pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: -.45pt; margin-top: 0cm; mso-list: l13 level1 lfo16; tab-stops: 42.55pt right 413.55pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="mso-bidi-font-weight: bold;">Alergi pada Saluran Napas</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: -.45pt; margin-top: 0cm; tab-stops: 42.55pt right 413.55pt; text-align: justify;">
<span lang="EN-US" style="mso-bidi-font-weight: bold;">Banyak faktor yang dapat menimbulkan alergi, antara lain debu yang
terdapat dalam hawa pernapasan, bulu binatang, serbuk benang sari bunga, kapuk,
makanan, dan lain-lain. Faktor-faktor ini menyebabkan bersin bila terdapat
rangsangan didaerah nasal ; batuk bila disaluran pernapasan bagian atas ;
bronkokontriksi pada asma bronchial ; dan rhinitis bila terdapat di saluran
pernapasan bagian bawah.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: -.45pt; margin-top: 0cm; mso-list: l13 level1 lfo16; tab-stops: 42.55pt right 413.55pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="mso-bidi-font-weight: bold;">Perkembangan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: -.45pt; margin-top: 0cm; tab-stops: 42.55pt right 413.55pt; text-align: justify;">
<span lang="EN-US" style="mso-bidi-font-weight: bold;">Tahap perkembangan anak dapat mempengaruhi jumlah kebutuhan oksigenisasi,
karena usia organ dalam tubuh berkembang seiring usia perkembangan. Hal ini
dapat terlihat pada bayi usia premature, yaitu adanya kecenderungan kekurangan
perbentukan surfaktan. Setelah anak tumbuh dewasa, kemampuan kematangan organ
juga berkembang, seiring bertambahnya usia.</span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="mso-bidi-font-weight: bold;">Lingkungan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 42.55pt; margin-right: -.45pt; margin-top: 0cm; tab-stops: 42.55pt right 413.55pt; text-align: justify;">
<span lang="EN-US" style="mso-bidi-font-weight: bold;">Kondisi lingkungan dapat mempengaruhi kebutuhan oksigenisasi, seperti
faktor alergi, ketinggian tanah, dan suhu. Kondisi tersebut mempengaruhi
keampuan adaptasi.</span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span><span lang="EN-US" style="mso-bidi-font-weight: bold;">Perilaku</span></div>
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<span lang="EN-US" style="mso-bidi-font-weight: bold;">Faktor prilaku yang dapat mempengaruhi kebutuhan oksigenisasi adalah perilaku
dalam mengkonsumsi makanan (status nutrisi). Sebagai contoh, obesitas dapat
mempengaruhi proses perkembangan paru, aktivitas dapat mempengaruhi proses
peningkatan kebutuhan oksigenisasi, merokok dapat menyebabkan proses
penyempitan pada pembuluh darah, dan lain-lain.</span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">B. <span style="mso-tab-count: 1;"> </span>Konsep Dasar Penyakit Asma
Bronkhial</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">1. <span style="mso-tab-count: 1;">&nbsp; </span>Pengertian</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="NL" style="color: black; mso-ansi-language: NL;">Asma adalah gangguan pada saluran bronkhial dengan ciri
brnkospasme periodik (kontraksi spasme pada saluran napas). Asma merupakan
penyakit komplek yang dapat diakibatkan oleh faktor biokimia, endokrin,
infeksi, anatomik, dan psikologi (Abdul Mukhti, 2008, hlm.45).</span><span lang="EN-US" style="color: black; mso-bidi-font-style: italic;"></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: black; mso-bidi-font-style: italic;">Asma bronkhial merupakan keadaan imflamasi kronis
yang menyebabkan obstruksi saluran pernapasan secara reversibel (Davey Patrick,
2005, hlm.178<i>).</i></span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US" style="color: black; mso-bidi-font-style: italic;">Menurut Brunner &amp; Suddart (2002, hlm.611<i>) </i>Asma
adalah penyakit obstruksi jalan napas intermitten, reversibel dimana trakea dan
bronki berespon dalam secara hiperaktif stimuli tertentu<i>.</i></span><i style="mso-bidi-font-style: normal;"><span lang="EN-US"></span></i></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Asma juga diartikan
sebagai suatu penyakit yang dicirikan oleh hipersensitifitas cabang-cabang
trakeobronkial terhadap berbagai jenis rangsangan. Keadaan ini bermanifestasi
sebagai penyempitan saluran-saluran nafas secara periodik dan refersibel akibat
bronkospasme. <i>(</i><span style="color: black; mso-bidi-font-style: italic;">Sylvia,
2000, hlm.689<i>).</i></span></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%; margin-bottom: 12.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -39.8pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Klasifikasi</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US">Menurut <span style="color: black; mso-bidi-font-style: italic;">Brunner &amp; Suddart (2002, hlm.611<i>) </i>klasifikasi
asma terbagi menjadi 3 yaitu : asma alergik / ekstrinsik, asma idiopatik /
intrinsik, dan asma campuran.</span></span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Asma alergik / ekstrinsik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; text-align: justify;">
<span lang="EN-US">Merupakan suatu jenis asma yang disebabkan oleh allergen
(misalnya ; bulu binatang, debu, ketombe, tepung sari, makanan, dan lain-lain).
Alergen yang paling umum adalah allergen yang perantaraan penyebarannya melalui
udara (airbone), dan allergen yang muncul secara musiman (seasonal).</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Asma idiopatik / non-alergik asma /
instrinsik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Merupakan jenis asma yang
tidak berhubungan secara langsung dengan allergen spesifik factor seperti
common cold, ISPA, aktivitas, emosi dan polusi lingkungan yang dapat
menimbulkan serangan asma.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Asma campuran (mixed asmha)</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; text-align: justify;">
<span lang="EN-US">Merupakan bentuk asma yang paling sering
dikarakteristikan dengan bentuk kedua jenis asma alergik dan idiopatik
(non-alergik).</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>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 54.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -39.8pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Etiologi</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; tab-stops: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Menurut <span style="color: black; mso-bidi-font-style: italic;">Davey Patrick, (2005, hlm.178)<i>
</i></span><span style="mso-spacerun: yes;">&nbsp;</span>faktor penyebab yang sering
menimbulkan asma yaitu :<i><span style="color: black;"></span></i></span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Genetik </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Diturunkan dalam keluarga dan
berhubungan dengan atopi</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Faktor lingkungan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; text-align: justify;">
<span lang="EN-US">Stimulus bronchial spesifik seperti debu rumah, serbuk
sari, dan bulu kucing : 3 %, populasi sensitive terhadap aspirin </span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Paparan pekerjaan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; text-align: justify;">
<span lang="EN-US">Paparan iritan atau sensitizer adalah penyebab penting
dari asma yang berhubungan dengan pekerjaan.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Stimulus non spesifik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; text-align: justify;">
<span lang="EN-US">Infeksi firus, udara dingin, olahraga atau stress
emosional juga bisa memicu timbulnya mengi, aktifitas yang berlebihan, asap
rokok, palutan udara.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l9 level5 lfo3; text-align: justify; text-indent: -21.25pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Faktor
lingkungan lain, diantara faktor makanan ( tinggi, Na+, rendah Mg2+ ).</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>
<div class="MsoNormal" style="margin-left: 70.9pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Manifestasi klinis</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; text-align: justify;">
<span lang="EN-US" style="color: black; mso-bidi-font-style: italic;">Menurut
Brunner &amp; Suddart (2002, hlm.611<i>)</i></span><span lang="EN-US"> Gejala
asma terdiri atas tiga : dispnea, batuk dan mengi<span style="color: black; mso-bidi-font-style: italic;"> . </span>Adapun gambaran klinisnya adalah :</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; mso-list: l9 level5 lfo3; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Gambaran objektif terdiri dari sesak
napas parah, batuk, dispnea, pernapasan cuping hidung , dapat disertai batuk
dengan sputum kental dan sulit dikeluarkan. Bernapas dengan menggunakan
otot-otot napas tambahan. cianosis, takikardia, gelisah, dan pulsus paradoksus fase
ekspirasi memanjang disertai wheezing (di apeks dan hilus)</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; text-align: justify;">
<span lang="EN-US">b.<span style="mso-spacerun: yes;">&nbsp;&nbsp;&nbsp; </span>Gambaran
Subjektif</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US">Pasien mengeluhkan sukar bernapas (sesak) dan anoreksia</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; mso-list: l14 level1 lfo8; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Gambaran psikososial pasien
cemas, takut, mudah tersinggung, dan kurangnya pengetahuan pasien terhadap
situasi penyakitnya.</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Patofisiologi</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 34.9pt;">
<span lang="EN-US">Beberapa individu dengan asma
mengalami respon imun yang buruk terhadap lingkungan mereka. Antibodi yang
dihasilkan (IgE) kemudian menyerang sel-sel mast dalam paru. Pemajanan ulang
terhadap antigen mengakibatkan ikatan antigen dengan antibody, menyebabkan
pelepasan produk sel-sel mast (disebut mediator) seperti histamine,
baradikinin, dan prostaglandin serta anafilaksis dari substansi yang bereaksi
lambat (SRS-A). Pelepasan mediator ini dalam jaringan paru memperngaruhi otot
polos dan kelenjar jalan napas, menyebabkan bronkospasme, pembengkakan membrane
mukosa, dan pembentukan mucus yang sangat banyak.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 34.9pt;">
<span lang="EN-US">Sistem saraf otonom mempersarafi
paru. Tonus otot bronchial diatur oleh impuls saraf vagal melalui system saraf
parasimpatis. Pada asma idiopatik atau non alergi, ketika ujung saraf pada
jalan napas dirangsang oleh factor infeksi, latihan, merokok, dingin, emosi dan
polutan, jumlah asetikolin yang dilepas meningkat. Pelepasan asetikolin ini
secara langsung menyebabkan bronkokonstriksi juga merangsang pembentukan
mediator kimiawi yang dibahas diatas. Individu dengan asma dapat dapat
mempunyai toleransi rendah terhadap respon parasimpatis. Patofisiologi asma
bronkhial dapat dlihat pada skema 2.1</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Komplikasi</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US">Menurut Sudoyo Aru W, dkk (2006, hlm.247) komplikasi dari asma
bronchial adalah : pneumotorak, atelektasis, status asmatikus, bronkhitis
kronis, fraktur iga, gagal napas dan kematian.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pemeriksaan Penunjang</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Pemeriksaan penunjang yang bisa
dilakukan pada pasien dengan asma bronchial adalah ( Davey Patrick (2005,
hlm.179)</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Selama periode akut rontgen
dapat menunjukkan hiperinflasi dan pendataran diafragma.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Pemeriksaan darah untuk
mengetahui adanya infeksi dan sebagainya.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Pemeriksaan sputum dan darah
dapat menunjukkan eosinofilia (kenaikan kadar eosinofil).</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Gas darah arteri menunjukkan hipoksik selama
serangan akut.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pemeriksan
fungsi pulmonary menunjukkan peningkatan kapasitas paru total (TLC) dan volume
residual fungsional (FRV) sekunder terhadap terjebaknya udara. </span><span lang="EN-US">FEV dan kapasitas vital kuat (FVC) sangat menurun.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l7 level1 lfo1; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Pemeriksaan Elektro Kardiogram
(EKG) untuk mengetahui tanda-tanda hipertropi otot jantung, yakni terdapat
terdapatnya Right bundle branch block (RBBB).</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Pencegahan</span></b></div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 42.55pt;">
<span lang="SV" style="mso-ansi-language: SV;">Asma tidak bisa disembuhkan namun bisa
dikendalikan sehingga penderita asma dapat mencegah terjadinya sesak napas
akibat serangan asma. </span></div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 42.55pt;">
<span lang="SV" style="mso-ansi-language: SV;">Menurut Muhammad Ziaulhaq (2008)
pencegahan beberapa cara pencegahan asma yaitu :</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l6 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Menjaga kesehatan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; text-align: justify; text-indent: 1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;">Menjaga
kesehatan merupakan usaha yang tidak terpisahkan dari pengobatan penyakit asma.
Bila penderita lemah dan kurang gizi, tidak saja mudah terserang penyakit
tetapi juga berarti mudah untuk mendapat mendapat serangan penyakit asma
beserta komplikasinya.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l6 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Menjaga kebersihan lingkungan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; text-align: justify; text-indent: 1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;">Lingkungan
dimana penderita hidup sehari-hari sangat mempengaruhi timbulnya penyakit asma.
Keadaan rumah misalnya sangat penting diperhatikan. Rumah sebaiknya tidak
lembab, cukup ventilasi dan cahaya mata hari.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l6 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Menghindari faktor pencetus</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; text-align: justify; text-indent: 1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;">Alergen yang
tersering menimbulkan penyakit asma adalah tungau debu sehingga cara-cara
menghindari debu rumah harus dipahami. Infeksi virus saluran pernafasan sering
mencetuskan penyakit asma. Sebaiknya penderita penyakit asma menjauhi
orang-orang yang terserang influenza. Hindari kelelahan yang berlebihan,
kehujanan, penggantian suhu udara yang ekstrim, berlari-lari mengejar kendaraan
umum atau olahraga yang melelahkan. Zat-zat yang meransang saluran nafas
seperti asap rokok, asap mobil, atau uap zat-zat kimia dan udara kotor lainnya
harus dihindari. </span></div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; mso-list: l6 level1 lfo17; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Menggunakan
obat-obat anti penyakit asma</span></div>
<div style="line-height: 200%; margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;">Pada serangan penyakit asma yang ringan penderita
boleh memakai obat bronodilator. Pada serangan yang lebih berat, bila masih
mungkin dapat menambah dosis obat, sering lebih baik mengkombinasi dua atau
tiga macam obat. Pada penyakit asma kronis bila keadaanya sudah terkendali dapat
dicegah penyakit asma. Tujuan obat-obat pencegah serangan penyakit asma ialah
selain untuk mencegah terjadinya serangan penyakit asma juga diharapkan agar
penggunaan obat-obat bronkodilator dan steroid sistemik dapat dikurangi dan
bahkan kalau mungkin dihentikan.</span></div>
<div style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 49.65pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level1 lfo3; text-align: justify; text-indent: -21.25pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Penatalaksanaan </span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 35.45pt; text-align: justify; text-indent: 35.45pt;">
<span lang="EN-US">Prinsip-prinsip penatalaksanaan pada
penyakit asma bronchial adalah : (Abdul mukhti, 2008)</span></div>
<div class="MsoListParagraphCxSpFirst" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l4 level3 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Diagnosis status asmatikus
(waktu terjadinya serangan dan obat-obatan yang telah diberikan.</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l4 level3 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Pemberian Obat bronkodilator</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l4 level3 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Pertimbangan terhadap pemberian
kortikosteroid</span></div>
<div class="MsoListParagraphCxSpMiddle" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; mso-list: l4 level3 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Setelah serangan mereda, cari
faktor penyebab dan modifikasi pengobatan penunjang selanjutnya. </span></div>
<div class="MsoListParagraphCxSpLast" style="line-height: 200%; text-align: justify; text-indent: 34.9pt;">
<span lang="EN-US">Menurut Abdul mukti, 2008, obat-obat yang
digunakan pada penderita asma bronkial meliputi : beta agonis, bronkodilator,
kortikosteroid dan pemberian oksigen.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Beta agonis</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; text-align: justify;">
<span lang="EN-US">Merupakan jenis obat yang diberikan paling awal. Hal
tersebut dikarenakan obat ini bekerja dengan cara mendilatasi otot polos.
Contoh obatnya seperti epinephrine, albuteril, metaproterenol, isoproterenol,
isoetharine.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Bronkodilator</span></div>
<div class="MsoListParagraph" style="line-height: 200%; margin-left: 49.65pt; mso-add-space: auto; text-align: justify;">
<span lang="EN-US">Pada kasus asma,
bronkodilator tidak digunakan secara oral tetapi dipakai secara inhalasi atau
parenteral. , seperti ; aminophilin, ventolin, dan sebagainya.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Kortikosteroid</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; text-align: justify;">
<span lang="EN-US">Bila pemberian obat-obat bronkodilator tidak menunjukan
perbaikan maka pengobatan dilanjutkan dengan 200 mg hidrokortisonsecara oral atau
dengan dosis 4-3 mg/kg BB intravena sebagai dosis permulaan dan dapat diulang
2-4 jam secara parenteral sampai serangan akut terkontrol, dengan diikuti
pemberian 30-60 mg prednison atau dengan dosis 1-2 mg/kg BB/hari secara oral
dalam dosis terbagi, kemudian dosis dikurangi secara bertahap.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; mso-list: l15 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Pemberian Oksigen</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 49.65pt; text-align: justify;">
<span lang="EN-US">Pemberian oksigen menggunakan kanul hidung dengan
kecepata aliran oksigen 2-4 liter/menit yang dialirkan melalui air untuk
memberikan kelembapan. Obat ekspektoran seperti Gliserolguiakolat dapat juga
digunakan untuk memperbaiki dehidrasi. Oleh karena itu, intek cairan per oral
dan infuse harus cukup dan sesuai dengan prinsip rehidrasi. Antibiotik
diberikan bila ada infeksi.</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">C.<span style="mso-tab-count: 1;">&nbsp; </span>Asuhan Keperawatan Teoritis<span style="mso-tab-count: 1;">&nbsp;&nbsp; </span></span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 18.0pt; margin-right: 0cm; margin-top: 0cm; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Menurut Doengoes tahun 2000, asuhan keperawatan pada klien dengan
asma bronkhial terdiri atas pengkajian, diagnosa, perencanaan, implementasi,
dan evaluasi adalah sebagai berikut: </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 162.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level4 lfo3; text-align: justify; text-indent: -140.7pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pengkajian</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Aktivitas / Istirahat</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; tab-stops: 108.0pt; text-align: justify;">
<span lang="EN-US">Tanda <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Keletihan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 108.0pt; text-align: justify;">
<span lang="EN-US">Kegelisahan, insomnia.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 108.0pt; text-align: justify;">
<span lang="FI" style="mso-ansi-language: FI;">Kelemahan
umum / kehilangan masa otot.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; tab-stops: 108.0pt; text-align: justify;">
<span lang="FI" style="mso-ansi-language: FI;">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Keletihan, kelelahan, malaise.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 108.0pt; text-align: justify;">
<span lang="FI" style="mso-ansi-language: FI;">Ketidakmampuan
untuk melakukan aktivitas sehari-hari karena sulit bernafas.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 108.0pt; text-align: justify;">
<span lang="FI" style="mso-ansi-language: FI;">Ketidakmampuan
untuk tidur, perlu tidur dalam posisi duduk tinggi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 108.0pt; text-align: justify;">
<span lang="FI" style="mso-ansi-language: FI;">Dispnea pada
saat istirahat atau respon terhadap aktivitas atau latihan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 108.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 108.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Sirkulasi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify; text-indent: -59.4pt;">
<span lang="EN-US">Tanda <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Peningkatan tekanan darah, peningkatan
frekuensi jantung /<span style="mso-spacerun: yes;">&nbsp; </span>takikardi berat,
distrimia, distensi vena leher, (penyakit berat).</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify;">
<span lang="EN-US">Edema dependen, bunyi jantung redup.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify;">
<span lang="EN-US">Warna kulit / membrane mukosa :
normal atau abu-abu / sianosis, kuku tabu dan sianosis perifer.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify;">
<span lang="EN-US">Pucat dapat menunjukan anemia.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Pembengkakan pada ekstremitas bawah.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Integritas Ego</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 121.5pt; tab-stops: 108.0pt; text-align: justify; text-indent: -67.5pt;">
<span lang="EN-US">Tanda <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Ansietas, ketakutan, peka ransang</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 121.5pt; tab-stops: 108.0pt; text-align: justify; text-indent: -67.5pt;">
<span lang="EN-US">Gejala <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Peningkatan faktor resiko, perubahan pola
hidup. </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Makanan / cairan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 106.35pt; text-align: justify; text-indent: -52.35pt;">
<span lang="EN-US">Tanda<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Tugor kulit buruk.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="EN-US">Edema dependen.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="EN-US">Berkeringat.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="EN-US">Penurunan berat badan, penurunan masa otot / lemak
subkutan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Gejala <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Mual / muntah.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Nafsu makan buruk ketidak
mampuan untuk makan karena distress pernafasan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="SV" style="mso-ansi-language: SV;"><span style="mso-spacerun: yes;">&nbsp;</span></span><span lang="EN-US">Hygiene </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 121.5pt; tab-stops: 108.0pt; text-align: justify; text-indent: -67.5pt;">
<span lang="SV" style="mso-ansi-language: SV;">Tanda <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Kebersihan buruk bau
badan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 121.5pt; tab-stops: 108.0pt; text-align: justify; text-indent: -67.5pt;">
<span lang="FI" style="mso-ansi-language: FI;">Gejala <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Penurunan kemampuan /
peningkatan kebutuhan bantuan melakukan aktivitas sehari-hari.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Pernafasan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 99.25pt; text-align: justify; text-indent: -2.0cm;">
<span lang="EN-US">Tanda<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp; </span>: Pernafasan biasa cepat, dapat lambat, fase
ekspirasi<span style="mso-spacerun: yes;">&nbsp; </span>memanjang, reaksi mengi
sepanjang area paru pada ekspirasi dan kemungkinan pada inspirasi berlanjut
sampai penurunan atau tidak adanya bunyi nafas.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Penyuluhan dan Pembelajaran</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 108.0pt; text-align: justify; text-indent: -59.4pt;">
<span lang="EN-US">Gejala <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Riwayat reaksi alergi atau sensitif
terhadap zat / factor lingkungan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Adanya / berulangan infeksi,
kemerahan / berkeringat.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Sirkulasi </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Gejala <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Penurunan libido. </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Interaksi Sosial</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; tab-stops: 106.35pt; text-align: justify; text-indent: -59.4pt;">
<span lang="EN-US">Tanda <span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: hubungan ketergantungan Ketidakmampuan
untuk membuat / mempertahankan suara karena distress pernafasan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="EN-US">Keterbatasan mobilitas fisik </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="EN-US">Kelalaian hubungan dengan anggota keluarga lain</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Hubungan ketergantungan </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Kurang system pendukung</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Kegagalan dukungan dari /
terhadap pasangan / orang terdekat</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="EN-US">Penyakit lama atau ketidakmampuan membaik</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l16 level1 lfo11; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Penyuluhan / pembelajaran </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; text-align: justify;">
<span lang="EN-US">Gejala<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Penggunaan / penyalahgunaan otot pernafasan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="EN-US">Kesulitan menghentikan merokok</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="EN-US">Penggunaan alcohol secara teratur</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 4.0cm; text-align: justify;">
<span lang="EN-US">Kegagalan untuk membaik</span></div>
<div class="MsoNormal" style="tab-stops: 117.0pt 135.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 162.0pt; margin-right: 0cm; margin-top: 0cm; mso-list: l9 level4 lfo3; text-align: justify; text-indent: -140.7pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Diagnosa Keperawatan</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 42.0pt;">
<span lang="ES" style="mso-ansi-language: ES;">Diagnosa
yang mungkin timbul pada asma bronchial adalah :</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; mso-list: l10 level1 lfo10; tab-stops: list 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="ES" style="mso-ansi-language: ES;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="ES" style="mso-ansi-language: ES;">Bersihan
jalan nafas tidak efektif berhubungan dengan bronkospasme, peningkatan produksi
sekret, penurunan energy / kelemahan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="mso-ansi-language: ES;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="ES" style="mso-ansi-language: ES;">Kerusakan pertukaran gas berhubungan
dengan gangguan suplai oksigen ( obstruksi jalan nafas oleh sekresi, spasme
bronkus, jebakan udara ), kerusakan alveoli.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="mso-ansi-language: ES;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="ES" style="mso-ansi-language: ES;">Perubahan nutrisi kurang dari kebutuhan
tubuh berhubungan dengan dispnea, anorexsia, mual / muntah.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="ES" style="mso-ansi-language: ES;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="ES" style="mso-ansi-language: ES;">Resiko tinggi terhadap infeksi berhubungan
dengan tidak adekuatnya pertahanan utama dalam imunitas.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 54.0pt; mso-list: l10 level1 lfo10; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Kurang pengetahuan mengenai
kondisi, tindakan berhubungan dengan kurang informasi. </span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -14.15pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Perencanaan</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 36.0pt; text-align: justify; text-indent: 42.0pt;">
<span lang="EN-US">Rencana asuhan keperawatan adalah petunjuk
tertulis yang menggambarkan secara tepat rencana tindakan yang dilakukan
terhadap klien sesuai dengan kebutuhannya berdasarkan diagnosa keperawatan.
Penyusunan rencana melibatkan klien secara optimal agar dalam pelaksanaan
asuhan keperawatan terjalin suatu kerja sama dalam rangka proses pencapaian
tujuan keperawatan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; mso-list: l9 level5 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Bersihan jalan nafas tidak
efektif berhubungan dengan bronkospasme, peningkatan produksi secret, penurunan
energy / kelemahan.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 148.85pt; tab-stops: 127.6pt 5.0cm; text-align: justify; text-indent: -92.15pt;">
<span lang="EN-US">Tujuan <span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Mempertahankan jalan nafas
paten denga bunyi bersih / jelas</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 148.85pt; tab-stops: 127.6pt 5.0cm; text-align: justify; text-indent: -92.15pt;">
<span lang="EN-US">Kriteria
hasil<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Menunjukan prilaku
perbaikan bersihan jalan nafas, misalnya batuk efektif dan mengeluarkan secret.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 148.85pt; tab-stops: 127.6pt 5.0cm; text-align: justify; text-indent: -92.15pt;">
<span lang="EN-US">Intervensi<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Auskultasi bunyi nafas, catat adana bunyi nafas, catat
adanya bunyi nafas misalnya : mengi, ronkhi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Kaji / pantau frekuensi
pernafasan, catat rasio inspirasi / ekspirasi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Pertahankan polusi minimum
misalnya : debu, asap yang berhubungan dengan kondisi individu.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Dorong / bantu latihan nafas
mulut atau bibir.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Observasi karakteristik batuk
misal : menetap, batuk pendek, dan basah.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Berikan obat sesuai indikasi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 88.9pt; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Bronkodilator misal : adrenalin
dan profentil</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 88.9pt; mso-list: l12 level1 lfo14; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Xantin missal : aminopolin dan
tiofilin</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; mso-list: l1 level1 lfo13; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">7)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Berikan humidifikasi tambahan
misalnya : nebulizer ultranik.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; mso-list: l9 level5 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Kerusakan pertukaran gas
berhubungan dengan gangguan suplai oksigen ( obstruksi jalan nafas oleh
sekresi, spasme bronkus, jebakan udara ), kerusakan alveoli.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 155.95pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -99.25pt;">
<span lang="EN-US">Tujuan <span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Menunjukan perbaikan
ventilasi dan oksigenisasi jaringan adekuat dengan GDA dalam rentang normal dan
bebas gejala distress pernafasan. </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 155.95pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -99.25pt;">
<span lang="EN-US">Kriteria
hasil<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Berpartisipasi dalam program
pengobatan dalam meningkatkan kemampuan<span style="mso-spacerun: yes;">&nbsp;
</span>/ situasi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; text-align: justify;">
<span lang="EN-US">Intervensi<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>
: </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US">1) Kaji frekuensi, kedalaman
kedalaman pernafasan dan kegunaan otot aksesoris.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US">2) Tinggikan kepala tempat tidur,
bantu pasien untuk memilih posisi yang mudah untuk bernafas.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US">3) Kaji / awasi secara rutin kulit
dan membrane mukosa</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US">4) Dorong mengeluarkan sputum</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US">5) Berikan oksigen tambahan sesui
indikasi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US">6) Berikan penekanan SSP missal :
sedatif atau narkotik dengan hati-hati.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; mso-list: l9 level5 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Perubahan nutrisi kurang dari
kebutuhan tubuh berhubungan dengan dispnea, anorexsia, mual / muntah.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 163.05pt; tab-stops: 148.85pt; text-align: justify; text-indent: -106.35pt;">
<span lang="EN-US">Tujuan<span style="mso-tab-count: 1;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style="mso-spacerun: yes;">&nbsp; </span>: Menunjukan peningkatan BB menuju rujukan
yang<span style="mso-spacerun: yes;">&nbsp; </span>tepat.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 163.05pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -106.35pt;">
<span lang="EN-US">Kriteria
hasil<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>: Menunjukan prilaku /
perubahan pola hidup untuk meningkatkan dan / atau mempertahankan berat yang
tepat.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 163.05pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -106.35pt;">
<span lang="EN-US">Intervensi<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 163.05pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -106.35pt;">
<span lang="EN-US">1) Kaji
kebiasaan diet, masukan makanan saat ini.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 163.05pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -106.35pt;">
<span lang="EN-US">2)
Auskultasi bunyi nafas.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US">3) Berikan
perawatan oral, buang sekret, berikan wadah khusus untuk sekali pakai.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">4) Hindari makanan penghasil gas dan minuman berkarbonat
</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">5) Timbang berat badan sesuai indikasi</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">6) Konsultasi ahli gizi / nutrisi pendukung tim
untuk memberikan makanan yang mudah di cerna.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -14.2pt;">
<span lang="FI" style="mso-ansi-language: FI;">7) Berikan oksigen tambahan setelah makanan sesuai
indikasi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; mso-list: l9 level5 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="FI" style="mso-ansi-language: FI;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="FI" style="mso-ansi-language: FI;">Resiko tinggi terhadap infeksi berhubungan
dengan tidak adekuatnya pertahanan utama dan imunitas</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 163.05pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -106.35pt;">
<span lang="FI" style="mso-ansi-language: FI;">Tujuan<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Menyatakan pemahaman penyebab / factor resiko<span style="mso-spacerun: yes;">&nbsp;
</span>indipidu</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 163.05pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -106.35pt;">
<span lang="FI" style="mso-ansi-language: FI;">Kriteria hasil<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Mengidentifikasi intervensi untuk mencegah / menurunkan resiko infeksi.
Menunjukan tekhnik, perubahan pola hidup untuk meningkatkan ligkungan yang
aman.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 163.05pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -106.35pt;">
<span lang="FI" style="mso-ansi-language: FI;">Intervensi<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 163.05pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -106.35pt;">
<span lang="FI" style="mso-ansi-language: FI;">1) Observasi suhu tubuh klien</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -14.2pt;">
<span lang="FI" style="mso-ansi-language: FI;">2) Kaji pentingnya latihan nafas, batuk efektif
dan masukan cairan adekuat. </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -14.2pt;">
<span lang="FI" style="mso-ansi-language: FI;">3) Observasi warna, karakter dan bau sputum.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -14.2pt;">
<span lang="FI" style="mso-ansi-language: FI;">4) Tunjukan dan bantu pasien tentang pembuangan
tissue dan sputum.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -14.2pt;">
<span lang="FI" style="mso-ansi-language: FI;">5) Dapatkan spesimen batuk atau pengisapan sputum
pewarnaan kuman gram negatif</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 70.9pt; tab-stops: 5.0cm 155.95pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US">6) Berikan
Antimicrobial sesuai indikasi </span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 2.0cm; mso-list: l9 level5 lfo3; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Kurang pengetahun mengenai
kondisi, tidakan berhubungan dengan kurang informasi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 155.95pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -99.25pt;">
<span lang="FI" style="mso-ansi-language: FI;">Tujuan<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Menyatakan pemahaman kondisi / proses penyakit dan tindakan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 155.95pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -99.25pt;">
<span lang="FI" style="mso-ansi-language: FI;">Kriteria hasil<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:
Mengidentifikasi hubungan tanda / gejala yang ada dari proses penyakit dan
menghubungkan dengan faktor penyebab.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 155.95pt; tab-stops: 5.0cm 148.85pt; text-align: justify; text-indent: -99.25pt;">
<span lang="EN-US">Intervensi<span style="mso-tab-count: 2;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span>:</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 74.7pt; mso-list: l2 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Jelaskan proses penyakit
individu, dorong pasien dan keluarga untuk bertanya.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 74.7pt; mso-list: l2 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Intruksi rasional untuk latihan
nafas, batuk efektif dan latihan kondisi umum.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 74.7pt; mso-list: l2 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Diskusikan obat pernafasan, efek samping
dan reaksi yang diinginkan</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 74.7pt; mso-list: l2 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;
</span></span></span><span lang="EN-US">Diskusikan faktor individu yang
meningkatkan kondisi.</span></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 74.7pt; mso-list: l2 level1 lfo15; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">5)<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tekankan pentingnya perawatan oral /
kebersihan gigi.</span></div>
<div class="MsoNormal" style="margin-left: 74.7pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 42.55pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo12; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Implementasi</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; text-align: justify; text-indent: 21.25pt;">
<span lang="EN-US">Implementasi adalah pengelolaan dan
perwujudan dari rencana keperawatan yang telah disusun pada tahap perencanaan
dengan tujuan untuk memenuhi kebutuhan klien secara optimal. Pada tahap ini
perawat menerapkan pengetahuan intelektual, kemampuan hubungan antar manusia
(komunikasi) dan kemampuan teknis keperawatan, penemuan perubahan pada
pertahanan daya tahan tubuh, pencegahan komplikasi, penemuan perubahan sistem
tubuh, pemantapan hubungan klien dengan lingkungan, implementasi pesan tim
medis serta mengupayakan rasa aman, nyaman dan keselamatan klien.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 200%; margin-bottom: 12.0pt; margin-left: 35.45pt; margin-right: 0cm; margin-top: 0cm; mso-list: l5 level1 lfo12; tab-stops: 42.55pt; text-align: justify; text-indent: -7.1pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt &quot;Times New Roman&quot;;">&nbsp;&nbsp;&nbsp; </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Evaluasi</span></b></div>
<div class="MsoNormal" style="line-height: 200%; margin-left: 42.55pt; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US">Evaluasi merupakan perbandingan yang
sistemik dan terencana mengenai kesehatan klien dengan tujuan yang telah
ditetapkan dan dilakukan secara berkesinambungan dengan melibatkan klien dan
tenaga kesehatan lainnya. Penilaian dalam keperawatan bertujuan untuk
mengatasi<span style="mso-spacerun: yes;">&nbsp; </span>pemenuhan kebutuhan klien
secara optimal dan mengukur hasil dari proses keperawatan.</span></div>
</content><link rel='replies' type='application/atom+xml' href='http://zallien.blogspot.com/feeds/4541534385349791037/comments/default' title='Post Comments'/><link rel='replies' type='text/html' href='http://zallien.blogspot.com/2013/08/asuhan-keperawatan-asma-bronkhial.html#comment-form' title='0 Comments'/><link rel='edit' type='application/atom+xml' href='http://www.blogger.com/feeds/9212314978052076045/posts/default/4541534385349791037'/><link rel='self' type='application/atom+xml' href='http://www.blogger.com/feeds/9212314978052076045/posts/default/4541534385349791037'/><link rel='alternate' type='text/html' href='http://zallien.blogspot.com/2013/08/asuhan-keperawatan-asma-bronkhial.html' title='Asuhan keperawatan asma bronkhial'/><author><name>zallientollen</name><uri>http://www.blogger.com/profile/00434374345752224167</uri><email>noreply@blogger.com</email><gd:image rel='http://schemas.google.com/g/2005#thumbnail' width='16' height='16' src='https://img1.blogblog.com/img/b16-rounded.gif'/></author><thr:total>0</thr:total></entry></feed>
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