Hemodialisa CA

8/10/2019 Hemodialisa CA

1/29

LAPORAN PENDAHULUAN HEMODIALISA

DI RSD dr.SOEBANDI JEMBER

oleh

Kicha Kartini S

NIM 08!"""0"0!#

PRO$RAM PENDIDIKAN PRO%ESI NERS

PRO$RAM S&UDI ILMU KEPERA'A&AN

UNI(ERSI&AS JEMBER

0")


2/29

LAPORAN PENDAHULUAN HEMODIALISA

OLEH: KICHA KARTINI S

NIM.08231110101035

A. Pengertin

Pr!"e" trn"#!rt"i $r% $&' t()(% $#t $ignti*n !&e% "(t( 'e"in

$i'n 'e"in ter"e)(t 'en(n+ng *er+ !rgn ,it& t()(% tertent( -it( gin+&.

Pen(r(nn (ng"i gin+& ter+$i *ren #en$erit 'eng&'i *!n$i"i *&ini" gg&

gin+& *r!ni* t( gg& gin+& ter'in& $i'n (ng"i #en-ring #$ !rgn gin+&

ti$* )e*er+ "e%ingg )er$'#* "i"te'i* #$ !rgn/!rgn &in $it()(%

#en$erit. O&e% *ren it( $i&i" $i)(t(%*n !&e% #en$erit gg& gin+& (nt(*

'e'#er#n+ng ("i #en$erit.

Di&i" 'er(#*n "(t( #r!"e" #e')(ngn &i')% 'et)!&i* $n

*e&e)i%n irn $ri t()(%. Ter$#t $( 'et!$e $i&i" -it( :

. Hemodialisa "(t( #r!"e" $i'n $r% $i*e&(r*n $ri t()(% #en$erit

$n $i#!'# *e $&' 'e"in -ng *n 'en-ring t/t r(n *e&(r

$ri $r% *e'($in $r% -ng "($% )er"i% $i*e')&i*n &gi *e$&'

t()(% #en$erit.

). Dialisa peritoneal "(t( #r!"e" $i'n irn -ng 'engn$(ng

'#(rn g(& $n gr' *%("(" $i'"(**n *e $&' r!ngg #er(t $n

*n 'en-er# t/t r(n $ri +ringn.

He'!$i&i" 'er(#*n "(t( #r!"e$(r $i'n $r% $i*e&(r*n $ri

t()(% 'n("i#en$erit $n )ere$r $&' "(t( #erng*t'e"in $i&(r t()(%

-ng )i" $i"e)(t $i&-er.Pr!"e$(r ini 'e'er&(*n +&n '"(* *e &irn $r%"e%ingg $i)(t*n %()(ngn $intr rteri $n ,en 4i"t(& rteri!,en!"

'e&&(i #e')e$%n.


3/29

6. Eti!&!gi

He'!$i&i" $i&*(*n *eren #"ien 'en$erit gg& gin+& *(t $n *r!ni*

*i)t $ri : !te'i "i't!'ti" )er(# en"e&&!#ti #eri*r$iti" (re'i

%i#er*&e'i )ert *e&e)i%n irn -ng ti$* re"#!n"i,e $engn $i(reti

"i$!"i" -ng ti$* )i" $it"i )t( gin+& $n "in$r!' %e#t!ren&.

C. T(+(n

1. Me')(ng "i" #r!$(* 'et)!&i"'e #r!tein "e#erti : (re *retinin $n

"' (rt.

2. Me')(ng *e&e)i%n ir $engn 'e'#engr(%i te*nn )n$ing ntr

$r% $n )gin irn.

3. Me'#ert%n*n t( 'enge')&i*n "i"ti' )(er t()(%.

7. Me'#ert%n*n t( 'enge')&i*n *$r e&e*tr!&it t()(%.

D. In$i*"i

Prie $n i&"!n 41995 'enerng*n )% ti$* $ #et(n+(* -ng +e&"

)er$"r*n *$r *retinin $r% (nt(* 'enent(*n *#n #eng!)tn %r("

$i'(&i. Ke)n-*n %&i gin+& 'eng')i& *e#(t("n )er$"r*n *e"e%tn

#en$erit -ng ter(" $ii*(ti $engn er't "e)gi #en$erit rt +&n.

Peng!)tn )i"n- $i'(&i #)i& #en$erit "($% ti$* "ngg(# &gi )e*er+

#(rn *t( 'en$erit ne(r!#ti #erier t( 'e'#er&i%t*n ge+& *&ini"

&inn-. Peng!)tn )i"n- +(g $#t $i'(&i +i* *$r *retinin "er('

$it" ; 'g100 '& #$ #ri 7 'g100 '& #$ nit $n g&!'e&(r! i&trti!n

rte 4


4/29

1. In$i*"i %e'!$i&i"i" "eger ntr &in 4D(rgir$" et al., 200>:

. Kegtn gin+&

1. K&ini": *e$n (re'i* )ert !,er%i$r"i

2. O&ig!(ri 4#r!$(*"i (rine ?200 '&12 +'

3. An(ri 4#r!$(*"i (rine ?50 '&12 +'

7. Hi#er*&e'i 4ter(t' +i* ter+$i #er()%n EC1 t( )i*r)!nt ?12 'e&

;. Ure'i 4 6UN @150 'g$L

>. En"e&!#ti (re'i*('

8. Ne(r!#ti'i!#ti (re'i*('

9. Peri*r$iti" (re'i*('

10. Di"ntre'i )ert 4N @1;0 t( ?115 ''!&L

11. Hi#erter'i

). Ker(nn *(t 4&*!%!& !)t/!)tn -ng )i" 'e&eti 'e')rn

$i&i"i".

2. In$i*"i He'!$i&i"i" Kr!ni*

He'!$i&i"i" *r!ni* $&% %e'!$i&i"i" -ng $i*er+*n )er*e&n+(tn

"e('(r %i$(# #en$erit $engn 'engg(n*n 'e"in %e'!$i&i"i".

Men(r(t KDOBI $i&i"i" $i'(&i +i* :

.


5/29

E. K!ntrin$i*"i

Men(r(t T%i"er $n i&! 4199> *!ntr in$i*"i $ri %e'!$i&i" $&%

%i#!ten"i -ng ti$* re"#!n"i ter%$# #re"!r #en-*it "t$i(' ter'in& $n

"in$r!' !t* !rgni*. Se$ng*n 'en(r(t PERNE=RI 42003 *!ntr in$i*"i $ri

%e'!$i&i" $&% ti$* '(ng*in $i$#t*n *"e" ,"*(&er #$ %e'!$i&i"

*"e" ,"*(&er "(&it in"t)i&it" %e'!$in'i* $n *!g(&"i. K!ntr in$i*"i

%e'!$i&i" -ng &in $intrn- $&% #en-*it &%ei'er $e'en"i '(&ti

inr* "in$r!' %e#t!ren& "ir!"i" %ti &n+(t $engn en"e&!#ti $n *egn"n

&n+(t.

=. Prin"i#

T(+(n %e'!$i&i" $&% (nt(* 'eng')i& t/t nitr!gen -ng t!*"i* $ri

$&' $r% $n 'enge&(r*n ir -ng )er&e)i%n. A$ tig #rin"i# -ng

'en$"ri *er+ %e'!$i&i" -it( $i("i !"'!"i" $n (&tri&tr"i. T!*"in $n t

&i')% $i $&' $r% $i*e&(r*n 'e&&(i #r!"e" $i("i $engn r )erger*

$ri $r% -ng 'e'i&i*i *!n"entr"i &e)i% tinggi *e irn $i&i"t -ng

*!n"entr"in- ren$%. Air -ng )er&e)i%n $i*e&(r*n $ri $&' t()(% 'e&&(i

#r!"e" !"'!"i". Penge&(rn ir $#t $i*en$&i*n $engn 'eni#t*n gr$ien

te*nn: $engn *t &in ir )erger* $ri $er% $engn te*nn -ng &e)i%

tinggi 4t()(% #"ien *e te*nn -ng &e)i% ren$% 4irn $i&i"t.


6/29

gin+& )(tn (nt(* $i)er"i%*n $ri t/t )er(n 'e&&(i #r!"e" $i("i $n

(&tri&tr"i !&e% irn *%("(" (nt(* $i&i"i" 4$i&i"t.

Te*nn $i $&' r(ng $i&i"t &e)i% ren$% $i)n$ing*n $engn

te*nn $i $&' $r% "e%ingg irn &i')% 'et)!&i* $n t/t r(n $i

$&' $r% $i"ring 'e&&(i "e(t $n '"(* *e $&' $i&i"t. Pr!"e"

%e'!$i&i"i" 'e&i)t*n $i("i "!&(te 4t ter&r(t 'e&&(i "(t( 'e')rne

"e'i#er'e)&e. M!&e*(& t ter&r(t 4"i" 'et)!&i"'e $ri *!'#rte'en $r%

*n )er#in$% *e$&' *!'#rte'en $i&i"t "eti# "t )i& '!&e*(& t ter&r(t

$#t 'e&eti 'e')rn "e'i#er'i)e& $e'i*in +(g "e)&i*n-. Sete&%

$i)er"i%*n $r% $i&ir*n *e')&i *e $&' t()(%


7/29


8/29

Si"te' '!nit!ring "eti# 'e"in HD "ngt #enting (nt(* 'en+'in

ee*tiit" #r!"e" $i&i"i" $n *e"e&'tn.

.

6eri*(t $&% *!'#&i*"i %e'!$i&i" $n #en-e))n- :

No Ko*+li,a-i Pene/a/

1 Hi#!ten"i #enri*n irn -ng )er&e)i%n ter#inti%i#erten"i inr* +nt(ng t'#!n$e re*"i

ni&*"i"

2 Hi#erten"i *e&e)i%n ntri(' $n ir (&tri&tr"i -ng ti$*

$e*(t

3 Re*"i A&ergi Re*"i &ergi $i&i"er t)(ng %e#rin )e"i &te*"

7 Arit'i


9/29

> Dialysis

disequilibirium

Per#in$%n !"'!"i" ntr intr"e& $n e*"tr"e&

'en-e))*n "e& 'en+$i )eng** e$e'

"ere)r&.

Pen(r(nn *!n"entr"i (re #&"' -ng ter&&(

e#t

8 Chlorine He'!&i"i" !&e% *ren 'en(r(nn- *!&!'

charcoal

9 K!nt'in"iFluoride


10/29

6&!!$ #t% ini 'er(#*n "&(rn $r% #$ #r!"e" %e'!$i&i".

Dig(n*n (nt(* 'eng&ir*n $r% $ri #"ien 4rteri& t%eter #!rt

'en(+( i&ter $n $ete*t!r ($r g('#&n $n *e')&i *e #"ien.

. U&tri&trte #t%

U&tri&trte #t% 'er(#*n +&(r -ng $ig(n*n (nt(* 'enge&(r*n ir

t ter&r(t retinin $n t tertent( &inn- $ri $r% #"ien. Ft/t

ter"e)(t $i*e&(r*n 'e&eti $ete*t!r $n "ringn (&tri&tr"i -ng

nntin- )er*%ir #$ !&&eti!n )g 4*nt!ng #en'#(ng.

$. =&(i$ re#&e'ent #t%

Cirn -ng $i')i& !&e% #!'# *etig $i#n"*n $n $i#!'# *e')&i

*e "ir*(it "e)e&(' i&ter.

e. B(int!n t%eter

Kteter ini 'e'i&i*i (+(ng ter)(* 4)er)ng. M"ing/'"ing (+(ng

ter)(* ter"e)(t $ig(n*n "e)gi &irn $r% #"ien (nt(* 'eng&ir *e

&(r t()(% $n *e')&i &gi *e t()(%.

. He'!i&ter


11/29

-ng '"(*. Se%ingg 'eng%in$r*n ter+$in- #en-(')tn $r%

*ren $n- ($r.

i. 6&!!$ &e* $etet!r

Dete*t!r ini $ig(n*n (nt(* 'en$ete*"i $n- $r% #$ +&(r

(&tri&tr"i 4ulttrafiltrate path.

+. Trn"$(er

Trn"$("er )er(ng"i (nt(* 'e'nt( te*nn $&' "i"te'. Ter$#t

)e)er# '' trn"$("er -it( rteri& trn"$(er ,en!(" trn"$(er

$n trn"$(er &inn-. Arteri& trn"$(er $ig(n*n (nt(* 'eng(*(r

te*nn negti -it( *eti* $r% $itri* *e &(r t()(% #"ien. Gen!("

trn"$(er $ig(n*n (nt(* 'eng(*(r te*nn #!"iti -it( *eti* $r%

$i*e')&i*n '"(* *e $&' t()(%. Trn"$("er &inn- "&% "t(n-

)er(ng"i (nt(* 'eng(*(r te*nn -ng )er"& $ri blood leak detector

-ng #en(% $engn (&tri&trt.

*. Cir(it %eter

Dig(n*n (nt(* 'ening*t*n "(%( 4#n" #$ &irn replacement

fluid bags *ren irn #$ replacement fluid bags*n ter" $ingin

#$ t()(% #"ien +i* tn# #e'n"n.

I. Pr!"e$(r

He'!$i&i" 'en*(# "%(nting #eng&i%n r(" $r% $ri t()(% #"ien *e

$i&i"t!r $i'n ter+$i $i("i $n (&tri&tr"i $n *e'($in *e')&i *e "ir*(&"i

#"ien. Unt(* #e&*"nn %e'!$i&i" ter+$i -ng '"(* *e $r% #"ien "(t(

'e*ni"'e -ng 'entr"#!r $r% *e $n $ri $i&i"t!r $n $i&i"t!r 4$er%

$i'n ter+$i #ert(*rn &r(tn e&e*tr!&it $n #r!$(*/#r!$(* "i" )er&ng"(ng.

Cr (t' -ng '"(* *e &irn $r% #"ien. Ini ter$iri $ri -ng )eri*(t:

. =i"t(& erteri!,en

). Etern& rteri!,en!("r(" rteri!r,en e*"tern&

. Kteteri""i ,en e'!r&

$. Kteteri""i ,en "()*&,i


12/29

Ti#e In$i*"i Ke(nt(ngn I'#&i*"i *e#ertn

Kteteri""i

,en &e'!r&

1. Seger

'"(*

2. Agr

ter&i%t "eger

'"(* $&'

*t( "ing*t

1. M($%

'"(*

2. D#t

"eger $i#*i

1. Meng*+i *&ien -ng

"ering 'engeni #er$r%n

#$ te'#t '"(*

2. Hr(" "ering $i)i&"

$engn &r(tn %e#rin gr

tet# #ten

3. Te*ni* "teri& "ngt

#enting )i& 'engeni

*teter.

E*"tern&

"%(nt

1. Per&( *t(

&'

4'ingg(n

t( )(&nn

(nt(* '"(**e ,"*(&er

2. M"(*

$&'

)e)er# +'

1. M($%

'"(*

2. D#t

"eger $i#*i

1. Meng*+i* &ien -ng


#$ te'#t '"(*

2. Meng*+i *e#tenn

'"(* -ng "ering $n'e'#er%ti*n &irn $r%

&et "%(nt

3. S%(nt 'er(#*n te'#t

#!ten"i& 'en+$i ine*"i

Kteteri""i

,en

"()&,i

1. Lng"(ng

'"(*

2. *t(

#en$e* t(

#n+ng

1. A*tiit"

*&ien ti$*

ter)t"

2. Hn-

$i#er&(*n

"t( *teter

1. Meng*+i *&ien -ng


#$ te'#t '"(*

2. Te*ni* "teri&it"

$i#er&(*n )i& 'enge&!&

*teter

3. Per&( $i)i&" $engn

&r(tn %e#rin (nt(*

#e'e&i%rn *e#tenn


13/29

=i"t(& $n

grt

rteri!,en

1. Per&(

'"(* -ng

#er'nen

1. Se'(

te'#t '"(*

"ngt *(rng

(nt(* ine*"i

2. Sete&% $

'e'($%*n

(nt(* '"(*

1. Peng*+in i"t(& t(

grt $e#"i t(

("t*(&t"i )r(it)(n-i r("

2. Pe"n*n *e#$ *&ien

gr i"t(& ti$* terte*n

!&e% )+( -ng *ett t(

'engng*t "e"(t( $engn

&engn $i)e&!**n

3. K&ien $i'int (nt(*

'eng*+i i"t(& 'engeni

tn$/tn$ ge+& ine*"i

ter$iri $ri n-eri 'er%

)eng** t( "ngt #n".

Sete&% #eng*+in #r$i&i"i" 'enge')ng*n t(+(n $n 'e'eri*"

*e'nn #er&tn #ert "($% "i# (nt(* 'e'(&i %e'!$i&i"i". A*"e" *e

"-"te' "ir*(&"i $i#i 'e&&(i "&% "t( $ri )e)er# #i&i%n: i"t(& t(

tn$(r rteri!,en!" 4AG t( *teter %e'!$i&i"i" $( &('en. D( +r('

)er&()ng )e"r 4$i'eter 15 t( 1; $i)(t(%*n (nt(* 'eng*n(&"i i"t(& t(

tn$(r AG. Kteter $( &('en -ng $i#"ng )i* #$ ,en "()*&,i*(&

+(g(&ri" intern t( e'!r&i" %r(" $i)(* $&' *!n$i"i "e#ti "e"(i

$engn *e)i+*n in"tit("i.


14/29

i* *"e" ,"*(&er te&% $itet#*n $r% '(&i 'eng&ir $i)nt( !&e%

#!'# $r%. 6gin $ri "ir*(it $i"#!"i)e& "e)e&(' $i&i"er $i#er(nt(**n

"e)gi &irn rteri&J *e$(n- (nt(* 'e')e$*n $r% -ng '"(* *e

$&'n- "e)gi $r% -ng )e&(' 'en#i $i&i"er $n $&' (n (nt(*

'e&et**n +r(': +r(' rteri&J $i&et**n #&ing $e*t $engn n"t!'!"i"

AG #$ ,i"t(& t( tn$(r (nt(* 'e'*"i'&*n &irn $r%. Knt!ng irn

n!r'& "&in -ng $i *&e# "e&&( $i"')(ng*n *e "ir*(it te#t "e)e&(' #!'#

$r%.

P$ *e+$in %i#!ten"i $r% -ng 'eng&ir $ri #"ien $#t $i*&e'

"e'entr irn n!r'& "&in -ng $i*&e' $i)(* $n 'e'(ng*in*n $engn

e#t 'engin(" (nt(* 'e'#er)i*i te*nn $r%. Trn("i $r% $n #&"'

e*"#n$er +(g $#t $i"')(ng*n *e "ir*(it #$ *e$n ini $n $i)ir*n

(nt(* 'enete" $i)nt( $engn #!'# $r%. In(" %e#rin $#t $i&et**n )i*

"e)e&(' t( "e"($% #!'# $r% tergnt(ng #er&tn -ng $ig(n*n.

Di&i"er $&% *!'#!nen #enting "e&n+(tn- $ri "ir*(it. Dr% 'eng&ir

*e $&' *!'#rte'en $r% $ri $i&i"er te'#t ter+$in- #ert(*rn irn

$n t "i". Dr% -ng 'eningg&*n $i&i"er 'e&eti $ete*t!r ($r $n !'

-ng 'eng*&e' $n 'eng%enti*n #!'# $r% )i& ter$ete*"i $n- ($r.

P$ *!n$i"i "e#erti ini "eti# !)t/!)t -ng *n $i)eri*n #$ $i&-"i"

$i)eri*n 'e&&(i #!rt !)t/!)tn. Penting (nt(* $iingt )% *e)n-*n

!)t/!)tn $it(n$ #e')erinn- "'#i $i&-"i" "e&e"i *e(&i 'e'ng

$i#erint%*n.

Dr% -ng te&% 'e&eti $i&-"i" *e')&i *e #"ien 'e&&(i ,en!"J

t( "e&ng #!"t$i&i"er. Sete&% *t( tin$*n -ng $ire"e#*n $i&-"i" $i*%iri

$engn 'eng*&e' $r% $ri #"ien 'e')(* "e&ng &irn n!r'& "&in $n

'e')i&" "ir*(it (nt(* 'enge')&i*n $r% #"ien. Se&ng $n $i&i"er $i)(ng

*e$&' #erng*t *(t 'e"*i#(n #r!gr' $i&i"i" *r!ni* "ering 'e')e&i

#er&tn (nt(* 'e')er"i%*n $n 'engg(n*n (&ng $i&i"er.


15/29


16/29

Ke'($in &irn $r% $ri t()(% #"ien '"(* *e $&' "ir*(&"i $r%

'e"in HD -ng ter$iri $ri "e&ng In&etrteri& 4*e 'e"in $n "e&ng

O(t&et,en!(" 4$ri 'e"in *e t()(%. Ke$( (+(ngn- $i"')(ng *e +r(' $n

*n(& -ng $it("(**n *e #e')(&(% $r% #"ien. Se&' #r!"e" HD $r%

#"ien $i)eri He#rin gr ti$* 'e')e*( *eti* )er$ $i &(r t()(% -it( $&'

"ir*(&"i $r% 'e"in. Se&' 'en+&ni HD #!"i"i #"ien $#t $&' *e$n

$($(* t( )er)ring. Se&in 'en+&ni HD $&' +ng* #n+ng !)t/!)t

-ng $i#er&(*n ntr &in !)t -ng 'engt"i ne'i "e#erti "(nti*n %!r'!n

eritr!#!etin "ert #e')erin t )e"i. Se&in it( !)t -ng 'en(r(n*n *$r

!"t $r% -ng 'ening*t -ng $#t 'enggngg( *e"e%tn t(&ng $i)eri*n

!)t #engi*t !"t 4P%!"#%te )in$er. O)t/!)t &in -ng $i#er&(*n "e"(i

*!n$i"i #"ien 'i"&n- !)t %i#erten"i !)t/!)t ntigt& ,it'in #en(n+ng

4-ng )e)" !"!r '(#(n 'iner& -ng ti$* #er&(.


17/29

Ner!#ti T!*"i*

1. Pen$%(&(n


18/29

2. Eti!&!gi

Ft/t -ng $#t 'er("* gin+& )i* "tr(*t(r '(#(n (ng"i gin+&

$i"e)(t "e)gi ner!t!*"in -ng $#t 'er(#*n :

1. M*nn -it( '*nn -ng tere'r r(n *i'i r(n tn'n "erngg

t( '*nn -ng "er &'i% "($% 'engn$(ng r(n "e#erti +eng*!&

"ing*!ng t( +'(r -ng $#t 'er("* gin+&.

2. 6%n *i'i -it( )%n -ng 'engn$(ng &!g' )ert "e#erti ti'%

4P)e'" *$'i('.

3. O)t/!)tn nti)i!ti* !)t *e'!ter#i "i*&!"#!rin "it!"tti* $&&.

7. Ft r$i!*!ntr".

Dri *ee'#t ner!t!*"in '* !)t $n )%n *i'i -ng #&ing "ering

'en-e))*n *er("*n gin+&.

3. Pt!gene"i"


19/29

Sit/"it *%" -ng $i"e)(t $i t" ini&% -ng 'e'($%*n ter+$in-

gngg(n "tr(*t(r $n (ng"i gin+& )i& $i$&' $r% ter$#t t -ng )er"it

ner!t!*"i*. 6eri*(t )e)er# !)t "ert t *i'i $engn #!ten"i $#t 'er("*

gin+& -it( :

1. A"et'in!en $#t 'eni')(&*n *er("*n #$ ##i&& ren&i".

2. S&i"i&t $#t 'eni')(&*n neriti" inter"titi&.

3. Anti)i!ti* g!&!ngn 'in!g&i*!"i$ $n g!&!ngn "e&!"#!rin )er#!ten"i

'eni')(&*n *e$n neriti" inter"titi& $n *er("*n "e&/"e& t()(&(".

7. 6"itr"in $#t 'eni')(&*n $egener"i e#ite& t()(&(".

5. P!&i'i*"in 6 $n E )er#!ten"i 'eni')(&*n *er("*n t()(&(" gin+&.

;. Tetr"i*&in $#t 'eni')(&*n "in$r!' n!ni.

>. A'!teri"in 6 )er#!ten"i 'eni')(&*n *er("*n #$ g&!'er(&(" $n tr!i

#$ +ringn t()(&(" gin+&.

8. L!g' )ert 'i"&n- 'er*(ri $#t 'eni')(&*n ne*r!"i" #$ +ringn

t()(&(" "er *(t $n i"*e'i #$ gin+&. Ti'% 4P) )er#!ten"i

'eni')(&*n *e$n "in$r!' n!ni $n *er("*n #$ t()(&(" gin+&.

Di*en& 5 '' 'e*ni"'e ter+$in- ner!#ti t!*"i* -it( :

A. D'#* &ng"(ng ter%$# "e& #ren*i' gin+&.

Ker("*n &ng"(ng ini ter(t' $i"e))*n !&e% #engg(nn t -ng

'engn$(ng &!g' )ert. L!g' )ert -ng $ii&tr"i !&e% g&!'er(&(" $#t

$ire"!r#"i *e')&i !&e% "e& t()(&(" "e%ingg "e& t()(&("&% -ng #&ing "ering

'eng&'i *er("*n. Ker("*n ini 'engeni %'#ir "e&(r(% "tr(*t(r "()"e&(&er

"e#erti 'e')rn #&"' 'it!*!n$ri &i"!"!' reti*(&(' en$!#&"' $n inti

"e&.

6. Re*"i i'(n!&!gi"

Pr!"e" i'(n!&!gi" &e)i% "ering ter+$i #$ #e'*in !)t/!)tn "e#erti

#eni"i&in 'eti"i&in $"). Re*"i -ng ter+$i 'er(#*n re*"i %i#er"en"itiit"


20/29

ter%$# t ter"e)(t $i t" "e$ng*n #r!"e" -ng ti')(& 'er(#*n #r!"e"

i'(n!&!gi* )i* "er %('!r& "e#erti ter)ent(*n- $e#!"it i'(n *!'#&e*"

re*"i ntr nti)!$i $engn ntigen 'e')rn )"&i" g&!'er(&(" '(#(n

"er "e&(&er.

C. O)"tr(*"i "&(rn *e'i%.

U'('n- !)"tr(*"i -ng ter+$i "e)gi *i)t *ri"t&i""i t tertent(

-ng *e'($in 'engen$# $i &('en t()(&(" -ng "e&n+(tn- $i"erti #(&

$engn #engen$#n "e& t()(&(" -ng r("*. Pengen$#n *ri"t& $n "e& t()(&("

-ng r("* ini "ering $i"erti #r!"e" in&'"i -ng *%irn- 'en-e))*n

!)"tr(*"i &('en t()(&(". Di In$!ne"i $i*en& *er(nn +eng*!& -ng $#t

'en-e))*n !)"tr(*"i "&(rn *e'i% )i* intrren& '(#(n e*"trren&.

Di$(g #engen$#n "' +eng*!& -ng 'en-(')t "&(rn *e'i%.


21/29

7. Mnie"t"i *&ini*


22/29

$&' $r% '* #e')erin !)t "e)i*n- $i%enti*n t( )i& "ngt #er&(

'* $!"i" %r(" $it(r(n*n "e"(i $engn #en(r(nn (ng"i gin+&.

2. Ker(nn t *!ntr"

Dengn )er*e')ngn- #r!"e$(r $ign!"ti* r$i!&!gi* -ng 'e'*i t

*!ntr" #$ 20 t%(n ter*%ir ini '* *een$r(ngn 'enig*tn- *e+$in


23/29

A"(%n Ke#ertn P"ien He'!$i&i"i"

I. Peng*+in

. Ke&(%n:

K&ien $engn %e'!$i&i"i" )i"n- 'enge&(%*n: Le'" #("ing gt&

)&/)& )eng**/)eng** "e"* *r' 6AK ti$* &nr '(& '(nt% ti$*

n"( '*n "("% ti$(r )er$e)r 'enret "("% 6A6 #eng&i%tn ti$* +e&"

"*it *e#& n-eri $$ n-eri #(ngg(ng "("% )er*!n"entr"i *(&it *ering

#n$ngn ge n-eri !t!t n-eri #$ #en("(**n +r(' re')e" #$ *"e"

$r% *eringt $ingin )t(* )er$%*ti$*.

).Ri-t Ke"e%tn St Ini

Penge')ngn Ke&(%n Ut' $engn #erng*t PBRST $n

#engr(%n- ter%$# *ti,it" "e%ri/%ri.

. Ri-t Ke"e%tn D%(&(

Menn-*n $n- ri-t ine*"i "&(rn *e'i% ine*"i !rgn &in

ri-t *ening )t(!)"tr(*"i ri-t *!n"('"i !)t/!)tn +'( ri-t

tr(' gin+& ri-t #en-*it en$!*rin ri-t #en-*it *r$i!,"*(&er

ri-t $r% tinggi ri-t *e%'i&n ri-t $e%i$r"i ri-t tr('.

$.Ri-t Ke"e%tn Ke&(rg

Menn-*n ri-t #!&i*i"ti* $i)ete" %i#erten"i ri-t #en-*it

gin+& -ng &in.

e.Pe'eri*"n =i"i*

Aktivitas istirahat/tidur

o Le&% &e'% t( '&i"e

o In"!'ni

o T!n(" !t!t 'en(r(n

o ROM )er*(rng


24/29

irkulasi

o Pit"i ngin n-eri $$

o Hi#erten"i $i"ten"i ,en +(g(&ri"

o Di"rit'i

o P&&!r

o Hi#!ten"i%i#erten"i n$i &e'%%&("

o E$e' #eri!r)it&/#reti)i&

o Ane'i

o Hi#er&i#i$e'i

o Hi#er#rtir!i$

o Tr!')!"it!#eni

o Perir$iti"

o Ater!"*&er!"i"

o CH=

o LGH

!liminasio P!&i(ri #$ & gngg(n gin+& !&g(ri $n n(ri #$ "e &n+(t

o Di"(ri *+i rn (rin

o Ri-t )t( #$ "&(rn *ening

o A"ite" 'ete!ri"'(" $ire *!n"ti#"i

"utrisi/cairan

o E$e' #ening*tn 66

o De%i$r"i #en(r(nn 66

o M(& '(nt% n!rei n-eri (&( %ti

o Ee* #e')erin $i(reti

o T(rg!r *(&it

o St!'titi" #er$r%n g("i

o Le'* "()*(tn 'en(r(n

o Di"ten"i )$!'en

o

R" %("


25/29

o


26/29

o Inerti&e

. Peng*+in P"i*!"!"i&

o Integrit" eg!

o Inter*"i "!i&

o Ting*t #enget%(n tentng #en-*it $n #ent&*"nnn-

o Stre"" e'!"i!n&

o K!n"e# $iri

g. L)!rt!ri('

o Urine &eng*#

o Dr% &eng*# 'e&i#(ti: H)Ht L Tr!')!"it LED Ure(' #re $n #!"t

*retinin #re $n #!"t #r!tein t!t& &)('in g&!)(&in S


27/29

ii. Dign!" $n Inter,en"i Ke#ertn

N! Dign!" Ke#ertn T(+(n Inter,en"i

1 P!& n" ti$* ee*ti

).$.

O,er %i$r"i:

#en('#(*n irn $i

#r(

A"i$!"i": #ern#"n

*("'(&

Ane'i

Hi#er*&e'i

Kr*teri"ti*

K&ien 'enge&(% "e"*

RR @ 30 'nt

Ter$#t #!& n#"

*("'(&

Retr*"i inter*!"t&i" 4

Pern#"n (#ing

%i$(ng 4

Sin!"i" #$ *r& 4

P&&!r 4

R!n%i 4H) ? 9 'g$&

Di"#ne( 4

Ort%!#ne( 4

S#(t(' )er)(" $r%

4

P!& n#" ee*ti $engn

*riteri:

Ke&(%n "e"*

)er*(rng%i&ng

Retr*"i inter*!"t&i" 4/

Rr 1;/20 'nt

P!& n#" *("'(& 4/

Sin!"i" 4/

H) 10/11 'g$&Ort%!#ne( 4/

Di"#ne( 4/

P&&!r 4/

P% 4/

1. O)"er,"i tn$

,it& *+i #!&

n#" *+i $n-

*("'(& #eri*"

"(r n#" $ri

$n- r!n%i.

2. At(r #!"i"i

"e'i!&er

3. 6eri*n !*"igen&e')) "e"(i

*e)(t(%n.

7. At(r U=R

$engn )er$"r

#$ 66 *ering

5. 6eri*n $i&i"t

)int

;. L*(*n

(&tri&tr"i ter#i"%

)i& #er&(

>. 6eri*n

trn"("i $r% PRC)i& H)?

8. L*(*n

*!&)!r"i

#e')erin t%eri

!)t (nt(*

'eng*!re*"i

"i$!"i" ne'i

2


28/29

Hi#erten"i 4

Pening*tn 66 -ng

"ignii*nPern#"n #en$e*/

e#t

R!n%i 4 e$e' #r(

!,er%i$r"i +('&%

ir -ng $i'in('

500 $i(re"i" %ri

7. A+r*n *&ien

tentng $iet ren$%

"!$i(' (nt(*

'eng!ntr!& e$e'

$n %i#erten"i

5. A+r*n *&ien gr

#ening*tn 66

inter$i&iti* ti$*

&e)i% $ri 5 66

*ering

;. 6eri*n !*"igen&e')) )i& "e"*

>. L*(*n U= (nt(*

'en#i 66 *ering

8. L*(*n SBHD

)i& #er&(

3


29/29

DA%&AR PUS&AKA

!ne. 2007."ursing %ntervention Classification. M!")- : USA

!ne. 2007."ursing #utcomes Classification. M!")- : USA

Mn"+!er Ari. 2001.$apita elekta $edokteran. *rt : Me$i Ae"(i("

N(rri A.H. K("(' H.K. 2013.Aplikasi Asuhan $eprea&atan 'erdasarkan

Diagnosa (edis ) "A"DA "%C*"#C.!g-*rt : Me$iti!n P()&i"%ing

PrieS.A. i&"!n L.M. 2005.+atofisiologi $onsep $linis +roses*+roses

+enyakit. *rt : E

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