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    SATUAN ACARA PENYULUHAN

    JUDUL : HIPERTENSI

    POKOK BAHASAN : HIPERTENSI

    SUB POKOK BAHASAN : HIPERTENSI LANSIA

    WAKTU :30 MENIT

    HARI/TANGGAL :SABTU, 22 OKTOBER 2011

    SASARAN : PARA LANSIA

    TEMPAT : JOGORIPON, PANGGUNG HARJO, SEWON, BANTUL

    I. TUJUAN INSTRUKSIONAL UMUMSetel ! "e#$%&'t% (e#)'l'! # ( * l #+% " "(' "e" ! "% # "e#$e*t% te#t #$

    !%(e*te#+% ( l #+% .

    II. TUJUAN INSTRUKSIONAL KHUSUS1. P * l #+% ( t "e#-el +& # te#t #$ (e#$e*t% # H%(e*te#+%.2. P * l #+% ( t "e#$et !'% &l +% %& +% H%(e*te#+%.3. P * l #+% ( t "e#$et !'% $e- l $e- l H%(e*te#+%.

    . P * l #+% ( t "e#$et !'% (e#)e H%(e*te#+%.

    . P * l #+% ( t "e#$et !'% * (e# #$ # # # (e#$4 t # H%(e*te#+%.5. P * l #+% ( t "e#$et !'% * (e# e$ ! # H%(e*te#+%.

    III. POKOK POKOK MATERIMATERI TERLAMPIR

    I6. KEGIATAN PEN7ULUHAN

    N4 T ! ( Ke$% t # Pe#)'l'! Ke$% t # A' %e# e W &t'1. Pe" '& # . Me" e*% + l "

    . Me"(e*&e# l& #

    %*%. Me#-el +& # t'-' #

    . Me#- 8 + l " . Me# e#$ *& # #

    "e"(e*! t%& #. Me#)%" &

    9 "#t

    1

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    (e#)'l'! #2. I#t% . Me#-el +& # " te*%

    (e#)'l'! # . D%+&'+% T #)

    - 8 ;

    . Me# e#$ *& # #

    "e"(e*! t%& # . Be*t #) #

    "e#)%" & (e#-el + #

    920

    "#t

    3. Pe#'t'( . Mel &'& # e< l' +% . Me#)%"('l& #

    " te*%. Me#$' (& #

    + l " (e#'t'(

    . Me#- 8

    (e*t #) # . Me#)%" &

    &e+%"('l #. Me#- 8 + l "

    9 "#t

    6. METODE1. =e* " !2. T #) - 8

    6I. MEDIA/SUMBER 1. Me %

    Le let2. S'" e* Me %

    . M #+-4e* A*% , 2000. K (%t Sele&t Ke 4&te* #. J & *t : Me % Ae+ 'l (%'+

    >KUI . !tt(:// +&e( $. l4$+(4t. 4"/2010/02/+ ( !%(e*te#+% l #+% .!t"l

    . !tt(://*4?elt.%# 4#et84*&. 4.%

    6II. E6ALUASI1. E< l' +% P*4+e+

    . Pe+e*t " ' "e# e#$ *& # # "e#)%" & e#$ # %& ( ) #$ %+ "( %& #

    4le! (e#)'l'!. . Pe+e*t " ' e*t #) te#t #$ +e('t * " te*% (e#)'l'! # ) #$ %+ "( %& #.

    2. E< l' +% H +%l. Pe+e*t ( ! " te#t #$ " te*% (e#)'l'! # ) #$ %+ "( %& #.

    . Pe+e*t ( t "e#- 8 (e*t #) # te#t #$ +e('t * " te*% (e#)'l'! #

    @H%(e*te#+% ( L #+% .

    2

    http://askepbdg.blogspot.com/2010/02/sap-hipertensi-lansia.htmlhttp://rozelt.indonetwork.co.id/http://rozelt.indonetwork.co.id/http://askepbdg.blogspot.com/2010/02/sap-hipertensi-lansia.html

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    POKOK-POKOK MATERI

    1. PENGERTIAN

    Tekanan darah tinggi t ' hi erten!i l ! &4# %+% "e %+ % " # te*- %

    (e#%#$& t #te& # # * ! +e * &*4#%+ l " - #$& 8 &t' l " ;. Pe# e*%t ) #$

    "e"('#) % +e&'* #$ &'* #$#) t%$ # te& # # * ! ) #$ "ele %!% 1 0/ 0 ""H$

    + t %+t%* ! t %(e*&%* & # "e"('#) % &e # * ! t%#$$%.Te& # # * ! ) #$ +el l'

    t%#$$% l ! + l ! + t' &t4* *%+%&4 '#t'&+t*4&e, +e* #$ # - #t'#$, $ $ l - #t'#$ #

    #e'*%+" *te*% l, # "e*'( & # (e#)e 't " $ $ l - #t'#$ &*4#%+.

    P (e"e*%&+ # te& # # * ! & # % ( t ' #$& . A#$& ) #$ le %! t%#$$%

    %(e*4le! ( + t - #t'#$ e*&4#t* &+% sistolik ;, #$& ) #$ le %! *e# ! %(e*4le!

    ( + t - #t'#$ e*el &+ +% diastolik ;. Te& # # * ! &'* #$ *% 120/C0 ""H$

    3

    http://id.wikipedia.org/wiki/Medishttp://id.wikipedia.org/wiki/Medishttp://id.wikipedia.org/wiki/Medishttp://id.wikipedia.org/wiki/Tekanan_darahhttp://id.wikipedia.org/wiki/Tekanan_darahhttp://id.wikipedia.org/wiki/Tekanan_darahhttp://id.wikipedia.org/wiki/Strokehttp://id.wikipedia.org/wiki/Strokehttp://id.wikipedia.org/wiki/Serangan_jantunghttp://id.wikipedia.org/wiki/Serangan_jantunghttp://id.wikipedia.org/wiki/Gagal_jantunghttp://id.wikipedia.org/wiki/Gagal_jantunghttp://id.wikipedia.org/w/index.php?title=Aneurisma&action=edit&redlink=1http://id.wikipedia.org/w/index.php?title=Aneurisma&action=edit&redlink=1http://id.wikipedia.org/wiki/Jantunghttp://id.wikipedia.org/wiki/Jantunghttp://id.wikipedia.org/wiki/Medishttp://id.wikipedia.org/wiki/Tekanan_darahhttp://id.wikipedia.org/wiki/Tekanan_darahhttp://id.wikipedia.org/wiki/Strokehttp://id.wikipedia.org/wiki/Serangan_jantunghttp://id.wikipedia.org/wiki/Gagal_jantunghttp://id.wikipedia.org/w/index.php?title=Aneurisma&action=edit&redlink=1http://id.wikipedia.org/wiki/Jantung

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    % e %#%+%& # +e $ % #4*" l . P te& # # * ! t%#$$%, % + #) te*- % &

    te& # # +%+t4l%& # % +t4l%&. H%(e*te#+% % + #) te*- % (te& # # * ! 1 0/ 0

    ""H$ t ' &e t +, %'&'* % &e ' le#$ # t%$ & l% l " - #$& e e* ( "%#$$'.

    B%l +e+e4* #$ "e#$ l "% te& # # * ! t%#$$% # t% & "e# ( t& #

    (e#$4 t # # (e#$4#t*4l # +e * te* t'* *'t%#;, " & ! l %#% ( t "e" 8 +%

    (e# e*%t &e l " & +'+ & +'+ +e*%'+ !& # %+ "e#)e & # &e" t% #. Te& # #

    * ! t%#$$% ) #$ te*'+ "e#e*'+ "e#)e & # - #t'#$ +e+e4* #$ e&e*- e t* &e* +,

    &!%*#) &4# %+% %#% e* &% t te*- %#) &e*'+ & # ( (e" 'l'! * ! - #t'#$, $%#-

    4t & # " t . Pe#) &%t !)(e*te#+% %#% "e*'( & # (e#)e '"'" te*- %#) +t*4&e #

    +e* #$ # - #t'#$ Heart atta"k #.

    Se&%t * 50F l #+% & # "e#$ l "% !%(e*te#+% +etel ! e*'+% t !'#. K4#t*4l

    te& # # * ! ) #$ &et t ( ( +%e# % ete+ e*!' '#$ # e#$ # (e# e$ ! #

    te*- %#) !%(e*te#+% ) #$ t & te*&e# l%. H%(e*te#+% "e*'( & # $e- l ) #$ ( l%#$ +e*%#$

    %te"'% ( 4* #$ l #-'t '+% # "e#- % &t4* *%+%&4 't " %#+% e# (e#) &%

    & * %4< +&'l *. K *e# #) , &4#t*4l te& # # * ! "e#- % (e* 8 t # 't " 4* #$ 4* #$

    l #-'t '+% . J4+e R4e+" , *% %KUI RSUPN *.

    =%(t4 M #$'#&'+'"4, J & *t "e#$'#$& (& # !8 ( 4* #$ t' '"'"#) te*- %

    !%(e*te#+% e#$ # +%+t4l%& te*%+4l +% ) #$ e*!' '#$ # e#$ # !%l #$#) el +t%+%t + *t ' $% # *% (e#' #. Je#%+ ) #$ e"%&% # le %! +'l%t '#t'& %4 t% % # %

    !%(e*te#+% e+e#+% l t ' ( ( +%e# ) #$ le %! "' . O t 4 t #t%!%(e*te#+% te* *'

    ) #$ e&e*- ( +%+te" *e#%# #$%4te#+%# l 4+te*4#, "%+ l#) A#$%4te#+%# =4#

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    H%(e*te#+% +el %# "e#$ &% t& # #$& &e" t% # ) #$ t%#$$% !%$! +e t

    * te; -'$ e* "( & &e( " ! l#) (e#$4 t # # (e* 8 t # ) #$ ! *'+ %t #$$'#$

    ( * (e# e*%t . Pe*l' ('l %%#$ t !%(e*te#+% e* "( & ('l $% (e#'*'# # &' l%t +

    !% '(. H%(e*te#+% +e e# *#) ( t %t'*'#& # *% 4* #$ t' &e( # ) . J%& + l !

    + t' 4* #$ t' te*&e# H%(e*te#+%, " & &e e# e*'#$ # # & '#t'& "e# e*%t H%(e*te#+%

    l ! le %! e+ * % # %#$& # e#$ # "e*e& ) #$ t% & "e"%l%&% 4* #$ t' (e# e*%

    H%(e*te#+%.

    I!$%ated !&!t$%i" '%$$d re!!(re

    Se(e*t% tel ! %+e 't& #, ( * l #+% te*#) t le %! +e*%#$ "e#$ l "% !%(e*te#+%

    +%+t4l%& # (e#$4 t # !%(e*te#+% + "( % + t %#% " +%! #) & ) #$ te* 4&'+ (

    te& # # % +t4l%& 0 ""H$ t #( "e"%&%*& # #$& +%+t4l%) , +e!%#$$ #)

    l #+% ) #$ t% & te* ete&+% "e# e*%t !%(e*te#+% +%+t4l%&. Pe#el%t% # -'$ "e#)e 't&

    !8 "e#'*'##) te& # # +%+t4l%& ( t "e#)e & # (e#'*'# # '* ! - #t'#$, *%+%&4

    %# *& "%4& * , +e*t (e#) &%t & * %4< +&'l * l %##) . Te& # # +%+t4l%& -'$ "e#

    (*e %&t4* ) #$ le %! +e#+%t% % # %#$ te& # # % +t4l%&.

    H%(e*te#+% -'$ "e#- % &t4* 't " te*- %#) (e#) &%t - #t'#$ &4*4#e*, ) #$

    te*'t " "e#)e* #$ % t + '+% t !'#. Se $ % &4#+e&'e#+%#) , &4#t*4l te& # #* ! "e*'( & # &'# % 't " "e#- $ &e+e! t # & * %4< +&'l *. D4&te* -'$ ! *'+

    "el &'& # e '& +% te*'+ "e#e*'+ '#t'& "e#$!%# *% te*- %#) !%(e*te#+% +%+t4l%&. T% &

    +t # * te*te#t' '#t'& "e#e#t'& # & te$4*% '"'* ) #$ %& t & # t' , # "'#

    (e#$e*t% # l #-'t '+% l #+% ; % l ! " #'+% % t + '+% 50 t !'#. Be* + *& # Gl4

    R%+& A++e+"e#t S 4*%#$ =! *t *% (e#el%t% # >* "%#$! ", e* t # +e%*%#$ '+% -'$

    & # "e#%#$& t& # *%+%&4 te*- %#) PJK +et% ( &e# %& # l%" t !'#.

    I+4l te +)+t4l% !)(e*te#+%4# ISH; % e %#%+%& # +e $ % te& # # * ! +%+% t + + " e#$ # 1 0 ""H$ ( te& # # % +t4l%& &'* #$ *% + " e#$ # 0

    ""H$. Ke # %#% te*- % & *e# !%l #$#) el +t%+%t + *te*% t ' &% t (e#' #. D l

    &e # %#% 4*t "e#- % & &' # &!%*#) "e#)e & # "e#%#$& t#) te& # #

    +%+t4l%& # (e#'*'# #

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    te& # # % +t4l%&. P 4* #$ 4* #$ t' , (e#$'&'* # te& # # +%+t4l%& ) #$ "e#%#$& t %#

    le %! +%$#% %& # & *e# ( t "e#'#-'&& # te*- %#) &e& &' # *te*% e+ *, te*'t

    4*t , e e) %+ "e" ' t &e*'+ & # - #t'#$, $%#- l, +e*t 4t &.

    ). KLASI*IKASI

    Pe#) &%t * ! t%#$$% t ' H%(e*te#+% %&e# l e#$ # 2 t)(e &l +% %&

    % #t * #) H%(e*te#+% P*%" *) # H%(e*te#+% Se 4# *) :

    . H%(e*te#+% P*%" *) l ! +' t' &4# %+% %" # te*- %#) te& # # * ! t%#$

    +e $ % &% t "( & *% $ ) !% '( +e+e4* #$ # &t4* l%#$&'#$ #

    Se+e4* #$ ) #$ (4l " & ##) t% & te*&4#t*4l # "e#$ &% t& # &ele %! #

    e* t # t ' !& # 4 e+%t +, "e*'( & # (e# et'+ 8 l '#t'& te*&e#

    (e#) &%t te& # # * ! t%#$$%. Be$%t' ('l +e+4* #$ ) #$ e* l "

    l%#$&'#$ # t ' &4# %+% +t*e++4* t%#$$% + #$ t "'#$&%# te*&e# (e#) &%t te& #

    * ! t%#$$%, te*" +'& 4* #$ 4* #$ ) #$ &'* #$ 4l !* $ ('# %+ "e#$ l "%

    te& # # * ! t%#$$%. . H%(e*te#+% +e 4# *) l ! +' t' &4# %+% %" # te*- %#) (e#%#$& t # te& #

    * ! t%#$$% +e $ % &% t +e+e4* #$ "e#$ l "%/"e# e*%t (e#) &%t l %##)

    +e(e*t% $ $ l - #t'#$, $ $ l $%#- l, t ' &e*'+ & # +%+te" !4*"4# t' '!.

    Se #$& # ( I ' ! "%l, te& # # * ! +e * '"'" "e#%#$& t + t &e! "%l #

    e*'+% 20 "%#$$'. Te*'t " ( 8 #%t ) #$ e* t ##) % t + #4*" l

    t ' $e"'& $e# 't;.

    6

    Kl +% %& +% Te& # # D * ! P De8 + "e#'*'t JN= 6IIKateg$ri Tekanan +arah Si!t$%ik Tekanan +arah +ia!t$%ik

    N4*" l 120 ""H$ #; C0 ""H$P*e !%(e*te#+% 120 13 ""H$ t '; C0 C ""H$St %'" 1

    1 0 1 ""H$ t '; 0 ""H$

    St %'" 2 150 ""H$ t '; 100 ""H$

    http://nurse-ocha.blogspot.com/2007/06/diabetes-mellitus-dm.htmlhttp://nurse-ocha.blogspot.com/2007/06/diabetes-mellitus-dm.htmlhttp://nurse-ocha.blogspot.com/2007/06/diabetes-mellitus-dm.html

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    P !%(e*te#+% +%+t4l%& te*%+4l +%, te& # # +%+t4l%& "e# ( % 1 0 ""H$

    le %!, tet (% te& # # % +t4l%& &'* #$ *% 0 ""H$ # te& # # % +t4l%& " +%! l

    &%+ * # #4*" l. H%(e*te#+% %#% +e*%#$ %te"'& # ( '+% l #-'t. Se- l # e#$

    e*t " !#) '+% , ! "(%* +et% ( 4* #$ "e#$ l "% &e# %& # te& # # * ! te& # #

    +%+t4l%& te*'+ "e#%#$& t + "( % '+% C0 t !'# # te& # # % +t4l%& te*'+ "e#%#$&+ "( % '+% 50 t !'#, &e"' % # e*&'* #$ +e * (e*l ! # t ' !& # "e#'*'#

    * +t%+. D l " ( +%e# e#$ # dia'ete! ,e%%it(! t ' en&akit gin a%, (e#el%t% # tel !

    "e#'#-'&& # !8 te& # # * ! % t + 130/C0 ""H$ ! *'+ % #$$ ( +e $ % &t4*

    *%+%&4 # +e %) % e*%& # (e* 8 t #.

    . PENGATURAN TEKANAN +ARAH

    Me#%#$& t#) te& # # * ! % l " *te*% %+ te*- % "el l'% e e* ( * :

    J #t'#$ "e"4"( le %! &' t +e!%#$$ "e#$ l%*& # le %! #) & %* # (

    +et% ( et%)A*te*% e+ * &e!%l #$ # &ele#t'* ##) # "e#- % & &', +e!%#$$ "e*e& t% &

    ( t "e#$e" #$ ( + t - #t'#$ "e"4"( * ! "el l'% *te*% te*+e 't.

    K *e# %t' * ! ( +et% ( e#)'t - #t'#$ %( &+ '#t'& "el l'% (e" 'l'!

    ) #$ +e"(%t *%( % + #) # "e#)e & # # %) te& # #. I#%l ! ) #$

    te*- % ( '+% l #-'t, %" # %# %#$ *te*%#) tel ! "e#e l # & &' & *e#*te*%4+&le*4+%+. De#$ # * ) #$ + " , te& # # * ! -'$ "e#%#$& t ( + t

    te*- % < +4&4#+t*%&+% , ) %t' -%& *te*% &e %l arteri$%a ; '#t'& +e"e#t * 8 &t'

    "e#$&e*'t & *e# (e* #$+ #$ # + * t ' !4*"4# % l " * !.Be*t " !#) %* # l " +%*&'l +% %+ "e#)e & # "e#%#$& t#) te& # #

    * !. H l %#% te*- % -%& te* ( t &el %# # '#$+%gin a l +e!%#$$ t% & " "('

    7

    http://id.wikipedia.org/wiki/Diabetes_mellitushttp://id.wikipedia.org/wiki/Diabetes_mellitushttp://id.wikipedia.org/wiki/Diabetes_mellitushttp://id.wikipedia.org/w/index.php?title=Penyakit_ginjal&action=edit&redlink=1http://id.wikipedia.org/w/index.php?title=Penyakit_ginjal&action=edit&redlink=1http://id.wikipedia.org/w/index.php?title=Arteriola&action=edit&redlink=1http://id.wikipedia.org/wiki/Ginjalhttp://id.wikipedia.org/wiki/Ginjalhttp://id.wikipedia.org/wiki/Diabetes_mellitushttp://id.wikipedia.org/w/index.php?title=Penyakit_ginjal&action=edit&redlink=1http://id.wikipedia.org/w/index.php?title=Arteriola&action=edit&redlink=1http://id.wikipedia.org/wiki/Ginjal

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    "e" ' #$ +e-'"l ! gara, # air *% l " t' '!. 64l'"e * ! l " t' '!

    "e#%#$& t, +e!%#$$ te& # # * ! -'$ "e#%#$& t.

    Se l%) , -%& :

    A&t%

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    S%+te" + * +%"( t%+ "e*'( & # $% # *% +%+te" + * 4t4#4", ) #$ '#t'&

    +e"e#t * 8 &t' & #:

    Me#%#$& t& # te& # # * ! +el " *e+(4# fight-or-flight *e &+% %+%& t' '!

    te*! ( # " # *% l' *;Me#%#$& t& # &e e( t # # &e&' t # e#)'t - #t'#$ -'$ "e"(e*+e"(%t

    +e $% # e+ * *te*%4l , tet (% "e"(e*le * *te*%4l % e* ! te*te#t' "%+ l#)

    4t4t * #$& , ) #$ "e"e*l'& # ( +4& # * ! ) #$ le %! #) &;Me#$'* #$% (e" ' #$ # %* # $ * " 4le! $%#- l, +e!%#$$ & # "e#%#$& t& #

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    K #$ (e# e*%t !%(e*te#+% e* t "e#$ l "% (e#'*'# # &e+ * # # !& #

    &4" & *e# te*- % (e" e#$& & #$tak . Ke # %#% %+e 'tensefalopati hipertensif ,

    ) #$ "e"e*l'& # (e# #$ # # +e$e* .

    2. PENYE3A3 HIPERTENSI

    Pe#)e !%(e*te#+% ( 4* #$ e#$ # l #-'t '+% l ! te*- %#) (e*' ! #

    (e*' ! # ( :

    . El +t%+%t + %# %#$ 4*t "e#'*'#. . K t' - #t'#$ "e#e l # "e#- % & &'.

    . Ke" "(' # - #t'#$ "e"4"( * ! "e#'*'# 1F +et% ( t !'# +e+' ! e*'"'*

    20 t !'# &e" "(' # - #t'#$ "e"4"( * ! "e#'*'# "e#)e & #

    "e#'*'##) &4#t* &+% #

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    e4&*4"4+%t4" , ) %t' t'"4* ( &ele#- * *e# l ) #$ "e#$! +%l& # !4*"4# e(%#e *%#

    *e# l%#; t ' #4*e(%#e *%# #4* *e# l%#;.

    Kege,(kan 4 e+%t +;, $ ) !% '( ) #$ t% & &t% " l + e*4l ! * $ ;, +t*e+,

    l&4!4l t ' $ * " l " " & # # %+ "e"% ' te*- %#) !%(e*te#+% ( 4* #$ 4* #$

    "e"%l%&% &e(e& # ) #$ %t'*'#& #. St*e+ e# e*'#$ "e#)e & # &e# %& # te& # #

    * ! '#t'& +e"e#t * 8 &t', -%& +t*e+ tel ! e*l l', " & te& # # * ! % + #) & #

    &e" l% #4*" l.

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