tag:blogger.com,1999:blog-10468215447391198922024-03-13T08:32:23.431-07:00Materinya Mahasiswa Kebidanan n Keperawatanmuanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.comBlogger65125tag:blogger.com,1999:blog-1046821544739119892.post-52361402332123350882013-04-03T01:20:00.002-07:002013-04-03T01:20:16.570-07:00HOW TO EAT HEALTHY WITH DIABETESA diabetes diet plays an important role in regulating level of blood sugar in the body. It is, therefore, important to eat healthy with diabetes.<br /><br />The diet must be a combination of proteins, carbohydrates and fats. While whole grains like brown rice and oats, skimmed milk and fresh fruits and vegetables must occupy a major part of the diet, saturated and trans fat products such as fried foods should be minimal. They might spike the blood sugar resulting in more diseases.<br /><br />These products can be substituted by avocados, nuts and olive oil that contain omega-3 fatty acids that have anti-inflammatory properties and help make the heart and the body healthy. Thus, there should be moderation in the diet and its consumption.<br /><br />Diet Considerations for Diabetics<br /><br />There is no specific diet regimen for combating diabetes, be it Type 1 Diabetes Mellitus or Type 2 Diabetes Mellitus. Healthy food options are also considered healthy for individuals suffering from diabetes. Therefore, diabetics and their family can have same food together. One needs to take into account that intake of excess carbohydrates can complicate the condition, as the nutrition element have substantial impact on blood sugar levels.<br /><br />In order to keep control of the diabetic condition, one needs to check his/her caloric intake, which includes consumption of fats, proteins and carbohydrates. Monitoring the nutrient intake helps in controlling blood sugar level. Tracking calories along with making healthy food choices, regular exercise and adhering to medication regimen enables control over diabetic condition.<br /><br />One can also make a personalised diet plan for himself by discussing preferred food options with a dietician. Adequate diet plan for diabetes helps in maintaining blood glucose levels, blood pressure and cholesterol level. In this manner, diabetic condition can be kept in control.<br /><br />Healthy Drinking for Diabetes<br /><br />Beverages high on fats and sugar content are dangerous in diabetic condition. Therefore, diabetics must consider nutritional content before consuming any beverage :<br />
<ol>
<li>Fresh fruit juice instead of preserved juice is good for diabetics. One must consider that it should be low on carbohydrates, sugar content and sodium.</li>
<li>Water is considered the best drink for diabetics. Diabetics lose more fluids than usual and drinking ample amount of water is essential. Moreover, water has no calories, carbohydrates and fats that have an effect on blood sugar levels.</li>
<li>Unsweetened tea is free of calories, and contains antioxidants along with flavonoids.</li>
</ol>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-57818361078192054412013-04-03T01:11:00.003-07:002013-04-03T01:11:48.753-07:00Concerned About CoffeeIt May Actually Be Good for You<br /><br />Because it tastes so good, you may assume coffee is bad for you. Maybe you’ve heard rumors that your morning brew causes everything from heart disease to cancer. But researchers are finding that coffee poses little to no health risk for most people. Not only that, coffee drinking might have some health benefits.<br /><br />Early research hinted that coffee might have some harmful effects. But most of those studies searched for links between people’s habits and their overall health. In such studies, it’s hard to know which effects come from coffee and which just show up by coincidence. Heavy coffee drinking sometimes goes hand in hand with unhealthy habits, like smoking and a less active lifestyle.<br /><br />Coffee beans are seeds and like all seeds, they’re loaded with compounds to protect the plant’s next generation.<br /><br />Caffeine is probably the most well-known compound in coffee. It can make you feel more awake and alert, which is why most people drink coffee in the first place. But too much can be harmful. In fact, caffeine causes the most common problem reported by coffee drinkers: trouble sleeping. Caffeine can also blunt your appetite and cause headaches, dizziness, nervousness and irritability.<br /><br />If you’re sensitive to caffeine, simply drink less of it. If you have trouble falling asleep at night, make sure to avoid it later in the day.<br /><br />Caffeine is mildly addictive, so you might get headaches, drowsiness, irritability, nausea and other symptoms if you suddenly cut back. You can avoid these effects, though, by gradually reducing your caffeine intake.<br /><br />There’s some evidence that high amounts of caffeine during pregnancy may cause problems with the pregnancy. That’s why doctors recommend that pregnant women cut back on coffee and other caffeinated beverages.<br /><br />Studies also suggest that caffeine may interfere with calcium absorption. Calcium is an important nutrient for growing and maintaining strong bones. Make sure you get enough calcium in your diet to help reverse this effect.<br /><br />Some types of coffee can cause cardiovascular problems for another reason, however. Coffee can contain compounds that lead to a rise in LDL cholesterol. That’s the “bad” kind of cholesterol that’s been linked to cardiovascular disease.<br /><br />When coffee is brewed with a paper filter, it removes a lot of the components that lead to higher LDL. So it’s a good idea to drink filtered coffee to avoid this problem.<br /><br />Perhaps the strongest research showing a health benefit from coffee relates to type 2 diabetes. In a 2002 study, van Dam’s team reported that people drinking 7 or more cups per day had a 50% lower risk of type 2 diabetes than those drinking 2 or less cups. About 20 studies have now looked into the effect in various populations.<br /><br />Coffee can also help your social life, if you meet good friends to talk over coffee. Studies have clearly shown that people who have more social relationships have less stress and live longer. Research also suggests they’re less likely to show mental declines as they age.<br /><br />So go enjoy that cup of coffee. It’s not the guilty pleasure you may have thought.<br /><br />For Healthier Coffee Drinking<br />
<ol>
<li>Drink coffee that’s been filtered through paper.</li>
<li>Avoid specialty coffee drinks loaded with sugar and fat, which can contribute to weight gain.</li>
<li>Consider adding a little non-fat milk if you’re concerned about bone health.</li>
<li>Don’t drink caffeinated coffee late in the day if you have trouble sleeping.</li>
<li>Avoid caffeinated coffee if you’re pregnant.</li>
</ol>
<br />muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-4736554878707417802013-04-03T00:41:00.001-07:002013-04-03T00:41:31.678-07:00Signs and Symptoms of HyperglycemiaIt is possible to have type 2 diabetes for years and not even know about it. Most people with high blood sugar may have few or no symptoms are all. The common signs and symptoms of high blood sugar are;<br />
<ol>
<li>Dry mouth</li>
<li>Increased thirst and frequent urination: Elevated blood sugar in the blood causes fluids to move out your cells. This makes you feel thirsty and so you drink more water - this leads tofrequent urination</li>
<li>Increased frequency of urination during the night</li>
<li>Increased hunger - as your body cannot use the glucose in the blood your muscles and other tissues become depleted of energy source - so you feel hungry more frequently;</li>
<li>Blurred vision: Elevated glucose levels in the blood leads to loss of fluid from the lenses of your eyes - which can affect your ability to focus and see clearly.</li>
<li>Dry, itchy skin.</li>
<li>Patches of darkened skin.</li>
<li>Fatigue or drowsiness</li>
<li>Weight loss</li>
<li>Slow-healing sores or frequent infections. If severe hyperglycemia or severely elevated glucose levels persists for a long time (several hours or days) it can cause dehydration.</li>
<li>Difficulty in breathing</li>
<li>Giddiness on standing</li>
<li>Drowsiness, stupor and confusion</li>
<li>Loss of consciousness or coma If you have symptoms suggestive of elevated glucose levels - get your blood sugar levels tested.</li>
</ol>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-9478453030273686162013-01-31T18:03:00.001-08:002013-05-19T21:31:18.233-07:00TEORI KB (KELUARGA BERENCANA)<div dir="ltr" style="text-align: left;" trbidi="on">
<h3 class="post-title entry-title">
A. Keluarga Berencana</h3>
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1. Pengertian Keluarga Berencana<br />
Keluarga berencana menurut WHO (1970) adalah tindakan yang membantu individu atau pasangan suami istri untuk :<br />
a. Mengatahui kelahiran yang tidak diinginkan.<br />
b. Mendapatkan kelahiran yang memang diinginkan.<br />
c. Mengatur interval di antara kehamilan.<br />
d. Mengontrol waktu saat kelahiran dalam hubungan dengan umur suami-isteri.<br />
e. Menentukan jumlah anak dalam keluarga.<br />
(Hartanto, 2004).<br />
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<br />
2. Tujuan Keluarga Berencana<br />
Tujuan keluarga berecana menurut BKKBN adalah :<br />
1) Meningkatkan derajat kesehatan dan kesejahteraan ibu dan anak serta keluarga dan bangsa pada umumnya.<br />
2)
Meningkatkan martabat kehidupan rakyat dengan cara menurunkan angka
kelahiran sehingga pertambahan penduduk tidak melebihi kemampuan untuk
meningkatkan reproduksi.<br />
<span class="fullpost"><br /><br />3. Kontrasepsi<br />a. Pengertian Kontrasepsi<br />Kontrasepsi
sesuai dengan makna asal katanya dapat didefinisikan sebagai tindakan
atau usaha yang bertujuan untuk mencegah terjadinya konsepsi atau
pembuahan.<br />Pembuahan dapat terjadi bila beberapa syarat berikut
terpenuhi yaitu adanya sel telur dan sel sperma yang subur, kemudian
cairan sperma harus ada di dalam vagina, sehingga sel sperma yang ada di
dalam vagina dapat berenang menuju ke serviks kemudian ke rahim lalu ke
saluran oviduk untuk membuahi sel telur. Sel telur yang telah dibuahi
harus mampu bergerak dan turun ke rahim yang akan melakukan nidasi,
endometrium atau dinding rahim harus dalam keadaan siap untuk menerima
nidasi.<br /><br />b. Cara Kerja Kontrasepsi<br />Cara kerja dari alat kontrasepsi adalah untuk :<br />1) Mengusahakan agar tidak terjadi ovulasi.<br />2) Melumpuhkan sperma.<br />3) Menghalangi pertemuan sel telur dengan sperma.<br />(BKKBN, 2001).<br /><br /> <br />c. Efektifitas Kontrasepsi<br />Suatu metode kontrasepsi dikatakan efektif bila memang mampu menghalangi terjadinya pembuahan. <br />Ada dua cara untuk mengukur efektifitas suatu kontrasepsi, yaitu :<br />1) Efektifitas Teoritis<br />Efektifitas
teoritis adalah suatu alat kontrasepsi atau metode kontasepsi jika
kontrasepsi tersebut dipakai secara tepat sesuai dengan petunjuknya
selama produk tersebut sesuai dengan standar yang ditetapkan, maka
variasi efektifitas uatu kontrasepsi hanyalah karena perberdaan
fisiologis dari para penggunaanya, misalnya berbedaan umur.<br /><br />2) Efektifitas Pengguna<br />Efektifitas
pengguna ini memperhitungkan kesalahan-kesalahan yang dilakukan oleh
para pengguna kontrasepsi tesebut dan angkanya menjadi sangat
bervariasi, tergantung banyak faktor, seperti tingkat pendidikan dan
informasi yang di dapatkan oleh pengguna. Semua kontrasepsi kecuali
sterilisasi dan IUD, efektifitas keberhasilannya sangat tergantung pada
para penggunanya, efektifitas pengguna biasanya dihitung berdasarkan
angka kegagalan per 100 wanita yang memakai pertahun. <br /><br /> <br />4. Metode atau Alat Kontrasepsi Pria<br />Dari bermacam-macam kontrasepsi yang ada, yang dapat digunakan oleh pria adalah kondom dan metode vasektomi ( BKKBN).<br />a. Pengertian Vasektomi <br />Vasektomi
adalah pemotongan sebagian (0,5 cm – 1 cm) saluran benih sehingga
terdapat jarak diantara ujung saluran benih bagian sisi testis dan
saluran benih bagian sisi lainnya yang masih tersisa dan pada
masing-masing kedua ujung saluran yang tersisa tersebut dilakukan
pengikatan sehingga saluran menjadi buntu/tersumbat.<br />(http://www.bkkbn.go.id) <br /><br />b. Cara Kerja Vasektomi<br />Cara
kontrasepsi ini dipersiapkan melalui tindakan operasi ringan dengan
cara mengikat dan memotong saluran sperma (vas deferens) sehingga sperma
tidak dapat lewat dan air mani tidak mengandung spermatozoa dengan
demikian tidak terjadi pembuahan. Operasi hanya berlangsung kurang lebih
15 menit, pasien tidak perlu dirawat. (Hartanto, 2004) <br /><br /> <br />c. Keuntungan Vasektomi<br />1) Efektif.<br />2) Aman, morbiditas rendah dan hampir tidak ada mortalitas.<br />3) Sederhana.<br />4) Cepat hanya memerlukan waktu 5 -10 menit.<br />5) Menyenangkan bagi akseptor karena memerlukan anestesi lokal saja.<br />6) Biaya rendah.<br />7)
Secara kultural, sangat dianjurkan di negara-negara dimana wanita
merasa malu untuk ditangani oleh dokter pria atau kurang tersedia dokter
wanita dan paramedis wanita. (Hartanto, 2004) <br /><br />d. Kerugian Vasektomi<br />1) Diperlukan suatu tindakan operatif.<br />2) Kadang-kadang menyebabkan komplikasi seperti perdarahan atau infeksi.<br />3)
Kontraspesi pria belum memberikan perlindungan total sampai semua
spermatozoa, yang sudah ada di dalam sistem reproduksi distal dari
tempat oklusi vas deferens dikeluarkan.<br />4) Problem psikologis yang
berhubungan dengan prilaku seksual mungkin bertambah parah setelah
tindakan operatif yang menyangkut sistem reproduksi pria. (Hartanto,
2004) <br /><br /> <br />e. Efektifitas Vasektomi <br />1) Angka kegagalan 0 – 2,2%, umumnya < 1%<br />2) Kegagalan kontap-pria, umunnya disebabkan oleh: <br />a) Sanggama yang tidak terlindung sebelum semen/ejakulat bebas sama sekali dari spermatozoa. <br />b) Rekanalisasi spontan dari vas deferens, umumnya terjadi setelah pembentukan granuloma spermatozoa. <br />c) Pemotongan dan oklusi struktur jaringan lain selama operasi <br />d) Jarang : duplikasi congenital dari vas deferens (terdapat lebih dari 1 vas deferens pada satu sisi). <br /><br />f. Efek Samping<br />Efek
samping yang umum diketemukan adalah kulit membiru atau lecet
pembengkakan dan rasa sakit keadaan ini merupakan hal yang ringan dan
akan hilang sendiri tanpa atau dengan pengobatan sederhana, efek samping
lainnya tetapi jarang diketemukan antara lain adalah hematoma
granuloma, radang setempat, radang epididimis, timbulnya antibodi dan
masalah-masalah psikologis.<br />Gejala-gejala sampingan tersebut di atas,
pada umumnya disebabkan oleh persiapan, teknik dan perawatan yang
kurang sempurna, disamping faktor penderita sendiri.</span></div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-20013873463369119712013-01-30T06:49:00.000-08:002013-01-30T06:51:57.044-08:00EPIDEMIOLOGI PENYAKIT KOLERA<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<h3>
<span style="mso-bidi-font-family: "Times New Roman"; mso-fareast-font-family: "Times New Roman";"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span></span></span>Penyakit Kolera (Cholera) </h3>
<div class="MsoBodyText">
Penyakit kolera (cholera) adalah penyakit infeksi saluran
usus bersifat akut yang disebabkan oleh bakteri Vibrio cholerae, bakteri ini
masuk kedalam tubuh seseorang melalui makanan atau minuman yang terkontaminasi.
Bakteri tersebut mengeluarkan enterotoksin (racunnya) pada saluran usus
sehingga terjadilah diare (diarrhoea) disertai muntah yang akut dan hebat,
akibatnya seseorang dalam waktu hanya beberapa hari kehilangan banyak cairan
tubuh dan masuk pada kondisi dehidrasi.<br />
<br />
Apabila dehidrasi tidak segera ditangani, maka akan berlanjut kearah
hipovolemik dan asidosis metabolik dalam waktu yang relatif singkat dan dapat
menyebabkan kematian bila penanganan tidak adekuat. Pemberian air minum biasa
tidak akan banyak membantu, Penderita (pasien) kolera membutuhkan infus cairan
gula (Dextrose) dan garam (Normal saline) atau bentuk cairan infus yang di mix
keduanya (Dextrose Saline).</div>
<div class="MsoBodyText" style="margin-left: 36.0pt; mso-list: l0 level1 lfo1; tab-stops: 36.0pt; text-indent: -14.15pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Penyebaran Penularan Penyakit Kolera<br />
Kolera dapat menyebar sebagai penyakit yang endemik, epidemik, atau pandemik.
Meskipun sudah banyak penelitian bersekala besar dilakukan, namun kondisi
penyakit ini tetap menjadi suatu tantangan bagi dunia kedokteran modern.
Bakteri Vibrio cholerae berkembang biak dan menyebar melalui feaces (kotoran)
manusia, bila kotoran yang mengandung bakteri ini mengkontaminasi air sungai
dan sebagainya maka orang lain yang terjadi kontak dengan air tersebut beresiko
terkena penyakit kolera itu juga.<br />
<br />
Misalnya cuci tangan yang tidak bersih lalu makan, mencuci sayuran atau makanan
dengan air yang mengandung bakteri kolera, makan ikan yang hidup di air
terkontaminasi bakteri kolera, Bahkan air tersebut (seperti disungai) dijadikan
air minum oleh orang lain yang bermukim disekitarnya.</div>
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<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Gejala dan Tanda Penyakit Kolera<br />
Pada orang yang feacesnya ditemukan bakteri kolera mungkin selama 1-2 minggu
belum merasakan keluhan berarti, Tetapi saat terjadinya serangan infeksi maka
tiba-tiba terjadi diare dan muntah dengan kondisi cukup serius sebagai serangan
akut yang menyebabkan samarnya jenis diare yg dialami.<br />
<br />
Akan tetapi pada penderita penyakit kolera ada beberapa hal tanda dan gejala
yang ditampakkan, antara lain ialah :<br />
- Diare yang encer dan berlimpah tanpa didahului oleh rasa mulas atau tenesmus.<br />
- Feaces atau kotoran (tinja) yang semula berwarna dan berbau berubah menjadi
cairan putih keruh (seperti air cucian beras) tanpa bau busuk ataupun amis,
tetapi seperti manis yang menusuk.<br />
- Feaces (cairan) yang menyerupai air cucian beras ini bila diendapkan akan
mengeluarkan gumpalan-gumpalan putih.<br />
- Diare terjadi berkali-kali dan dalam jumlah yang cukup banyak.<br />
- Terjadinya muntah setelah didahului dengan diare yang terjadi, penderita
tidaklah merasakan mual sebelumnya.<br />
- Kejang otot perut bisa juga dirasakan dengan disertai nyeri yang hebat.<br />
- Banyaknya cairan yang keluar akan menyebabkan terjadinya dehidrasi dengan
tanda-tandanya seperti ; detak jantung cepat, mulut kering, lemah fisik, mata
cekung, hypotensi dan lain-lain yang bila tidak segera mendapatkan penangan
pengganti cairan tubuh yang hilang dapat mengakibatkan kematian.</div>
<div class="MsoBodyText" style="margin-left: 36.0pt; mso-list: l2 level1 lfo3; tab-stops: 36.0pt; text-indent: -14.15pt;">
<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Penanganan dan Pengobatan Penyakit Kolera<br />
Penderita yang mengalami penyakit kolera harus segera mandapatkan penaganan
segera, yaitu dengan memberikan pengganti cairan tubuh yang hilang sebagai
langkah awal. Pemberian cairan dengan cara Infus/Drip adalah yang paling tepat
bagi penderita yang banyak kehilangan cairan baik melalui diare atau muntah.
Selanjutnya adalah pengobatan terhadap infeksi yang terjadi, yaitu dengan
pemberian antibiotik/antimikrobial seperti <i style="mso-bidi-font-style: normal;">Tetrasiklin,
Doxycycline</i> atau golongan <i style="mso-bidi-font-style: normal;">Vibramicyn</i>.
Pengobatan antibiotik ini dalam waktu 48 jam dapat menghentikan diare yang
terjadi.<br />
<br />
Pada kondisi tertentu, terutama diwilayah yang terserang wabah penyakit kolera
pemberian makanan/cairan dilakukan dengan jalan memasukkan selang dari hidung
ke lambung (sonde). Sebanyak 50% kasus kolera yang tergolang berat tidak dapat
diatasi (meninggal dunia), sedangkan sejumlah 1% penderita kolera yang mendapat
penanganan kurang adekuat meninggal dunia. (massachusetts medical society, 2007
: Getting Serious about Cholera).</div>
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<span style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span>Pencegahan Penyakit kolera<br />
Cara pencegahan dan memutuskan tali penularan penyakit kolera adalah dengan
prinsip sanitasi lingkungan, terutama kebersihan air dan pembuangan kotoran
(feaces) pada tempatnya yang memenuhi standar lingkungan. Lainnya ialah meminum
air yang sudah dimasak terlebih dahulu, cuci tangan dengan bersih sebelum makan
memakai sabun/antiseptik, cuci sayuran dangan air bersih terutama sayuran yang
dimakan mentah (lalapan), hindari memakan ikan dan kerang yang dimasak setengah
matang.<br />
<br />
Bila dalam anggota keluarga ada yang terkena kolera, sebaiknya diisolasi dan
secepatnya mendapatkan pengobatan. Benda yang tercemar muntahan atau tinja
penderita harus di sterilisasi, searangga lalat (vektor) penular lainnya segera
diberantas. Pemberian vaksinasi kolera dapat melindungi orang yang kontak
langsung dengan penderita.</div>
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<br /></div>
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muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-30746909467264318772013-01-26T06:46:00.002-08:002013-01-26T06:46:45.101-08:00KONSEP NIFAS DENGAN EKLAMPSIA & FORCEPS<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Section1">
<div class="MsoTitle">
<span style="mso-ansi-language: IN;">KONSEP<span style="mso-spacerun: yes;"> </span>NIFAS, EKLAMSI, FORCEPS</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">KONSEP NIFAS</span></b></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">Pengertian<span style="mso-spacerun: yes;"> </span></span></b></div>
<div class="MsoNormal" style="margin-left: 21.85pt; mso-list: l8 level1 lfo10; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Masa nifas
dimulai setelah kelahiran plasenta dan berakhir ketika alat-alat kandungan
kembali seperti keadaan sebelum hamil yang berlangsung kira-kira 6 minggu.
(Abdul Bari,2000:122).</span></div>
<div class="MsoNormal" style="margin-left: 21.85pt; mso-list: l8 level1 lfo10; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Masa nifas merupakan
masa selama persalinan dan segera setelah kelahiran yang meliputi minggu-minggu
berikutnya pada waktu saluran reproduksi kembali ke keadaan tidak hamil yang
normal. (F.Gary cunningham,Mac Donald,1995:281).</span></div>
<div class="MsoNormal" style="margin-left: 21.85pt; mso-list: l8 level1 lfo10; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Masa nifas
adalah masa setelah seorang ibu melahirkan bayi yang dipergunakan untuk
memulihkan kesehatannya kembali yang umumnya memerlukan waktu 6- 12 minggu. (
Ibrahim C, 1998:<span style="mso-spacerun: yes;"> </span>).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: -1.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">Tujuan
Perawatan Masa Nifas</span></b></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;">Dalam masa nifas ini
penderita memerlukan perawatan dan pengawasan yang dilakukan selama ibu tinggal
di rumah sakit maupun setelah nanti keluar dari rumah sakit.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;">Adapun tujuan dari
perawatan masa nifas adalah:</span></div>
<div class="MsoNormal" style="margin-left: 21.85pt; mso-list: l9 level1 lfo11; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Menjaga
kesehatan ibu dan bayi baik fisik maupun psikologi.</span></div>
<div class="MsoNormal" style="margin-left: 21.85pt; mso-list: l9 level1 lfo11; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Melaksanakan
skrining yang komprehrnsif, mendeteksi masalah, mengobati atau merujuk bila
terjadi komplikasi pada ibu maupun bayi.</span></div>
<div class="MsoNormal" style="margin-left: 21.85pt; mso-list: l9 level1 lfo11; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Memberikan
pendidikan kesehatan tentang perawatan kesehatan diri, nutrisi, keluarga
berencana, menyusui, pemberian imunisasi pada bayi dan perawatan bayi sehat.</span></div>
<div class="MsoNormal" style="margin-left: 21.85pt; mso-list: l9 level1 lfo11; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Untuk
mendapatkan kesehatan emosi. (Bari Abdul,2000:121)</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.1.3<span style="mso-spacerun: yes;"> </span>Perubahan Masa Nifas</span></b></div>
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<span style="mso-ansi-language: IN;">Selama menjalani masa
nifas, ibu mengalami perubahan yang bersifat fisiologis yang meliputi perubahan
fisik dan psikologik, yaitu:</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;">1. Perubahan fisik</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Involusi</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Involusi adalah perubahan yang merupakan proses kembalinya alat kandungan
atau uterus dan jalan lahir setelah bayi dilahirkan hingga mencapai keadaan
seperti sebelum hamil.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Proses involusi terjadi karena adanya: </span></div>
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<span style="mso-ansi-language: IN;">Autolysis yaitu penghancuran jaringan otot-otot
uterus yang tumbuh karena<span style="mso-spacerun: yes;"> </span>adanya hiperplasi,
dan jaringan otot yang membesar menjadi lebih panjang sepuluh kali dan menjadi
lima kali lebih tebal dari sewaktu masa hamil akan susut kembali mencapai
keadaan semula. Penghancuran jaringan tersebut akan diserap oleh darah kemudian
dikeluarkan oleh ginjal yang menyebabkan ibu mengalami beser kencing setelah
melahirkan.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; tab-stops: 4.0cm;">
<span style="mso-ansi-language: IN;">Aktifitas otot-otot yaitu adanya kontrasi dan
retraksi dari otot-otot setelah anak lahir yang diperlukan untuk menjepit
pembuluh darah yang pecah karena adanya pelepasan plasenta dan berguna untuk
mengeluarkan isi uterus yang tidak berguna. Karena kontraksi dan retraksi
menyebabkan terganggunya peredaran darah uterus yang mengakibatkan jaringan
otot kurang zat yang diperlukan sehingga ukuran jaringan otot menjadi lebih
kecil.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; tab-stops: 4.0cm;">
<span style="mso-ansi-language: IN;">Ischemia yaitu kekurangan darah pada uterus yang
menyebabkan atropi pada jaringan otot uterus.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; tab-stops: 4.0cm;">
<span style="mso-ansi-language: IN;">Involusi pada alat kandungan meliputi:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="tab-stops: 4.0cm;">
<span style="mso-ansi-language: IN;">Uterus</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;">Setelah plasenta lahir
uterus merupakan alat yang keras, karena kontraksi<span style="mso-spacerun: yes;"> </span>dan<span style="mso-spacerun: yes;">
</span>retraksi otot-ototnya.<span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;">Perubahan uterus setelah
melahirkan dapat dilihat pada tabel dibawah ini.</span></div>
<h3>
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Tabel 2.1
Tabel Perubahan Uterus Setelah melahirkan</span></h3>
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<span style="mso-ansi-language: IN;">Involusi</span></div>
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<br /></div>
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<span style="mso-ansi-language: IN;">TFU</span></div>
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<span style="mso-ansi-language: IN;">Berat Uterus</span></div>
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<span style="mso-ansi-language: IN;">Diameter Bekas Melekat Plasenta</span></div>
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<span style="mso-ansi-language: IN;">Keadaan Cervix</span></div>
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<span style="mso-ansi-language: IN;">Setealh pladsenta lahir</span></div>
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<span style="mso-ansi-language: IN;">1 minggu</span></div>
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<br /></div>
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<span style="mso-ansi-language: IN;">2 minggu</span></div>
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<span style="mso-ansi-language: IN;">6 minggu</span></div>
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<br /></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">8 minggu</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 97.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.3pt;" valign="top" width="142">
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">Sepusat</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">Pertengahan pusat symphisis</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">Tak teraba</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">Sebesar hamil 2 minggu</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">Normal</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 97.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 70.9pt;" valign="top" width="95">
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">1000 gr</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">500 gr</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">350 gr</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">50 gr</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">30 gr</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 97.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">12,5</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">7,5 cm</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">5 cm</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">2,5 cm</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 97.65pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 3.0cm;" valign="top" width="113">
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">Lembik</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">Dapat dilalui 2 jari</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<span style="mso-ansi-language: IN;">Dapat dimasuki 1 jari</span></div>
<div class="MsoNormal" style="tab-stops: 63.8pt;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span style="mso-ansi-language: IN;">Sumber: Rustam muchtar, 1998</span></i></b></div>
<div class="MsoNormal" style="margin-left: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 63.8pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Involusi tempat plasenta</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Pada permulaan nifas bekas plasenta mengandung banyak pembuluh darah besar
yang tersumbat oleh trombus. Luka bekas implantasi plasenta tidak meninggalkan
parut karena dilepaskan dari dasarnya dengan pertumbuhan endometrium baru
dibawah permukaan luka. Endometrium ini tumbuh dari pinggir luka dan juga
sisa-sisa kelenjar pada dasar luka. (Sulaiman S, 1983l: 121<span style="mso-spacerun: yes;"> </span>)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Perubahan pembuluh darah rahim</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Dalam kehamilan, uterus mempunyai banyak pembuluh darah yang besar, tetapi
karena setelah persalinan tidak diperlukan lagi peredaran darah yang banyak
maka arteri harus mengecil lagi dalam masa nifas.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Perubahan pada cervix dan vagina</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Beberapa hari setelah persalinan ostium eksternum dapat dilalui oleh 2
jari, pada akhir minggu pertama dapat dilalui oleh<span style="mso-spacerun: yes;"> </span>1 jari saja. Karena hiperplasi ini dan karena
karena retraksi dari cervix, robekan cervix jadi sembuh. Vagina yang<span style="mso-spacerun: yes;"> </span>sangat diregang waktu persalinan, lambat laun
mencapai ukuran yang normal. Pada minggu ke 3 post partum ruggae mulai nampak
kembali.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Rasa sakit yang disebut <i style="mso-bidi-font-style: normal;">after
pains<span style="mso-spacerun: yes;"> </span></i>( meriang atau mules-mules)
disebabkan koktraksi rahim biasanya berlangsung 3 – 4 hari pasca persalinan.
Perlu diberikan pengertian pada ibu mengenai hal ini dan bila terlalu
mengganggu analgesik.( Cunningham, 430)<span style="mso-spacerun: yes;">
</span><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<br /></div>
<div class="MsoHeading7">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">(1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Lochia</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Lochia adalah cairan yang dikeluarkan dari uterus melalui vagina dalam masa
nifas. Lochia bersifat alkalis, jumlahnya lebih banyak dari darah menstruasi.
Lochia ini berbau anyir dalam keadaan normal, tetapi tidak busuk.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Pengeluaran lochia dapat dibagi berdasarkan<span style="mso-spacerun: yes;">
</span>jumlah dan warnanya yaitu lokia rubra berwarna merah dan hitam terdiri
dari sel desidua, verniks kaseosa, rambut lanugo, sisa mekonium, sisa darah dan
keluar mulai hari pertama sampai hari ketiga.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Lochia sanginolenta berwarna putih bercampur merah , mulai hari ketiga
sampai hari ketujuh. </span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Lochia serosa berwarna kekuningan dari hari ketujuh sampai hari keempat
belas.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Lochia alba berwarna putih setelah hari keempat belas.( Manuaba, 1998:
193)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Dinding perut dan peritonium</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Setelah persalinan dinding perut longgar karena diregang begitu lama,
biasanya akan pulih dalam 6 minggu. Ligamen fascia dan diafragma pelvis yang
meregang pada waktu partus setelah bayi lahir berangsur angsur mengecil dan
pulih kembali.Tidak jarang uterus jatuh ke belakang<span style="mso-spacerun: yes;"> </span>menjadi retrofleksi karena ligamentum
rotundum jadi kendor. Untuk memulihkan kembali sebaiknya dengan latihan-latihan
pasca persalinan.( Rustam M, 1998: 130)</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Sistim Kardiovasculer</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Selama kehamilan secara normal volume darah<span style="mso-spacerun: yes;">
</span>untuk mengakomodasi<span style="mso-spacerun: yes;"> </span>penambahan
aliran darah yang diperlukan oleh placenta dan pembuluh darah uterus. Penurunan
dari estrogen mengakibatkan<span style="mso-spacerun: yes;"> </span>diuresis
yang menyebabkan<span style="mso-spacerun: yes;"> </span>volume plasma menurun
secara cepat pada kondisi normal. Keadaan ini terjadi pada<span style="mso-spacerun: yes;"> </span>24 sampai 48 jam pertama setelah kelahiran.
Selama ini klien mengalami sering kencing. Penurunan progesteron membantu<span style="mso-spacerun: yes;"> </span>mengurangi retensi cairan sehubungan dengan
penambahan vaskularisasi jaringan selama kehamilan. ( V Ruth B, 1996: 230)</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Ginjal</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Aktifitas ginjal bertambah pada masa nifas karena reduksi dari volume darah
dan ekskresi produk sampah dari autolysis. Puncak dari aktifitas ini terjadi
pada hari pertama post partum.( V Ruth B, 1996: 230)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Sistim Hormonal</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Oxytoxin</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Oxytoxin disekresi oleh kelenjar hipofise posterior dan bereaksi pada otot
uterus dan jaringan payudara. Selama kala tiga persalinan aksi oxytoxin
menyebabkan pelepasan plasenta. Setelah itu oxytoxin beraksi untuk kestabilan
kontraksi uterus, memperkecil bekas tempat perlekatan plasenta dan mencegah
perdarahan. Pada wanita yang memilih untuk menyusui bayinya, isapan bayi
menstimulasi ekskresi oxytoxin diamna keadaan ini membantu kelanjutan involusi
uterus dan pengeluaran susu. Setelah placenta lahir, sirkulasi HCG,
estrogen,<span style="mso-spacerun: yes;"> </span>progesteron dan hormon
laktogen placenta menurun cepat, keadaan ini menyebabkan perubahan fisiologis
pada ibu nifas.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Prolaktin</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Penurunan estrogen menyebabkan prolaktin yang disekresi oleh glandula<span style="mso-spacerun: yes;"> </span>hipofise<span style="mso-spacerun: yes;">
</span>anterior bereaksi pada alveolus payudara dan merangsang produksi susu.
Pada wanita yang menyusui kadar prolaktin terus tinggi dan pengeluaran FSH di
ovarium ditekan. Pada wanita yang tidak menyusui kadar prolaktin turun pada
hari ke 14 sampai 21 post partum dan penurunan ini mengakibatkan FSH disekresi
kelenjar hipofise anterior<span style="mso-spacerun: yes;"> </span>untuk
bereaksi pada ovarium yang menyebabkan pengeluaran estrogen dan progesteron
dalam kadar normal, perkembangan normal folikel de graaf, ovulasi dan
menstruasi.( V Ruth B, 1996: 231)</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Laktasi</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Laktasi dapat diartikan dengan pembentukan dan pengeluaran air susu ibu.
Air susu ibu ini merupakan makanan pokok , makanan yang terbaik dan bersifat
alamiah bagi bayi yang disediakan oleh ibu yamg baru saja melahirkan bayi akan
tersedia makanan bagi bayinya dan ibunya sendiri.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Selama kehamilan hormon estrogen dan progestron merangsang pertumbuhan
kelenjar susu sedangkan progesteron merangsang pertumbuhan saluran kelenjar ,
kedua hormon ini mengerem LTH. Setelah plasenta lahir maka LTH dengan bebas
dapat merangsang laktasi.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Lobus prosterior hypofise mengeluarkan oxtoxin yang merangsang pengeluaran
air susu. Pengeluaran air susu adalah reflek yang ditimbulkan oleh rangsangan
penghisapan puting susu oleh bayi. Rangsang ini<span style="mso-spacerun: yes;">
</span>menuju ke hypofise dan menghasilkan oxtocin yang menyebabkan buah dada
mengeluarkan air susunya.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Pada hari ke 3 postpartum, buah dada menjadi besar, keras dan nyeri. Ini
menandai permulaan sekresi air susu, dan kalau areola mammae dipijat, keluarlah
cairan puting dari puting susu.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Air susu ibu kurang lebih mengandung Protein 1-2 %, lemak 3-5 %, gula 6,5-8
%, garam 0,1 – 0,2 %.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Hal yang mempengaruhi susunan air susu adalah diit, gerak badan. Benyaknya
air susu sangat tergantung pada banyaknya cairan serta makanan yang dikonsumsi
ibu.( Obstetri Fisiologi UNPAD, 1983: 318 )</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Tanda-tanda vital </span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Perubahan tanda-tanda vital pada massa nifas meliputi:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;">Tabel 2.2 Tabel perubahan
Tanda-tanda Vital </span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div align="center" class="MsoNormal" style="tab-stops: 2.0cm; text-align: center;">
<span style="mso-ansi-language: IN;">Parameter</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.15pt;" valign="top" width="216">
<div align="center" class="MsoNormal" style="tab-stops: 2.0cm; text-align: center;">
<span style="mso-ansi-language: IN;">Penemuan normal</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.2pt;" valign="top" width="216">
<div align="center" class="MsoNormal" style="tab-stops: 2.0cm; text-align: center;">
<span style="mso-ansi-language: IN;">Penemuan abnormal</span></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 99.25pt;" valign="top" width="132">
<div class="MsoNormal" style="tab-stops: 2.0cm;">
<span style="mso-ansi-language: IN;">Tanda-tanda vital</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.15pt;" valign="top" width="216">
<div class="MsoNormal" style="tab-stops: 2.0cm;">
<span style="mso-ansi-language: IN;">Tekanan darah < 140 / 90 mmHg, mungkin bisa naik dari tingkat disaat
persalinan 1 – 3 hari post partum.</span></div>
<div class="MsoNormal" style="tab-stops: 2.0cm;">
<span style="mso-ansi-language: IN;">Suhu tubuh < 38 <sup>0 </sup>C</span></div>
<div class="MsoNormal" style="tab-stops: 2.0cm;">
<span style="mso-ansi-language: IN;">Denyut nadi: 60-100 X / menit</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.2pt;" valign="top" width="216">
<div class="MsoNormal" style="tab-stops: 2.0cm;">
<span style="mso-ansi-language: IN;">Tekanan darah > 140 / 90 mmHg</span></div>
<div class="MsoNormal" style="tab-stops: 2.0cm;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 2.0cm;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 2.0cm;">
<span style="mso-ansi-language: IN;">Suhu > 38<sup>0 </sup>C</span></div>
<div class="MsoNormal" style="tab-stops: 2.0cm;">
<span style="mso-ansi-language: IN;">Denyut nadi: > 100 X / menit</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-left: 2.0cm; text-indent: -2.0cm;">
<br /></div>
<div class="MsoNormal" style="margin-left: 2.0cm; text-indent: -2.0cm;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2. Perubahan Psikologi</span></b></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>Perubahan psikologi masa nifas menurut Reva- Rubin terbagi menjadi dalam
3 tahap yaitu: </span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Periode Taking In</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Periode ini terjadi setelah 1-2 hari dari persalinan.Dalam masa ini
terjadi<span style="mso-spacerun: yes;"> </span>interaksi dan kontak yang lama
antara ayah, ibu dan bayi. Hal ini dapat dikatakan sebagai psikis honey moon
yang tidak memerlukan hal-hal yang romantis, masing-masing saling memperhatikan
bayinya dan menciptakan hubungan yang baru.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Periode Taking Hold</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Berlangsung pada hari ke – 3 sampai ke- 4 post partum. Ibu berusaha
bertanggung jawab terhadap bayinya dengan berusaha untuk menguasai ketrampilan
perawatan bayi. Pada periode ini ibu berkosentrasi pada pengontrolan fungsi
tubuhnya, misalnya buang air kecil atau buang air besar.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Periode Letting Go </span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Terjadi setelah ibu pulang ke rumah. Pada masa ini ibu mengambil tanggung
jawab terhadap bayi.( Persis Mary H, 1995:<span style="mso-spacerun: yes;">
</span>)</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Sedangkan stres<span style="mso-spacerun: yes;"> </span>emosional pada ibu
nifas kadang-kadang<span style="mso-spacerun: yes;"> </span>dikarenakan
kekecewaan yang berkaitan dengan mudah tersinggung dan terluka sehingga nafsu
makan dan pola tidur terganggu. Manifestasi ini disebut dengan post partum
blues dimana terjadi pada hari ke 3-5 post partum.( Ibrahim C S, 1993: 50)<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.1.4<span style="mso-spacerun: yes;">
</span>Perawatan Masa Nifas</span></b></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 2;"> </span>Setelah
melahirkan, ibu membutuhkan<span style="mso-spacerun: yes;"> </span>perawatan
yang intensif untuk pemulihan kondisinya<span style="mso-tab-count: 1;"> </span>setelah
proses persalinan yang melelahkan. Dimana perawatan post partum meliputi:</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>1. Mobilisasi Dini</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt; text-indent: -7.1pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Karena
lelah sehabis melahirkan , ibu harus istirahat tidur telentang selama 8 jam
pasca persalinan. Kemudian boleh miring kekanan kekiri untuk mencegah
terjadinya trombosis dan trombo emboli. Pada hari kedua diperbolehkan duduk,
hari ketiga jalan-jalan dan hari keempat atau kelima sudah diperbolehkan
pulang. Mobilisasi diatas memiliki variasi tergantung pada komplikasi
persalinan, nifas dan sembuhnya luka-luka.</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt; text-indent: -49.65pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>Keuntungan dari mobilisasi dini adalah melancarkan pengeluaran lochia,
mengurangi infeksi purperium, mempercepat involusi alat kandungan, melancarkan
fungsi alat gastrointestinal dan alat perkemihan, meningkatkan kelancaran
peredaran darah sehingga mempercepat fungsi ASI dan pengeluaran sisa
metabolisme.( Manuaba, 1998: 193)</span></div>
<div class="MsoNormal" style="margin-left: 42.75pt; text-indent: -42.75pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>2. Rawat Gabung</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt; text-indent: -49.65pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Perawatan
ibu dan bayi dalan satu ruangan bersama-sama sehingga ibulebih banyak
memperhatikan bayinya, segera dapat memberikan ASI sehingga kelancaran
pengeluaran ASI lebih terjamin.( Manuaba, 1998: 193)</span></div>
<div class="MsoNormal" style="margin-left: 42.75pt; text-indent: -42.75pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span></b><span style="mso-ansi-language: IN;">3. Pemeriksaan Umum</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt; text-indent: -49.65pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span></b><span style="mso-ansi-language: IN;">Pada ibu nifas pemeriksaan umum yang perlu
dilakukan antara lain adalah<span style="mso-spacerun: yes;"> </span>kesadaran
penderita, keluhan yang terjadi setelah persalinan.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>4. Pemeriksaan Khusus</span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span></span></b><span style="mso-ansi-language: IN;">Pemeriksaan khusus pada ibu nifas meliputi<b style="mso-bidi-font-weight: normal;">:</b></span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Fisik<span style="mso-spacerun: yes;">
</span>: tekanan darah, nadi dan suhu</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Fundus uteri<span style="mso-spacerun: yes;"> </span><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>tinggi fundus uteri, kontraksi uterus.<span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Payudara<span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>puting susu, pembengkakan, pengeluaran ASI</span></div>
<div class="MsoNormal" style="margin-left: 184.3pt; text-indent: -134.65pt;">
<span style="mso-ansi-language: IN;">Patrun lochia<span style="mso-spacerun: yes;"> </span>: Locia rubra, lochia
sanginolenta, lochia serosa,<span style="mso-spacerun: yes;"> </span>lochia<span style="mso-spacerun: yes;"> </span>alba</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Luka jahitan episiotomi<span style="mso-tab-count: 1;"> </span>: Apakah
baik atau terbuka, apakah ada tanda-tanda infeksi. ( Manuaba, 1998: 193)</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>5. Nasehat Yang Perlu diberikan
saat pulang adalah:</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Diit</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Masalah diit perlu diperhatikan karena dapat berpengaruh pada pemulihan
kesehatan ibu dan pengeluaran ASI. Makanan harus mengandung gizi seimbang yaitu
cukup kalori, protein, cairan, sayuran dan buah-buahan.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Pakaian</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Pakaian agak longgar terutama didaerah dada sehingga payudara tidak
tertekan. Daerah perut tidak perlu diikat terlalu kencang karena tidak akan
mempengaruhi involusi. Pakaian dalam sebaiknya yang menyerap, sehingga lochia
tidak menimbulkan iritasi pada daerah sekitarnya. Kasa pembalut sebaiknya
dibuang setiap saat terasa penuh dengan lochia,saat buang air kecil ataupun
setiap buang air besar.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Perawatan vulva</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Pada tiap klien masa nifas dilakukan perawatan vulva dengan tujuan untuk
mencegah terjadinya inveksi di daerah vulva, perineum maupun didalam uterus.
Perawatan vulva dilakukan pada pagi dan sore hari sebelum mandi, sesudah buang
air kemih atau buang air besar dan bila klien merasa tidak nyaman karena lochia
berbau atau ada keluhan rasa nyeri. Cara perawatan vulva adalah cuci tangan
sebelum dan sesudah melakukan perawatan luka, setelah BAK cebok ke arah depan
dan setelah BAB cebok kearah belakang, ganti pembalut stiap kali basah atau
setelah BAB atau BAK , setiap kali cebok memakai sabun dan luka bisa diberi
betadin.Untuk cara merawat luka dapat dilihat pada lampiran 1</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Miksi</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Kencing secara spontan sudah harus dapat dilakukan dalam 8 jam post partum.
Kadang kadang wanita sulit kencing, karena spincter uretra mengalami tekanan
oleh kepala janin dan spasme oleh iritasi musculus spincter ani selama
persalinan. Bila kandung kemih penuh dan wanita sulit kencing sebaiknya
dilakukan kateterisasi.( Persis H, 1995: 288)</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Defekasi</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Buang air besar harus terjadi pada 2-3 hari post partum. Bila belum terjadi
dapat mengakibatkan obstipasi maka dapat diberikan obat laksans per oral atau
perektal atau bila belum berhasil lakukan klisma.( Persis H,1995: 288)</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Perawatan Payudara</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Perawatan payudara telah mulai sejak wanita hamil supaya puting susu lemas,
tidak keras dan kering, sebagai persiapan untuk menyusui bayinya. Dianjurkan
sekali supaya ibu mau menyusui bayinya karena sangat berguna untuk kesehatan
bayi.Dan segera setelah lahir ibu sebaiknya menyusui bayinya karena dapat
membantu proses involusi serta colostrum<span style="mso-spacerun: yes;">
</span>mengandung zat antibody yang berguna untuk kekebalan tubuh bayi.Cara
perawatan payudara ada pada lampiran no.2</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">( Mac. Donald, 1991: 430)</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Kembalinya Datang Bulan atau
Menstruasi</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Dengan memberi ASI kembalinya menstruasi sulit diperhitungkan dan bersifat
indifidu. Sebagian besar kembalinya menstruasi<span style="mso-spacerun: yes;">
</span>setelah 4-6 bulan.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Cuti Hamil dan Bersalin</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Bagi wanita pekerja menurut undang-undang berhak mengambil cuti hamil dan
bersalin selama 3 bulan yaitu 1 bulan sebelum bersalin dan 2 bulan setelah
melahirkan.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Mempersiapkan untuk Metode KB</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt;">
<span style="mso-ansi-language: IN;">Pemeriksaan post partum merupakan waktu yang tepat untuk membicarakan
metode KB untuk menjarangkan atau menghentikan kehamilan. Oleh karena itu
penggunaan metode KB dibutuhkan sebelum haid pertama kembali untuk mencegah kehamilan
baru. Pada umumnya metode KB dapat dimulai 2 minggu setelah melahirkan.(Bari
Abdul,2000:129)</span></div>
<div class="MsoNormal" style="margin-left: 57.0pt;">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.2<span style="mso-spacerun: yes;">
</span>KONSEP EKLAMSI</span></b></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.2.1. Batasan </span></b><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>1.
Eklamsi adalah kelainan akut pada ibu hamil, saat hamil tua, persalinan atau
masa nifas ditandai dengan timbulnya kejang atau koma, dimana sebelumnya sudah
menunjukkan gejala-gejala pre eklamsi (hipertensi, edems, proteinuri) .
(Wirjoatmodjo, 1994: 49).</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2.
Eklamsi merupakan kasus akut, pada penderita dengan gambaran klinik pre eklamsi
yang disertai dengan kejang dan koma yang timbul pada ante, intra dan post
partum.<span style="mso-spacerun: yes;"> </span>(Angsar MD, 1995: 41)</span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.2.2<span style="mso-spacerun: yes;">
</span>Patofisiologi</span></b></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Penyebabnya sampai sekarang belum jelas.
Penyakit ini dianggap sebagai suatu “ Maldaptation Syndrom” dengan akibat suatu
vaso spasme general dengan akibat yang lebih serius pada organ hati, ginjal,
otak, paru-paru dan jantung yakni tejadi nekrosis dan perdarahan pada
organ-organ tersebut. (Pedoman Diagnosis dan Terapi, 1994: 49)</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.2.3<span style="mso-spacerun: yes;"> </span>Pembagian Eklamsi</span></b></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Berdasarkan waktu terjadinya eklamsi dapat
dibagi menjadi:</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>1.<span style="mso-spacerun: yes;"> </span>Eklamsi gravidarum</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>Kejadian 50-60 % serangan terjadi dalam keadaan hamil</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>2.<span style="mso-spacerun: yes;"> </span>Eklamsi Parturientum</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Kejadian sekitar 30-35 %, terjadi saat<span style="mso-spacerun: yes;">
</span>inpartu dimana batas dengan eklamsi gravidarum sukar dibedakan terutama
saat mulai inpartu.</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>3.<span style="mso-spacerun: yes;"> </span>Eklamsi Puerperium</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>Kejadian jarang sekitar 10 %, terjadi serangan kejang atau koma setelah
persalinan berakhir.<span style="mso-spacerun: yes;"> </span>( Manuaba,
1998: 245)</span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.2.4. Gejala Klinis Eklamsi</span></b></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span></span></b><span style="mso-ansi-language: IN;">Gejala klinis Eklamsi adalah sebagai berikut:</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>1. Terjadi pada kehamilan 20 minggu
atau lebih</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -15.6pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2. Terdapat
tanda-tanda pre eklamsi ( hipertensi, edema, proteinuri, sakit kepala yang
berat, penglihatan kabur, nyeri ulu hati, kegelisahan atu hiperefleksi)</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo2; tab-stops: list 54.0pt; text-indent: -27.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Kejang-kejang
atau koma</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Kejang dalam eklamsi ada 4
tingkat, meliputi:</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Tingkat awal atau aura (invasi)</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: .55pt;">
<span style="mso-ansi-language: IN;">Berlangsung 30-35 detik, mata terpaku dan terbuka
tanpa melihat (pandangan kosong) kelopak mata dan tangan bergetar, kepala diputar
kekanan dan kekiri.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Stadium kejang tonik</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Seluruh otot badan menjadi kaku, wajah kaku tangan menggenggam dan kaki
membengkok kedalam, pernafasan berhenti muka mulai kelihatan sianosis, lodah
dapat trgigit, berlangsung kira-kira 20-30 detik.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Stadium kejang klonik</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Semua otot berkontraksi dan berulang ulang dalam waktu yang cepat, mulut
terbuka dan menutup, keluar ludah<span style="mso-spacerun: yes;">
</span>berbusa dan lidah dapat tergigit. Mata melotot, muka kelihatan kongesti
dan sianosis. Setelah berlangsung selama 1-2 menit kejang klonik berhenti dan
penderita tidak sadar, menarik mafas seperti mendengkur.</span></div>
<div class="MsoNormal" style="margin-left: 43.65pt;">
<span style="mso-ansi-language: IN;">Stadium koma</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Lamanya ketidaksadaran ini beberapa menit sampai berjam-jam. Kadang antara
kesadaran timbul serangan baru dan akhirnya penderita tetap dalam keadaan koma.
(Muchtar Rustam, 1998: 275)</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt; mso-list: l0 level1 lfo2; tab-stops: list 54.0pt; text-indent: -17.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Kadang kadang disertai dengan gangguan fungsi
organ.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>(Wirjoatmodjo, 1994: 49)</span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.2.5. Pemeriksaan dan Diagnosis</span></b></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Diagnosis eklamsi dapat ditegakkan apabila terdapat tanda-tanda sebagai
berikut:</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>1. Berdasarkan gejala klinis diatas</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2.
Pemeriksaan laboratorium<span style="mso-spacerun: yes;"> </span>meliputi adanya
protein dalam air seni, fungsi organ hepar, ginjal dan jantung, fungsi
hematologi atau hemostasis</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Konsultasi dengan displin lain
kalau dipandang perlu</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>1.<span style="mso-spacerun: yes;">
</span>Kardiologi</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2.<span style="mso-spacerun: yes;">
</span>Optalmologi</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>3.<span style="mso-spacerun: yes;">
</span>Anestesiologi</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>4.<span style="mso-spacerun: yes;">
</span>Neonatologi dan lain-lain</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; text-indent: 18.0pt;">
<span style="mso-ansi-language: IN;">(Wirjoatmodjo, 1994: 49)<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.2.6. Diagnosis Banding</span></b></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span></span></b><span style="mso-ansi-language: IN;">Diagnosis banding dari kehamilan yang disertai kejang-kejang adalah:</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>1.
Febrile convulsion<span style="mso-spacerun: yes;"> </span>( panas +)</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2.
Epilepsi<span style="mso-spacerun: yes;"> </span>( anamnesa
epilepsi + )</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>3.
Tetanus<span style="mso-spacerun: yes;"> </span>( kejang tonik
atau kaku kuduk)</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>4.
Meningitis atau encefalitis ( pungsi lumbal)</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.2.7.
Komplikasi Serangan</span></b></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Komplikasi yang dapat timbul saat terjadi
serangan kejang adalah:</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>1.
Lidah tergigit</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2.
Terjadi perlukaan dan fraktur</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>3.
Gangguan pernafasan</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>4. Perdarahan otak</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>5. Solutio plasenta dan merangsang
persalinan</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>( Muchtar Rustam, 1995:226)</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.2.8.
Bahaya Eklamsi</span></b></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>1.
Bahaya eklamsi pada ibu</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>Menimbulkan sianosis, aspirasi air ludah<span style="mso-spacerun: yes;">
</span>menambah gangguan fungsi paru, tekanan darah meningkat menimbulkan
perdarahan otak dan kegagalan jantung mendadak, lidah dapat tergigit, jatuh
dari tempat tidur menyebabkan fraktura dan luka-luka, gangguan fungsi ginjal:
oligo sampai anuria, pendarahan atau ablasio retina, gangguan fungsi hati dan
menimbulkan ikterus.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2. Bahaya eklamsi pada janin</span></div>
<div class="MsoNormal" style="margin-left: 42.75pt;">
<span style="mso-ansi-language: IN;">Asfiksia mendadak, solutio plasenta, persalinan prematuritas, IUGR<span style="mso-spacerun: yes;"> </span>(Intra Uterine Growth Retardation), kematian
janin dalam rahim.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>( Pedoman Diagnosis dan<span style="mso-spacerun: yes;"> </span>Terapi, 1994:<span style="mso-spacerun: yes;">
</span>43)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.2.9 Prognosa</span></b></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Eklamsi
adalah suatu keadaan yang sangat berbahaya, maka prognosa kurang baik untuk ibu
maupun anak. Prognosa dipengaruhi oleh paritas, usia dan keadaan saat masuk
rumah sakit. Gejala-gejala yang memberatkan prognosa dikemukakan oleh Eden
adalah: </span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>1.
Koma yang lama<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2. Nadi diatas 120 per menit</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>3. Suhu diatas 39°C.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>4. Tensi diatas 200 mmHg</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>5. Lebih dari sepuluh serangan</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>6. Priteinuria 10 gr sehari atau
lebih</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>7. Tidak adanya oedema.<span style="mso-spacerun: yes;"> </span>( M Dikman A, 1995: 45)<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.2.10.
Penatalaksanaan</span></b></div>
<div class="MsoNormal" style="margin-left: 49.65pt; text-indent: -49.65pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>Prinsip pengobatan eklamsia pada ibu nifas adalah menghentikan kejang
kejang yang terjadi dan mencegah kejang ulang.</span></div>
<div class="MsoNormal" style="margin-left: 41.25pt; tab-stops: 49.65pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>1. Konsep
pengobatan</span></div>
<div class="MsoNormal" style="margin-left: 63.8pt;">
<span style="mso-ansi-language: IN;">Menghindari tejadinya kejang berulang, mengurangi koma, meningkatkan jumlah
diuresis.</span></div>
<div class="MsoNormal" style="margin-left: 26.95pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2.Obat untuk anti kejang</span></div>
<div class="MsoNormal" style="margin-left: 65.1pt; tab-stops: 49.65pt 78.0pt; text-indent: -5.85pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>MgSO<sub>4<span style="mso-spacerun: yes;">
</span></sub>( Magnesium Sulfat)</span></div>
<div class="MsoNormal" style="margin-left: 63.8pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Dosis awal: 4gr 20 % I.V.
pelen-pelan selama 3 menit atau lebih disusul 10gr 40% I.M. terbagi pada bokong
kanan dan kiri.</span></div>
<div class="MsoNormal" style="margin-left: 63.8pt;">
<span style="mso-ansi-language: IN;">Dosis ulangan<span style="mso-spacerun: yes;"> </span>: tiap 6 jam diberikan
5 gr 50 % I.M. diteruskan sampai 6 jam pasca persalinan atau 6 jam bebas
kejang.</span></div>
<div class="MsoNormal" style="margin-left: 120.5pt; tab-stops: 49.65pt 78.0pt 106.35pt 120.5pt; text-indent: -61.25pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Syarat<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;"> </span>reflek patela harus positif, tidak ada
tanda-tanda depresi pernafasan ( respirasi >16 kali /menit), produksi urine
tidak kurang dari 25 cc/jam atau 150 cc per 6 jam atau 600 cc per hari.</span></div>
<div class="MsoNormal" style="margin-left: 63.8pt;">
<span style="mso-ansi-language: IN;">Apabila ada kejang lagi, diberikan<span style="mso-spacerun: yes;">
</span>Mg SO <sub>4 </sub><span style="mso-spacerun: yes;"> </span>20 %, 2gr
I.V.<span style="mso-spacerun: yes;"> </span>pelan-pelan. Pemberian I.V. ulangan
ini hanya sekali saja, apabila masih timbul kejang lagi maka diberikan pentotal
5 mg / kg BB / I.V. pelan-pelan.</span></div>
<div class="MsoNormal" style="margin-left: 63.8pt;">
<span style="mso-ansi-language: IN;">Bila ada tanda-tanda keracunan Mg SO 4 diberikan antidotum glukonas<span style="mso-spacerun: yes;"> </span>kalsikus 10 gr % 10 cc / I.V<span style="mso-spacerun: yes;"> </span>pelan-pelan selama 3 menit atau lebih.</span></div>
<div class="MsoNormal" style="margin-left: 63.8pt;">
<span style="mso-ansi-language: IN;">Apabila diluar sudah diberi pengobatan diazepam, maka dilanjutkan
pengobatan dengan MgSO 4 .</span></div>
<div class="MsoNormal" style="margin-left: 45.8pt; tab-stops: 49.65pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 70.9pt 78.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.3<span style="mso-spacerun: yes;"> </span>KONSEP EKSTRAKSI FORCEPS</span></b></div>
<div class="MsoNormal" style="tab-stops: -63.8pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.3.1. Definisi</span></b></div>
<div class="MsoNormal" style="margin-left: 42.55pt; tab-stops: -63.8pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Ekstraksi
forceps adalah suatu persalinan buatan dimana janin dilahirkan dengan suatu
tarikan cunam yang dipasang pada kepalanya.<span style="mso-tab-count: 1;"> </span>(Hanifa
W,1991: 88)</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; tab-stops: -63.8pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Cunam
atau forceps adalah suatu alat obstetrik terbuat dari logam yang digunakan
untuk melahirkan anak dengan tarikan kepala.(Phantom,______:178)</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; tab-stops: -63.8pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Ekstraksi
cunam adalah tindakan obstetrik yang bertujuan untuk mempercepat kala
pengeluaran dengan jalan menarik bagian bawah janin ( kepala ) dengan alat
cunam. ( Bari Abdul, 2001: 501)</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; tab-stops: -63.8pt; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.3.2. Tujuan</span></b></div>
<div class="MsoNormal" style="margin-left: 42.55pt; tab-stops: -63.8pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Menurut Rustam Mochtar 1998,
persalinan dengan ekstraksi forceps bertujuan:</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; tab-stops: -63.8pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>1. Traksi yaitu menarik anak yang tidak dapat
lahir spontan</span></div>
<div class="MsoNormal" style="margin-left: 2.0cm; tab-stops: 35.45pt; text-indent: -2.0cm;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>2. Koreksi yaitu merubah letak kepala dimana ubun-ubun kecil dikiri atau
dikanan<span style="mso-spacerun: yes;"> </span>depan atau sekali-kali UUK
melintang kiri dan kanan atau UUK ki /ka belakang menjadi UUK depan ( dibawah
symphisis pubis)</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; tab-stops: -63.8pt; text-indent: -35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>3. Kompresor yaitu untuk menambah moulage
kepala</span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.3.3. Jenis Tindakan Forceps </span></b></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Berdasarkan
pada jauhnya turun kepala, dapat dibedakan<span style="mso-spacerun: yes;">
</span>beberapa macam tindakan ekstraksi forceps, antara lain:</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>1.
Forceps rendah</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Dilakukan setelah kepala bayi mencapai H IV, kepala bayi mendorong
perineum, forceps dilakukan dengan ringan disebut outlet forceps.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2. Forceps tengah</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Pada kedudukan kepala antara H II atau
H III, salah satu bentuk forceps tengah adalah forceps percobaan untuk
membuktikan disproporsi panggul dan kepala. Bila aplikasi dan tarikan forceps
berat membuktikan terdapat disproporsi kepala panggul . Forceps percobaan dapat
diganti dengan ekstraksi vaccum.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>3. Forceps tinggi</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -.55pt;">
<span style="mso-ansi-language: IN;">Dilakukan pada kedudukan kepala diantara H I atau
H II, forceps tinggi sudah diganti dengan seksio cesaria.</span></div>
<div class="MsoNormal" style="margin-left: 42.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>( Manuaba,1998: 348)</span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.3.4 Indikasi</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: -1.0cm;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Indikasi pertolongan ekstraksi forceps adalah</span></div>
<div class="MsoNormal" style="text-indent: 1.0cm;">
<span style="mso-ansi-language: IN;">1. Indikasi ibu </span></div>
<div class="MsoNormal" style="margin-left: 40.5pt;">
<span style="mso-ansi-language: IN;">Ruptura uteri mengancam, artinya lingkaran retraksi patologik band sudah
setinggi 3 jari dibawah pusat, sedang kepala sudah turun sampai H III- H IV.</span></div>
<div class="MsoNormal" style="margin-left: 40.5pt;">
<span style="mso-ansi-language: IN;">Adanya oedema pada vagina atau vulva. Adanya oedema pada jalan lahir
artinya partus sudah berlangsung lama.</span></div>
<div class="MsoNormal" style="margin-left: 40.5pt;">
<span style="mso-ansi-language: IN;">Adanya tanda-tanda infeksi, seperti suhu badan meninggi, lochia berbau.</span></div>
<div class="MsoNormal" style="margin-left: 40.5pt;">
<span style="mso-ansi-language: IN;">Eklamsi yang mengancam</span></div>
<div class="MsoNormal" style="margin-left: 40.5pt;">
<span style="mso-ansi-language: IN;">Indikasi pinard, yaitu kepala sudah di H IV,<span style="mso-spacerun: yes;"> </span>pembukaan cervix lengkap, ketuban sudah pecah
atau<span style="mso-spacerun: yes;"> </span>2jam mengedan janin belum lahir
juga</span></div>
<div class="MsoNormal" style="margin-left: 40.5pt;">
<span style="mso-ansi-language: IN;">Pada ibu-ibu yang tidak boleh mengedan lama, misal<span style="mso-spacerun: yes;"> </span>Ibu dengan decompensasi kordis , ibu dengan
Koch pulmonum berat, ibu dengan anemi berat (Hb 6 gr % atau kurang),<span style="mso-spacerun: yes;"> </span>pre eklamsi berat,<span style="mso-spacerun: yes;"> </span>ibu dengan asma broncial.</span></div>
<div class="MsoNormal" style="margin-left: 40.5pt;">
<span style="mso-ansi-language: IN;">Partus tidak maju-maju</span></div>
<div class="MsoNormal" style="margin-left: 40.5pt;">
<span style="mso-ansi-language: IN;">Ibu-ibu yang sudah kehabisan tenaga.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>2. Indikasi janin</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Gawat janin</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Tanda-tanda gawat janin antara
lain :</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;">
</span>Cortonen menjadi cepat takhikardi 160 kali per menit dan tidak teratur,
DJJ menjadi lambat bradhikardi 160 kali per menit dan tidak teratur, adanya
mekonium (pada janin letak kepala)</span></div>
<div class="MsoNormal" style="text-indent: 35.45pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Prolapsus funikulli, walaupun
keadaan anak masih baik</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>(Rustam Muchtar,1995: 84-85)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.3.5 Syarat</span></b><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Syarat-syarat untuk dapat melakukan ekstrasksi forceps
antara lain:</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>1. Pembukaan lengkap</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l3 level1 lfo3; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;"><span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2. Selaput ketuban telah pecah atau
dipecahkan</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>3. Presentasi kepala dan ukuran kepala
cukup cunam</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>4. Tidak ada kesempitan panggul</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>5. Anak hidup termasuk keadaan gawat
janin</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>6. Penurunan H III atau H III- H IV (
puskesmas H IV atau dasar panggul)</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>7. Kontraksi baik</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>8. Ibu tidak gelisah atau
kooperatif<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal" style="margin-left: 42.0pt; text-indent: 18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>( Bari
Abdul, 2001: 502)</span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.3.6 Kontra Indikasi</span></b><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Kontra indikasi dari ekstraksi forceps meliputi</span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="mso-list: l10 level1 lfo7; tab-stops: list 36.0pt left 49.65pt;"><span style="mso-ansi-language: IN;">Janin sudah lama mati sehingga sudah tidak
bulat dan keras lagi sehingga kepala sulit dipegang oleh forceps</span></li>
<li class="MsoNormal" style="mso-list: l10 level1 lfo7; tab-stops: list 36.0pt left 49.65pt;"><span style="mso-ansi-language: IN;">Anencephalus</span></li>
<li class="MsoNormal" style="mso-list: l10 level1 lfo7; tab-stops: list 36.0pt left 49.65pt;"><span style="mso-ansi-language: IN;">Adanya disproporsi cepalo pelvik</span></li>
<li class="MsoNormal" style="mso-list: l10 level1 lfo7; tab-stops: list 36.0pt left 49.65pt;"><span style="mso-ansi-language: IN;">Kepala masih tinggi</span></li>
<li class="MsoNormal" style="mso-list: l10 level1 lfo7; tab-stops: list 36.0pt left 49.65pt;"><span style="mso-ansi-language: IN;">Pembukaan belum lengkap</span></li>
<li class="MsoNormal" style="mso-list: l10 level1 lfo7; tab-stops: list 36.0pt left 49.65pt;"><span style="mso-ansi-language: IN;">Pasien bekas operasi vesiko vagina fistel</span></li>
<li class="MsoNormal" style="mso-list: l10 level1 lfo7; tab-stops: list 36.0pt left 49.65pt;"><span style="mso-ansi-language: IN;">Jika lingkaran kontraksi patologi<span style="mso-spacerun: yes;"> </span>bandl sudah setinggi pusat atau lebih</span></li>
</ol>
<div class="MsoNormal" style="margin-left: 54.0pt; tab-stops: 49.65pt;">
<span style="mso-ansi-language: IN;">(Muchtar Rustam, 1995: 85)</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.3.7<span style="mso-spacerun: yes;">
</span>Komplikasi</span></b></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Komplikasi atau
penyulit ekstraksi forceps adalah sebagai berikut</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>1. Komplikasi langsung akibat
aplikasi forceps dibagi menjadi</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Komplikasi yang dapat terjadi pada ibu dapat berupa:</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Perdarahan yang dapat disebabkan karena atonia uteri, retensio plasenta
serta trauma jalan lahir yang meliputi<span style="mso-spacerun: yes;">
</span>ruptura uteri, ruptura cervix, robekan forniks, kolpoforeksis, robekan
vagina, hematoma luas, robekan perineum.</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Infeksi yang terjadi karena sudah terdapat
sebelumnya, aplikasi alat menimbulkan infeksi, plasenta rest atau membran
bersifat asing yang dapat memudahkan infeksi dan menyebabkan sub involusi uteri
serta saat melakukan pemeriksaan dalam</span></div>
<div class="MsoNormal" style="margin-left: 31.95pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Komplikasi segera pada bayi</span></div>
<div class="MsoNormal" style="margin-left: 42.6pt;">
<span style="mso-ansi-language: IN;">Asfiksia karena terlalu lama di dasar panggul sehingga<span style="mso-spacerun: yes;"> </span>terjadi rangsangan pernafasan menyebabkan
aspirasi lendir dan air ketuban. Dan jepitan langsung forceps yang menimbulkan
perdarahan intra kranial, edema intra kranial, kerusakan pusat vital di medula
oblongata atau trauma langsung jaringan<span style="mso-spacerun: yes;">
</span>otak.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Infeksi oleh karena infeksi pada
ibu menjalar ke bayi<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Trauma langsung forceps yaitu fraktura tulang kepala dislokasi sutura
tulang kepala; kerusakan pusat vital di medula oblongata; trauma langsung pada
mata, telinga dan hidung; trauma langsung pada persendian tulang leher;
gangguan fleksus brachialis atau paralisis Erb, kerusakan saraf trigeminus dan
fasialis serta hematoma pada daerah tertekan.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>2. Komplikasi kemudian atau terlambat</span></div>
<div class="MsoNormal" style="tab-stops: 42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Komplikasi pada ibu</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; tab-stops: 42.55pt 63.8pt;">
<span style="mso-ansi-language: IN;">Perdarahan yang disebabkan oleh plasenta rest,
atonia uteri sekunder serta jahitan robekan jalan lahir yang terlepas.</span></div>
<div class="MsoNormal" style="tab-stops: 42.55pt 63.8pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Infeksi</span></div>
<div class="MsoNormal" style="tab-stops: 42.55pt 63.8pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Penyebaran infeksi
makin luas</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; tab-stops: 42.55pt 63.8pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Trauma jalan lahir yaitu terjadinya fistula vesiko
vaginal, terjadinya fistula rekto vaginal dan terjadinya fistula utero vaginal.</span></div>
<div class="MsoNormal" style="margin-left: 42.75pt; tab-stops: 42.55pt 63.8pt 78.0pt;">
<span style="mso-ansi-language: IN;">Komplikasi terlambat pada bayi dalam bentuk:</span></div>
<div class="MsoNormal" style="tab-stops: 42.55pt 63.8pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Trauma ekstraksi
forceps dapat menyebabkan cacat karena aplikasi forceps </span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; tab-stops: 42.55pt 63.8pt; text-indent: -42.55pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Infeksi yang berkembang menjadi
sepsis yang dapat menyebabkan kematian serta encefalitis sampai meningitis.</span></div>
<div class="MsoNormal" style="margin-left: 42.75pt; tab-stops: 42.55pt 63.8pt 78.0pt;">
<span style="mso-ansi-language: IN;">Gangguan susunan saraf pusat</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt; tab-stops: 42.55pt 63.8pt; text-indent: -49.65pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Trauma langsung pada saraf pusat
dapat menimbulkan gangguan intelektual.</span></div>
<div class="MsoNormal" style="tab-stops: 42.55pt 63.8pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Gangguan pendengaran
dan keseimbangan.</span></div>
<div class="MsoNormal" style="tab-stops: 42.55pt 63.8pt 78.0pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 42.55pt 63.8pt 78.0pt;">
<br /></div>
<div class="MsoNormal" style="tab-stops: 42.55pt 63.8pt 78.0pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.2.3.8 Perawatan Setelah Ekstraksi
Forceps</span></b></div>
<div class="MsoNormal" style="margin-left: 35.45pt;">
<span style="mso-ansi-language: IN;">Pada prinsipnya tidak berbeda dengan perawatan post partum biasa, hanya
memerlukan perhatian dan observasi yang lebih ketat, karena kemungkinan terjadi
trias komplikasi lebih besar yaitu perdarahan robekan jalan lahir dan infeksi.Oleh
karena itu perawatan setelah ekstraksi forceps memerlukan profilaksis pemberian
infus sampai tercapai keadaan stabil, pemberian uterotonika sehingga kontraksi
rahim menjadi kuat dan pemberian anti biotika untuk menghindari infeksi. (
Manuaba, 1998: 253)</span></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-indent: 14.2pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: -35.45pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.3<span style="mso-spacerun: yes;"> </span>KONSEP ASUHAN KEBIDANAN PADA KLIEN POST
FORCEPS<span style="mso-spacerun: yes;"> </span>EKSTRAKSI INDIKASI EKLAMSI</span></b></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 7.1pt;">
<span style="mso-ansi-language: IN;">Pada klien post forceps ekstraksi indikasi eklamsi
perlu dilakukan perawatan kebidanan secara intensif dengan menggunakan
pendekatan menejemen kebidanan secara terpadu dan berkesinambungan.</span></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 7.1pt;">
<span style="mso-ansi-language: IN;">Untuk itu pada kesempatan ini, menejemen kebidanan
yang kami terapkan berdasarkan teori Helen Varney yang menggunakan 7
langkah,meliputi pengkajian, analisa data, diagnosa, masalah, diagnosa
potensial, tindakan segera, perencanaan, pelaksanaan dan evaluasi.</span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.3.1<span style="mso-spacerun: yes;">
</span>Pengkajian</span></b></div>
<div class="MsoNormal" style="margin-left: 35.45pt; text-indent: 7.1pt;">
<span style="mso-ansi-language: IN;">Pengkajian merupakan langkah awal proses asuhan
kebidanan yang terdiri dari 3 kegiatan yaitu: pengumpulan data yang diperoleh
dari anamnesa, pemeriksaan fisik dan pemeriksaan penunjang lainnya.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;">2.3.1.1 Data subyektif</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Biodata,
mencakup identitas klien serta suami yang terdiri dari:</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ansi-language: IN;">Nama yang jelas dan lengkap, bila perlu ditanyakan nama panggilan
sehari-hari.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ansi-language: IN;">Umur dicatat dalam tahun, sebaiknya juga tanggal lahir klien, umur berguna
mengantisipasi diagnosa masalah kesehatan dan tindakan yang dilakukan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: 42.55pt;">
<span style="mso-ansi-language: IN;">Alamat perlu dicatat untuk mempermudah hubungan
bila keadaan mendesak, misalnya ibu yang dirawat memerluan bantuan keluarga.
Dengan adanya alamat tersebut keluarga klien dapat segera dihubungi. Demikian
juga alamat dapat memberikan petunjuk tentang keadaan lingkungan tempat tinggal
klien.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ansi-language: IN;">Pekerjaan dicatat untuk mengetahui sejauh mana pengaruh pekerjaan dengan
permasalahan kesehatan klien dan juga pembiayaan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ansi-language: IN;">Agama perlu dicatat karena hal ini sangat berpengaruh dalam kehidupan
termasuk kesehatan. Dengan diketahuinya agama klien, akan memudahkan bidan
melakukan pendekatan dalam melakukan asuhan kebidanan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ansi-language: IN;">Pendidikan klien ditanyakan untuk mengetahui tingkat intelektualnya,
tingkat pendidikan dan mempengaruhi sikap perilaku kesehatan seseorang.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ansi-language: IN;">Status perkawinan ditanyakan pada klien untuk mengetahui kemungkinan
pengaruh status perkawinan terhadap masalah kesehatan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Keluhan utama</span></div>
<div class="MsoNormal" style="margin-left: 39.25pt; text-indent: -3.25pt;">
<span style="mso-ansi-language: IN;">Keluhan yang mungkin dapat terjadi dan dirasakan
oleh ibu nifas post ekstraksi forceps adalah:</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ansi-language: IN;">Ibu merasa mules-mules pada perut atau, ibu merasa sakit pada luka jahitan
perineum, adanya pengeluaran lochia rubra, merah, jumlah lebih banyak dari
keadaan fisiologis, ibu merasa pusing kepala, nyeri ulu hati dan penglihatan
kabur.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo1; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Riwayat
Obstetri</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ansi-language: IN;">Riwayat obstetri yang perlu dikaji adalah</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ansi-language: IN;">Riwayat Haid</span></div>
<div class="MsoNormal" style="margin-left: 39.25pt;">
<span style="mso-ansi-language: IN;">Riwayat menstruasi yang perlu ditanyakan adalah menarche, siklus teratur
atau tidak, lamanya menstruasi, banyaknya darah yang keluar, menstruasi
terakhir, dismenorrhoe. Hal ini perlu ditanyakan terutama untuk mengetahui usia
kehamilan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt;">
<span style="mso-ansi-language: IN;">Riwayat kehamilan dan persalinan yang lalu</span></div>
<div class="MsoNormal" style="margin-left: 39.25pt;">
<span style="mso-ansi-language: IN;">Yang perlu ditanyakan pada klien yang pernah hamil adalah untuk menentukan
faktor risiko. Riwayat kehamilan yang lalu dengan pre eklamsi atau tidak. Pada
klien yang pernah melahirkan yaitu tempat melahirkan, cara melahirkan BB anak
saat lahir, PB anak saat lahir, usia saat ini, kelainan saat nifas dan riwayat
meneteki.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ansi-language: IN;">Riwayat kehamilan sekarang</span></div>
<div class="MsoNormal" style="margin-left: 39.25pt;">
<span style="mso-ansi-language: IN;">Yang perlu ditanyakan adalah para, abortus, umur kehamilan, tempat
pemeriksaan kehamilan, frekwensi pemeriksaan kehamilan, kelainan yang dialami
waktu hamil, penggunaan obat dan jamu. Sewaktu usia kehamilan 20 minggu atau
lebih apakah mengalami kenaikan tekanan darah, bengkak pada wajah, tungkai,
tangan, pusing, nyeri ulu hati dan penglihatan kabur serta apakah ibu pernah
kejang selama hamil.</span></div>
<div class="MsoNormal" style="margin-left: 39.25pt; tab-stops: -7.1pt;">
<span style="mso-ansi-language: IN;">Riwayat keluarga berencana</span></div>
<div class="MsoNormal" style="margin-left: 39.25pt; tab-stops: -7.1pt;">
<span style="mso-ansi-language: IN;">Perlu dicatat bagi ibu yang pernah mengikuti
program keluarga berencana. Hal ini penting diketahui untuk mngetahui apakah
kehamilan yang sekarang memang direncanakan atau tidak. Jenis kontrasepsi yang
digunakan, lamanya menggunakan alat kontrasepsi dan rencana setelah melahirkan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo1; tab-stops: -7.1pt list 36.0pt left 78.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Riwayat kesehatan </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 78.0pt;">
<span style="mso-ansi-language: IN;">Riwayat kesehatan<span style="mso-spacerun: yes;">
</span>yang perlu dikaji meliputi: </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt;">
<span style="mso-ansi-language: IN;">Riwayat penyakit yang pernah atau sedang dialami</span></div>
<div class="MsoNormal" style="margin-left: 39.25pt; tab-stops: -7.1pt;">
<span style="mso-ansi-language: IN;">Data yang perlu dikaji meliputi apakah klien punya
penyakit menular, menahun serta menurun.</span></div>
<div class="MsoNormal" style="margin-left: 39.25pt; tab-stops: -7.1pt 63.8pt;">
<span style="mso-ansi-language: IN;">Perilaku kesehatan</span></div>
<div class="MsoNormal" style="margin-left: 39.25pt; tab-stops: -7.1pt 63.8pt;">
<span style="mso-ansi-language: IN;">Data yang dukaji meliputi tanggapan klien terhadap
minum-minuman keras, merokok, personal hygiene, obat-obatan yang sering
diminum.</span></div>
<div class="MsoNormal" style="margin-left: 39.25pt; tab-stops: -7.1pt 63.8pt;">
<span style="mso-ansi-language: IN;">Riwayat kesehatan keluarga</span></div>
<div class="MsoNormal" style="margin-left: 39.25pt; tab-stops: -7.1pt 63.8pt;">
<span style="mso-ansi-language: IN;">Data ini diperlukan untuk mengetahui kemungkinan
adanya pengaruh penyakit keluarga terhadap gangguan kesehatan klien maupun
bayinya, antara lain penyakit jantung, hipertensi, diabetes militus, keturunan
kembar dan koch pulmonum.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo1; tab-stops: -7.1pt list 36.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Keadaan
psikososial</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt;">
<span style="mso-ansi-language: IN;">Yang perlu dikaji dari pasien adalah bagaimana
sikap klien terhadap interaksi yang diadakan bidan, bagaimana rencana meneteki
bayinya, rencana perawatan bayi, dirawat sendiri atau dirawat oleh keluarga.
Juga perlui ditanyakan pengetahuan ibu tentang kesehatan setelah melahirkan
meliputi mobilisasi dini, perawatan payudara, kebersihan diri khususnya daerah
genitalia. Fungsi psikososial khususnya peran suami dalam mendukung kesembuhan
klien.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo1; tab-stops: -7.1pt list 36.0pt left 42.55pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Riwayat adat kebiasaan</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 42.55pt 63.8pt;">
<span style="mso-ansi-language: IN;">Yang perlu dikaji adalah adat kebiasaan keluarga
dalam pertolongan persalinan dan pasca persalinan, demikian juga adanya
kebiasaan lain yang ada hubungannya dengan kesehatan klien dan janinnya.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo1; tab-stops: -7.1pt list 36.0pt left 42.55pt 63.8pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Pola pemenuhan kebutuhan</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 42.55pt 63.8pt;">
<span style="mso-ansi-language: IN;">Nutrisi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 42.55pt 63.8pt;">
<span style="mso-ansi-language: IN;">Perlu ditanyakan pemenuhan nutrisi selama dirumah
sakit apakah klien menghabiskan porsi yang dikonsumsi, kalau tidak apakah klien
dibawakan makanan dari rumah.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 42.55pt 63.8pt 78.0pt;">
<span style="mso-ansi-language: IN;">Tanyakan juga kebiasaan makan dirumah selama hamil
biasanya berapa kali<span style="mso-spacerun: yes;"> </span>dalam satu hari,
berapa piring dalam satu kali makan, jenis makanan dan adakah makanan yang
berpantang selama hamil. Hal ini perlu ditanyakan karena kebiasaan makan
mempengaruhi proses pemulihan kesehatan klien.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 42.55pt 63.8pt 78.0pt;">
<span style="mso-ansi-language: IN;">Untuk klien dengan post eklamsi nutrisi yang
diperlukan adalah diit<span style="mso-spacerun: yes;"> </span>rendah
garam.Contoh diit rendah garam ada pada lampiran 2.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 42.55pt 63.8pt;">
<span style="mso-ansi-language: IN;">Aktifitas</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 42.55pt 63.8pt 78.0pt;">
<span style="mso-ansi-language: IN;">Ditanyakan kemampuan aktifitas klien selama
dirumah sakit apakah mengalami hambatan atau tidak, karena pada ibu nifas post
eklamsi<span style="mso-spacerun: yes;"> </span>mobilisasi dini dapat mulai
dilakukan saat keadaan klien berangsur membaik kira- kira 12 – 24 jam post
partum.Mobilisasi dini dapat dimulai dengan tidur telentang, lalu miring kanan
kiri, serta belajar duduk pada hari ke dua, hari ke tiga belajar berjalan dan
hari ke empat atau kelima sudah boleh pulang.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 42.55pt 63.8pt 78.0pt;">
<span style="mso-ansi-language: IN;">Istirahat dan tidur</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 42.55pt 63.8pt 78.0pt;">
<span style="mso-ansi-language: IN;">Selama dirumah sakit apakah klien dapat memenuhi
kebutuhan istirahat dan tidurnya yaitu kira-kira 7 – 8 jam sehari. Berapa jam
klien tidur dalam sehari, bila tidak dapat tidur ditanyakan apakah sebabnya,
apakah menimbulkan gangguan atau tidak. </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt;">
<span style="mso-ansi-language: IN;">Kebersihan diri</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 78.0pt;">
<span style="mso-ansi-language: IN;">Selama melahirkan apakah dapat melakukan atau
mandi sendiri di kamar mandi atau masih diseka. Tanyakan kapan ganti pembalut,
berapa kali dan jumlah perdarahan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 63.8pt;">
<span style="mso-ansi-language: IN;">Eleminasi alvi dan uri</span></div>
<div class="MsoNormal" style="margin-left: 39.25pt; tab-stops: -7.1pt 63.8pt 78.0pt;">
<span style="mso-ansi-language: IN;">Apakah selama dirumah sakit klien sudah buang air
kecil, kalau belum mengapa. Karena pada klien dengan post operatif<span style="mso-spacerun: yes;"> </span>vaginam selama proses persalinan kandung
kemih mendapat tekanan sehingga dapat mengakibatkan gangguan eleminasi uri,
kalau sudah apakah disertai rasa nyeri atu tidak, dan buang air kecil sudah
harus terjadi secara spontan pada 8 jam post partum. Apakah sudah buang air
besar atau belum, karena pada post partum BAB sudah harus terjadi pada hari ke
2- 3 post partum, kalau belum mengapa, kalau sudah bagaimana konsistensi dan
warnanya, tanyakan juga kebiasaan buang air besar dirumah, karena kebiasaan
buang air besar yang tidak tiap hari kadang tidak menimbulkan gangguan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l4 level1 lfo1; tab-stops: -7.1pt list 36.0pt left 42.55pt 63.8pt 78.0pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Pola persepsi</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt 42.55pt 63.8pt 78.0pt;">
<span style="mso-ansi-language: IN;">Bagaimana penerimaan klien tehadap tindakan yang
dilakukan terhadap proses persalinan.</span></div>
<div class="MsoNormal" style="tab-stops: -7.1pt;">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.3.1.2 Data obyektif</span></b><span style="mso-ansi-language: IN;"></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; tab-stops: -7.1pt;">
<span style="mso-ansi-language: IN;">Merupakan data yang diperoleh melalui pemeriksaan
fisik meliputi inspeksi, palpasi, perkusi dan auskultasi.</span></div>
<div class="MsoNormal" style="tab-stops: -7.1pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 1;"> </span>Data obyektif yang dapat
ditemukan pada ibu nifas adalah:</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; mso-list: l1 level1 lfo6; tab-stops: -7.1pt; text-indent: -19.5pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Riwayat
persalinan</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; tab-stops: -7.1pt;">
<span style="mso-ansi-language: IN;">Yang perlu ditanyakan adalah tempat, tanggal, jam
persalinan, penolong, jenis persalinan serta masalah- masalah yang timbul
selama persalinan.</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; mso-list: l1 level1 lfo6; tab-stops: 35.45pt list 39.0pt; text-indent: -19.5pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Keadaan umum,
kesadaran yang diperoleh dari pengamatan dan pemeriksaan umum pada klien saat
pengkajian .Apakah klien terlihat pucat atau segar, apakah klien sadar penuh
dan dapat beradaptasi dengan keadaan disekitarnya.</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; mso-list: l1 level1 lfo6; tab-stops: 35.45pt list 39.0pt; text-indent: -19.5pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Tanda-tanda
vital</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; tab-stops: 35.45pt;">
<span style="mso-ansi-language: IN;">Hal- hal yang diperiksa adalah tekanan darah, suhu
rektal atau axiler, denyut nadi dan pernafasan.</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; mso-list: l1 level1 lfo6; tab-stops: 35.45pt list 39.0pt; text-indent: -19.5pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Tinggi badan
dan berat badan</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; tab-stops: 35.45pt;">
<span style="mso-ansi-language: IN;">Dapat diperiksa apabila keadaan memungkinkan,
apabila klien masih tiduran tidak perlu dicantumkan atau diukur.</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; tab-stops: 35.45pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 39.0pt; mso-list: l1 level1 lfo6; tab-stops: 35.45pt list 39.0pt; text-indent: -19.5pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Pemeriksaan
fisik</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; tab-stops: -7.1pt 35.45pt 49.65pt;">
<span style="mso-ansi-language: IN;">Pada pemeriksaan fisik yang perlu diperhatikan
adalah</span></div>
<div class="MsoNormal" style="margin-left: 147.3pt; tab-stops: -7.1pt 35.45pt 49.65pt 2.0cm 155.95pt; text-indent: -163.05pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 3;"> </span>Muka<span style="mso-tab-count: 1;"> </span>: Pucat, terdapat
chloasma gravidarum atau tidak, ekspresi wajah serta ada oedema atau tidak</span></div>
<div class="MsoNormal" style="margin-left: 147.3pt; tab-stops: -7.1pt 35.45pt 49.65pt 2.0cm 155.95pt; text-indent: -163.05pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 3;"> </span>Mata<span style="mso-tab-count: 1;"> </span>: Conjungtiva warna
pucat atu tidak, terdapat ikterus atau tidak pada gigi terdapat caries atau
tidak serta kebersihannya.</span></div>
<div class="MsoNormal" style="margin-left: 147.3pt; tab-stops: -7.1pt 35.45pt 49.65pt 2.0cm 155.95pt; text-indent: -163.05pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 3;"> </span>Mulut<span style="mso-tab-count: 1;"> </span>: Terdapat stomatitis
atau tidak, pada gigi terdapat caries atau tidak ssrta kebersihannya.</span></div>
<div class="MsoNormal" style="margin-left: 147.3pt; tab-stops: -7.1pt 35.45pt 49.65pt 2.0cm 155.95pt; text-indent: -163.05pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 3;"> </span>Leher<span style="mso-tab-count: 1;"> </span>: Pembesaran kelenjar
tiroid ada atau tudak, pembesaran vena jugularis ada atau tidak.</span></div>
<div class="MsoNormal" style="margin-left: 147.3pt; tab-stops: -7.1pt 35.45pt 49.65pt 2.0cm 155.95pt; text-indent: -163.05pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 3;"> </span>Dada <span style="mso-tab-count: 1;"> </span>: Bentuk dada simetris
atau tidak, pembesaran payudara, keras, lembek, bentuk putting susu, serta
colostrum keluar atau belum.</span></div>
<div class="MsoNormal" style="margin-left: 147.3pt; tab-stops: -7.1pt 35.45pt 49.65pt 2.0cm 155.95pt 233.9pt; text-indent: -163.05pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 3;"> </span>Perut<span style="mso-tab-count: 1;"> </span>: Inspeksi<span style="mso-tab-count: 1;"> </span>: apa ada luka bekas SC, striae,
linea</span></div>
<div class="MsoNormal" style="margin-left: 147.3pt; tab-stops: -7.1pt 35.45pt 49.65pt 63.8pt 155.95pt 233.9pt; text-indent: -163.05pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 5;"> </span>Palpasi<span style="mso-tab-count: 1;"> </span>: TFU secara normal pada hari
pertama post partum setinggi pusat serta kontraksi uterus untuk mengetahui
proses involusi.</span></div>
<div class="MsoNormal" style="margin-left: 147.3pt; tab-stops: -7.1pt 35.45pt 49.65pt 2.0cm 155.95pt 233.9pt; text-indent: -163.05pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 3;"> </span>Genitalia<span style="mso-tab-count: 1;"> </span>: Inspeksi<span style="mso-tab-count: 1;"> </span>: Kebersihan, lochia rubra,warna
merah, bau serta banyaknya.</span></div>
<div class="MsoNormal" style="margin-left: 147.3pt; tab-stops: -7.1pt 35.45pt 49.65pt 2.0cm 155.95pt 233.9pt; text-indent: -163.05pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 3;"> </span>Perineum<span style="mso-tab-count: 1;"> </span>: Terdapat bekas episiotomi,
banyaknya jahitan, oedema atau tidak, ada tanda infeksi atau tidak serta luka
tampak kering atau basah.</span></div>
<div class="MsoNormal" style="margin-left: 147.3pt; tab-stops: -7.1pt 35.45pt 49.65pt 2.0cm 155.95pt 233.9pt; text-indent: -163.05pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 3;"> </span>Anus<span style="mso-tab-count: 1;"> </span>: Adakah haemorrhoid</span></div>
<div class="MsoNormal" style="margin-left: 147.3pt; tab-stops: -7.1pt 35.45pt 49.65pt 2.0cm 155.95pt 233.9pt; text-indent: -163.05pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 3;"> </span>ekstremitas <span style="mso-tab-count: 1;"> </span>: atas: adakah oedema, terpasang
infus atau tidak</span></div>
<div class="MsoNormal" style="margin-left: 147.3pt; tab-stops: -7.1pt 35.45pt 49.65pt 63.8pt 155.95pt 233.9pt; text-indent: -163.05pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 5;"> </span>bawah:
adakah oedema, ada farices atau tidak serta reflek patela.</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; mso-list: l1 level1 lfo6; tab-stops: 35.45pt list 39.0pt; text-indent: -19.5pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Pemeriksaan
Penunjang</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; tab-stops: 35.45pt;">
<span style="mso-ansi-language: IN;">Pemeriksaan laboratorium meliputi Hb, asam urat,
fungsi ginjal,<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; tab-stops: 35.45pt;">
<span style="mso-ansi-language: IN;">Urine</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; tab-stops: 35.45pt;">
<span style="mso-ansi-language: IN;">Pemeriksaan laboratorium bisa diulang sesuai
keperluan.</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; mso-list: l1 level1 lfo6; tab-stops: 35.45pt list 39.0pt; text-indent: -19.5pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Pemeriksaan
fisikProgram pengobatan dokter</span></div>
<div class="MsoNormal" style="margin-left: 39.0pt; tab-stops: 35.45pt;">
<span style="mso-ansi-language: IN;">Sesuai dengan terapi di konsep dasar eklamsi.</span></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span style="mso-ansi-language: IN;">2.3.2<span style="mso-spacerun: yes;">
</span>Analisa Data Diagnosa Dan Masalah</span></b></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Diagnosa kebidanan adalah hasil dari perumusan masalah yang diputuskan oleh
bidan. Diagnosa kebidanan sebagai dasar dalam menanggulangi ancaman kehidupan
klien. </span></div>
<div class="MsoNormal" style="margin-left: 42.55pt;">
<span style="mso-ansi-language: IN;">Diagnosa kebidanan<span style="mso-spacerun: yes;"> </span>dan masalah
kebidanan yang muncul pada klien post forceps ekstraksi indikasi eklamsi
adalah:</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt; mso-list: l5 level1 lfo4; tab-stops: list 46.35pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">P…….(APIAH) post forceps ekstraksi indikasi
eklamsi hari ke…..</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Dasar:</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Ibu melahirkan dengan forceps ekstraksi pada tanggal… jam…..</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Ibu mengatakan perutnya terasa mules</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">TFU pada hari pertama post partum setinggi pusat</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Pengeluaran lochia rubra, warna merah bau anyir, jumlah…</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Kejang saat hamil atau inpartu</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Kesadaran composmentis, tanda-tanda vital……….</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt; mso-list: l5 level1 lfo4; tab-stops: list 46.35pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Nyeri luka perineum</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Dasar:</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Ibu kesakitan bila berubah posisi</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Ibu mengatakan nyeri pada luka jahitan perineum</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Terdapat jahitan pada perineum</span></div>
<div class="MsoNormal" style="margin-left: 10.35pt; text-indent: 36.0pt;">
<span style="mso-ansi-language: IN;">( Persis H, 1995: 286)</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt; mso-list: l5 level1 lfo4; tab-stops: list 46.35pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Nyeri rahim karena involusi</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Dasar:</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Ibu mengatakan perutnya terasa mules, keras dan sakit</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Terdapat kontraksi uterus</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Tinggi fundus uteri pada hari pertama post partum setinggi pusat</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Pengeluaran lochia, bau, anyir</span></div>
<div class="MsoNormal" style="margin-left: 64.35pt;">
<span style="mso-ansi-language: IN;">( Persis H, 1995:<span style="mso-spacerun: yes;"> </span>282 )</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt; mso-list: l5 level1 lfo4; tab-stops: list 46.35pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Cemas karena terpisah dengan bayinya</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Dasar:</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Ibu dirawat terpisah dengan bayinya </span></div>
<div class="MsoNormal" style="margin-left: 46.35pt;">
<span style="mso-ansi-language: IN;">Ibu menanyakan keadaan anaknya</span></div>
<div class="MsoNormal" style="margin-left: 10.35pt; text-indent: 36.0pt;">
<span style="mso-ansi-language: IN;">( Persis H, 1995:<span style="mso-spacerun: yes;">
</span>282<span style="mso-spacerun: yes;"> </span>)</span></div>
<div class="MsoNormal" style="margin-left: 46.35pt; mso-list: l5 level1 lfo4; tab-stops: list 46.35pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Gangguan penglihatan</span></div>
<div class="MsoNormal" style="margin-left: 120.5pt; tab-stops: 106.35pt 120.5pt; text-indent: -74.15pt;">
<span style="mso-ansi-language: IN;">Dasar :</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt; text-indent: -3.3pt;">
<span style="mso-ansi-language: IN;">dengan jarak tertentu ibu tidak dapat melihat
dengan jelas mata berkunang-kunang</span></div>
<div class="MsoNormal" style="margin-left: 42.55pt; text-indent: .15pt;">
<span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span>Diagnosa
potensial adalah masalah yang timbul dan bila tidak segera diatasi akan
mengancam keselamatan ibu.( Depkes RI, 1996: 6)</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; mso-list: l2 level1 lfo5; tab-stops: 1.0cm list 46.5pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span style="mso-ansi-language: IN;">Risiko
terjadinya kejang berulang post partum</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Dasar:</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Ibu mekahirkan dengan forcps ekstraksi indikasi
eklamsi hari ke….</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Desakan darah sistole >160 mmHg dan
diastole<span style="mso-spacerun: yes;"> </span>> 110 mmHg</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Adanya tanda-tanda peningkatan tekanan intra kranial:
pusing, penglihatan kabur dan mual</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">( Persis H, 1995: 107)</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; mso-list: l2 level1 lfo5; tab-stops: 1.0cm list 46.5pt left 49.65pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Risiko terjadinya perdarahan post partum</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Dasar:</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Post partum 24 jam debgan tindakan forceps
ekstraksi</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Kontraksi uterus lembek, TFU tidak sesuai dengan
proses involusi pada hari ke…..</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">( Persis H, 1995: 282)</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; mso-list: l2 level1 lfo5; tab-stops: 1.0cm list 46.5pt left 49.65pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Risiko terjadinya infeksi nifas</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Dasar:</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Post partum dengan tindakan forceps ekstraksi</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Ibu tidak melakukan mobilisasi dini</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Pembalut terlihat penuh oleh darah</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Suhu tubuh > 37,5 <sup>0 </sup>C</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Terdapat jahitan pada perineum dengan tanda-tanda
infeksi yaitu kolor rubor dolor dan fungisiolase</span></div>
<div class="MsoNormal" style="margin-left: 64.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">( Persis H,1995: 286)</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; mso-list: l2 level1 lfo5; tab-stops: 1.0cm list 46.5pt left 49.65pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Risiko terjadinya bendungan ASI</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Dasar:</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Bayi dirawat terpisah dengan ibunya</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Ibu belum meneteki bayinya</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Putting susu terlihat kotor</span></div>
<div class="MsoNormal" style="tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 2;"> </span>Payudara teraba keras
dan tegang</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">( Persis H, 1995:286)</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; mso-list: l2 level1 lfo5; tab-stops: 1.0cm list 46.5pt left 49.65pt; text-indent: -18.0pt;">
<span style="mso-ansi-language: IN;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span style="mso-ansi-language: IN;">Risiko terjadinya retensio urine sehubungan dengan
trauman persalinan</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Dasar: </span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Post partum dengan tindakan forceps ekstraksi </span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Ibu tidak kencing spontan</span></div>
<div class="MsoNormal" style="margin-left: 46.5pt; tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;">Kandung kencing penuh</span></div>
<div class="MsoNormal" style="tab-stops: 1.0cm 49.65pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 2;"> </span>( Persis H, 1995:282)</span></div>
<div class="MsoNormal" style="margin-left: 49.65pt; tab-stops: 1.0cm 49.65pt; text-indent: -49.65pt;">
<span style="mso-ansi-language: IN;"><span style="mso-tab-count: 2;"> </span><span style="mso-spacerun: yes;"> </span>Tindakan
segera merupakan tindakan berdasarkan beberapa data yang mengidentifikasikan
keadaan gawat darurat, dimana bidan harus bertindak segera untuk keselamatan
jiwa ibu dan janin. Tindakan segera untuk perawatan kebidanan pada klien masa
nifas dengan post forceps ekstraksi indikasi eklamsi untuk mencegah terjadinya
komplikasi selama masa nifas adalah kolaborasi dengan tim medis untuk
melanjutkan<span style="mso-spacerun: yes;"> </span>terapi eklamsi.</span></div>
</div>
<span style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: IN; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="MsoTitle">
<span lang="EN-US">DAFTAR PUSTAKA</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Angsar M. Dikman, 1995, <b><i>Hipertensi Dalam
Kehamilan</i></b>, Lab/UPF Obstetri dan Ginekologi Fakultas Kedokteran
UNAIR/RSUD Dr. Soetomo, Surabaya</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">________, 1994, <b><i>Obstetri Phantom</i></b>,
Fakultas Kedokteran Airlangga, Surabaya</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span lang="EN-US">Bennet R. Brown Linda K, 1996,<b><i> Myles Text Book For Mmidwives</i></b>,
Chrurcchill Livingstone, Tokyo</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Dennen C. Philip, 1994, <b><i>Partus Forceps</i></b>,
Binarupa<span style="mso-spacerun: yes;"> </span>Aksara, Jakarta</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Hamilton PM, 1995, <b><i>Dasar-Dasar Keperawatan
Maternitas</i></b>, EGC, Jakarta</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Hariadi R, 1991, <b><i>Obstetri Williams</i></b>,
Airlangga University Press, Surabaya</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Ibrahim, Christin S, 1993, <b><i>Perawatan
Keebidanan (Perawatan Nifas)</i></b>, Bharata Niaga Media Jakarta</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Long C Barbara, 1996, <b><i>Perawatan Medika Bedah</i></b>,
YIA Pendidikan Keperawatan Pajajaran Bandung, Bandung</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Manuaba, 1998, <b><i>Ilmu Kebidanan Penyakit
Kandungan dan Keluarga Berencana Untuk Pendidikan Bidan</i></b>, Pengurus
Ikatan Bidan Indonesia, Jakarta</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Mochtar, Rustam, 1998, <b><i>Sinopsis Obstetri</i></b>,
EGC, Jakarta</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Saifudin, Abdul Bari Dkk, 2000, <b><i>Buku Acuan
Nasional Pelayanan Kesehatan Maternal dan Neonatal</i></b>, Yayasan Bidan
Pustaka Sarwono Prawirohardjo, Jakarta</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Santosa NI, 1995, <b><i>Manajemen Kebidanan</i></b>,
Pusat Pendidikan Tenaga Kesehatan, Jakarta</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Sastrawinata Sullaiman, 1983, <b><i>Obstetri
Fisiologi</i></b>, Offset, Bandung</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Sastra, Sulaiman, 1983, <b><i>Obstetri Patologi</i></b>,
Elemen Banddung</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Sweet BR, 1993, <b><i>Mayes Midwifery A Text Book
For Midwive</i></b>, Bailiere Tindall, Tokyo</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Wiknyosastro, H, 1991,<b><i> Ilmu Kebidanan</i></b>,
Yayasan Bina Pustaka Sarwono Prawiro Hardjo, Jakarta</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -36.0pt;">
<span style="mso-ansi-language: IN;">Wirjoatmojo. K, 1994, <b><i>Pedoman Diagnosis Dan
Terapi</i></b>, Lab/UPF Kebidanan dan Penyakit Kandungan RSUD Dr. Soetomo,
Surabaya</span></div>
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-87503312780758266542013-01-26T06:42:00.002-08:002013-01-26T06:42:42.474-08:00ASKEP POST PARTUM DENGAN HPP<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Section1">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">ASUHAN KEPERAWATAN PADA
KLIEN POST PARTUM HARI KEDUA DENGAN RIWAYAT HAEMORRHAGE POST PARTUM ( HPP</span></b><span lang="EN-US"> )</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.85pt; mso-list: l6 level1 lfo1; tab-stops: list 21.85pt; text-align: justify; text-indent: -21.85pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pengertian</span></b></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 24.0pt;">
<span lang="EN-US">Post partum / puerperium adalah masa dimana tubuh menyesuaikan, baik
fisik maupun psikososial terhadap proses melahirkan. Dimulai segera setelah
bersalin sampai tubuh menyesuaikan secara sempurna dan kembali mendekati
keadaan sebelum hamil ( 6 minggu ). Masa post partum dibagi dalam tiga tahap :
Immediate post partum dalam 24 jam pertama, Early post partum period (minggu
pertama) dan Late post partum period ( minggu kedua sampai minggu ke
enam)..Potensial bahaya yang sering terjadi adalah pada immediate dan early
post partum period sedangkan perubahan secara bertahap kebanyakan terjadi pada
late post partum period. Bahaya yang paling sering terjadi itu adalah
perdarahan paska persalinan atau HPP. Menurut Willams & Wilkins (1988)
perdarahan paska persalinan adalah perdarahan yang terjadi pada masa post
partum yang lebih dari 500 cc segera setelah bayi lahir. Tetapi menentukan
jumlah perdarahan pada saat persalinan sulit karena bercampurnya darah dengan
air ketuban serta rembesan dikain pada alas tidur. POGI, tahun 2000
mendefinisikan perdarahan paska persalinan adalah perdarahan yang terjadi pada
masa post partum yang menyebabkan perubahan tanda vital seperti klien mengeluh
lemah, limbung, berkeringat dingin, dalam pemeriksaan fisik hiperpnea, sistolik
< 90 mmHg, nadi > 100 x/menit dan kadar HB < 8 gr %.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 21.85pt; mso-list: l6 level1 lfo1; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Klasifikasi perdarahan</span></b><span lang="EN-US">.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 43.65pt; mso-list: l2 level1 lfo22; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan<span style="mso-spacerun: yes;"> </span>paska persalinan dini/ early HPP/ primary HPP
adalah perdarahan berlebihan ( 600 ml atau lebih ) dari saluran genitalia<span style="mso-spacerun: yes;"> </span>yang terjadi dalam 12 - 24 jam pertama
setelah melahirkan.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 43.65pt; mso-list: l2 level1 lfo22; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan paska persalinan
lambat / late HPP/ secondary HPP adalah perdarahan yang terjadi antara hari
kedua sampai enam minggu paska persalinan.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 21.85pt; mso-list: l6 level1 lfo1; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Etiologi</span></b></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 18.0pt;">
<span lang="EN-US">Penyebab perdarahan dibagi dua sesuai dengan jenis perdarahan yaitu
:</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 43.65pt; mso-list: l5 level1 lfo21; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penyebab perdarahan paska
persalinan dini :</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level3 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perlukaan jalan lahir : ruptur
uteri, robekan serviks, vagina dan<span style="mso-spacerun: yes;">
</span>perineum, luka episiotomi.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level3 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan pada tempat menempelnya
plasenta karena : atonia uteri, retensi plasenta, inversio uteri.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level3 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gangguan mekanisme pembekuan
darah.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 43.65pt; mso-list: l5 level1 lfo21; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penyebab perdarahan paska
persalinan terlambat<span style="mso-spacerun: yes;"> </span>biasanya disebabkan
oleh <i style="mso-bidi-font-style: normal;">sisa plasenta atau bekuan darah,
infeksi</i> akibat retensi produk pembuangan dalam uterus sehingga terjadi <i style="mso-bidi-font-style: normal;">sub involusi</i> uterus.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 21.85pt; mso-list: l6 level1 lfo1; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Faktor predisposisi</span></b></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 24.0pt;">
<span lang="EN-US">Beberapa kondisi selama hamil dan bersalin dapat merupakan faktor
predisposisi terjadinya perdarahan paska persalinan, keadaan tersebut ditambah
lagi dengan tidak maksimalnya kondisi kesehatannya dan nutrisi ibu selama
hamil. Oleh karena itu faktor-faktor haruslah diketahui sejak awal dan
diantisipasi pada waktu persalinan :</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 43.65pt; mso-list: l6 level4 lfo1; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Trauma persalinan</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 42.0pt;">
<span lang="EN-US">Setiap tindakan yang akan dilakukan selama proses persalianan harus
diikuti dengan pemeriksaan jalan lahir agar diketahui adanya robekan pada jalan
lahir dan segera dilakukan penjahitan dengan benar.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 43.65pt; mso-list: l6 level4 lfo1; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Atonia Uterus </span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 42.0pt;">
<span lang="EN-US">Pada kasus yang diduga berisiko tinggi terjadinya atonia uteri harus
diantisipasi dengan pemasangan infus. Demikian juga harus disiapkan obat
uterotonika serta pertolongan persalinan kala III dengan baik dan benar.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 43.65pt; mso-list: l6 level4 lfo1; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jumlah darah sedikit</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 42.0pt;">
<span lang="EN-US">Keadaan ini perlu dipertimbangkan pada kasus keadaan itu jelek,
hipertensi saat hamil, pre eklampsia dan eklamsi.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 43.65pt; mso-list: l6 level4 lfo1; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kelainan pembekuan darah</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 42.0pt;">
<span lang="EN-US">Meskipun jarang tetapi bila terjadi sering berakibat fatal, sehingga
perlu diantisipasi dengan hati-hati dan seksama.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 42.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 21.85pt; mso-list: l6 level1 lfo1; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">E.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Patofisiologi</span></b></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 18.0pt;">
<span lang="EN-US">Pada dasarnya perdarahan terjadi karena pembuluh darah didalam
uterus masih terbuka. Pelepasan plasenta memutuskan pembuluh darah dalam stratum
spongiosum sehingga sinus-sinus maternalis ditempat insersinya plasenta
terbuka.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 18.0pt;">
<span lang="EN-US">Pada waktu uterus berkontraksi, pembuluh darah yang terbuka tersebut
akan menutup, kemudian pembuluh darah tersumbat oleh bekuan darah sehingga
perdarahan akan terhenti. Adanya gangguan retraksi dan kontraksi otot uterus,
akan menghambat penutupan pembuluh darah dan menyebabkan perdarahan yang
banyak. Keadaan demikian menjadi faktor utama penyebab perdarahan paska
persalinan. Perlukaan yang luas akan menambah perdarahan seperti robekan
servix, vagina dan perinium.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 21.85pt; mso-list: l6 level1 lfo1; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">F.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Gambaran klinik</span></b></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 18.0pt;">
<span lang="EN-US">Untuk memperkirakan kemungkinan penyebab perdarahan paska persalinan
sehingga pengelolaannya tepat, perlu dibenahi gejala dan tanda sebagai berikut
:</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 5.4pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Gejala dan tanda</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 150.0pt;" valign="top" width="200">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Penyulit</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.0pt;" valign="top" width="128">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0cm;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Diagnosa penyebab</span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Uterus tidak berkontraksi dan
lembek</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan segera setelah
bayi lahir</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 150.0pt;" valign="top" width="200">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Syok</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bekuan darah pada serviks
atau pada posisi terlentang akan menghambat aliran darah keluar</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.0pt;" valign="top" width="128">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Atonia uteri</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Darah segar mengalir segera
setelah anak lahir</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Uterus berkontraksi dan keras</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Plasenta lengkap</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 150.0pt;" valign="top" width="200">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pucat</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lemah</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mengigil</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.0pt;" valign="top" width="128">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Robekan jalan lahir</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Plasenta belum lahir setelah
30 menit</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan segera, uterus
berkontraksi dan keras</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 150.0pt;" valign="top" width="200">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tali pusat putus</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Inversio uteri</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan lanjutan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.0pt;" valign="top" width="128">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Retensio plasenta</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Plasenta atau sebagian
selaput tidak lengkap</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan segera</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 150.0pt;" valign="top" width="200">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Uterus berkontraksi tetapi
tinggi fundus uteri tidak berkurang</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.0pt;" valign="top" width="128">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tertinggalnya sebagian
plasenta</span></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Uterus tidak teraba</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lumen vagina terisi massa</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 150.0pt;" valign="top" width="200">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Neurogenik syok, pucat dan
limbung</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.0pt;" valign="top" width="128">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 36.0pt; mso-list: l8 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Inversio uteri</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 18.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 21.85pt; mso-list: l6 level1 lfo1; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">G.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Penatalaksanaan</span></b></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 43.65pt; mso-list: l6 level4 lfo1; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penatalaksanaan umum</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ketahui secara pasti kondisi
ibu bersalin sejak awal</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pimpin persalinan dengan
mengacu pada persalinan bersih dan aman </span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Selalu siapkan keperluan
tindakan gawat darurat</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Segera lakukan penilaian klinik
dan upaya pertolongan apabila dihadapkan dengan masalah dan komplikasi</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Atasi syok jika terjadi syok</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pastikan kontraksi berlangsung
baik ( keluarkan bekuan darah, lakukan pijatan uterus, beri uterotonika 10 IV
dilanjutkan infus 20 ml dalam 500 cc NS/RL dengan tetesan 40 tetes/menit ).</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pastikan plasenta telah lahir
lengkap dan eksplorasi kemungkinan robekan jalan lahir</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bila perdarahan tidak
berlangsung, lakukan uji bekuan darah.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasang kateter tetap dan pantau
cairan keluar masuk</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lakukan observasi ketat pada 2
jam pertama paska persalinan dan lanjutkan pemantauan terjadwal hingga 4 jam
berikutnya.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 66.0pt; text-indent: -12.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 43.65pt; mso-list: l6 level4 lfo1; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penatalaksanaan khusus</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Atonia uteri</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo3; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kenali dan tegakan kerja atonia uteri</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Sambil melakukan pemasangan infus dan pemberian uterotonika,<span style="mso-spacerun: yes;"> </span>lakukan pengurutan uterus</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo3; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pastikan plasenta lahir lengkap dan tidak ada laserasi jalan lahir</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo3; text-indent: 0cm;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan tindakan spesifik yang diperlukan :</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kompresi bimanual eksternal yaitu menekan uterus melalui dinding
abdomen dengan jalan saling mendekatkan kedua belah telapak tangan yang
melingkupi uteus. Bila perdarahan berkurang kompresi diteruskan, pertahankan
hingga uterus dapat kembali berkontraksi atau dibawa ke fasilitas<span style="mso-spacerun: yes;"> </span>kesehata rujukan.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kompresi bimanual internal yaitu uterus ditekan diantara telapak
tangan pada dinding abdomen dan tinju tangan dalam vagina untuk menjempit
pembuluh darah didalam miometrium.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 72.0pt; mso-list: l0 level1 lfo3; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kompresi aorta abdominalis yaitu raba arteri femoralis dengan ujung
jari tangan kiri, pertahankan posisi tersebut genggam tangan kanan kemudian
tekankan pada daerah umbilikus, tegak lurus dengan sumbu badan, hingga mencapai
kolumna vertebralis, penekanan yang tepat akan menghetikan atau mengurangi,
denyut arteri femoralis.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 54.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 54.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 54.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Retensio plasenta dengan
separasi parsial</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l12 level1 lfo4; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tentukan jenis retensio yang terjadi karena berkaitan dengan
tindakan yang akan diambil.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l12 level1 lfo4; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Regangkan tali pusat dan minta pasien untuk mengejan, bila ekspulsi
tidak terjadi cobakan traksi terkontrol tali pusat.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l12 level1 lfo4; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pasang infus oksitosin 20 unit/500 cc NS atau RL dengan tetesan
40/menit, bila perlu kombinasikan dengan misoprostol 400mg per rektal.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l12 level1 lfo4; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bila traksi terkontrol gagal melahirkan plasenta, lakukan manual
plasenta secara hati-hati dan halus.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l12 level1 lfo4; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Restorasi cairan untuk mengatasi hipovolemia.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l12 level1 lfo4; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan transfusi darah bila diperlukan.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l12 level1 lfo4; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Berikan antibiotik profilaksis ( ampicilin 2 gr IV/oral +
metronidazole 1 g supp/oral ).</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Plasenta inkaserata</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l7 level1 lfo5; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tentukan diagnosis kerja</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l7 level1 lfo5; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Siapkan peralatan dan bahan untuk menghilangkan kontriksi serviks
yang kuat, tetapi siapkan infus fluothane atau eter untuk menghilangkan
kontriksi serviks yang kuat, tetapi siapkan infus oksitosin 20 Untuk500 NS atau
RL untuk mengantisipasi gangguan kontraksi uterus yang mungkin timbul.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l7 level1 lfo5; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bila bahan anestesi tidak tersedia, lakukan manuver sekrup untuk
melahirkan plasenta.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l7 level1 lfo5; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pasang spekulum Sims sehingga ostium dan sebagian plasenta tampak
jelas.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l7 level1 lfo5; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Jepit porsio dengan klem ovum pada jam 12, 4 dan 8 dan lepaskan
spekulum</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l7 level1 lfo5; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tarik ketiga klem ovum agar ostium, tali pusat dan plasenta tampak
jelas.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l7 level1 lfo5; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tarik tali pusat ke lateral sehingga menampakkan plasenta disisi
berlawanan agar dapat dijepit sebanyak mungkin, minta asisten untuk memegang
klem tersebut.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l7 level1 lfo5; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan hal yang sama pada plasenta kontra lateral</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l7 level1 lfo5; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Satukan kedua klem tersebut, kemudian sambil diputar searah jarum
jam tarik plasenta keluar perlahan-lahan.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 72.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ruptur uteri</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l1 level1 lfo6; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Berikan segera cairan isotonik ( RL/NS) 500 cc dalam 15-20 menit dan
siapkan laparatomi</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l1 level1 lfo6; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan laparatomi untuk melahirkan anak dan plasenta, fasilitas
pelayanan kesehatan dasar harus merujuk pasien ke rumah sakit rujukan</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l1 level1 lfo6; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bila konservasi uterus masih diperlukan dan kondisi jaringan
memungkinkan, lakukan operasi uterus</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l1 level1 lfo6; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bila luka mengalami nekrosis yang luas dan kondisi pasien
mengkwatirkan lakukan histerektomi</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l1 level1 lfo6; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan bilasan peritonial dan pasang drain dari cavum abdomen</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l1 level1 lfo6; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Antibiotik dan serum anti tetanus, bila ada tanda-tanda infeksi.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sisa plasenta</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l17 level1 lfo7; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Penemuan secara dini, dengan memeriksa kelengkapan plasenta setelah
dilahirkan</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l17 level1 lfo7; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Berika antibiotika karena kemungkinan ada endometriosis</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l17 level1 lfo7; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan eksplorasi digital/bila serviks terbuka dan mengeluarkan
bekuan darah atau jaringan, bila serviks hanya dapat dilalui oleh instrument, lakukan
evakuasi sisa plasenta dengan dilatasi dan kuret.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l17 level1 lfo7; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Hb<span style="mso-spacerun: yes;"> </span>8 gr% berikan transfusi
atau berikan sulfat ferosus 600mg/hari selama 10 hari.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ruptur peritonium dan robekan
dinding vagina</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l10 level1 lfo8; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan eksplorasi untuk mengidentifikasi lokasi laserasi dan sumber
perdarahan</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l10 level1 lfo8; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan irigasi pada tempat luka dan bubuhi larutan antiseptik</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l10 level1 lfo8; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Jepit dengan ujung klem sumber perdarahan kemudian ikat dengan
benang yang dapat diserap</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l10 level1 lfo8; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lakukan penjahitan luka dari bagian yang paling distal </span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l10 level1 lfo8; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Khusus pada ruptur perineum komplit dilakukan penjahitan lapis demi
lapis dengan bantuan busi pada rektum, sebagai berikut : </span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l10 level1 lfo8; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Setelah prosedur aseptik- antiseptik, pasang busi rektum hingga
ujung robekan</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l10 level1 lfo8; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Mulai penjahitan dari ujung robekan dengan jahitan dan simpul sub
mukosa, menggunakan benang polyglikolik No 2/0 ( deton/vierge ) hingga ke
sfinter ani, jepit kedua sfinter ani dengan klem dan jahit dengan benang no
2/0.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l10 level1 lfo8; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Lanjutkan penjahitan ke lapisan otot perineum dan sub mukosa dengan
benang yang sama ( atau kromik 2/0 ) secara jelujur.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l10 level1 lfo8; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Mukosa vagina dan kulit perineum dijahit secara sub mukosa dan sub
kutikuler</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l10 level1 lfo8; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Berikan antibiotik profilaksis. Jika luka kotor berikan antibiotika
untuk terapi.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 65.5pt; mso-list: l6 level5 lfo1; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Robekan serviks</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l11 level1 lfo9; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Sering terjadi pada sisi lateral, karena serviks yang terjulur akan
mengalami robekan pada posisi spina ishiadika tertekan oleh kepala bayi.</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l11 level1 lfo9; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bila kontraksi uterus baik, plasenta lahir lengkap, tetapi terjadi
perdarahan banyak maka segera lihat bagian lateral bawah kiri dan kanan porsio</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l11 level1 lfo9; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Jepitan klem ovum pada kedua sisi porsio yang robek sehingga
perdarahan dapat segera di hentikan, jika setelah eksploitasi lanjutkan tidak
dijumpai robekan lain, lakukan penjahitan, jahitan dimulai dari ujung atas
robekan kemudian kearah luar sehingga semua robekan dapat dijahit</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l11 level1 lfo9; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Setelah tindakan periksa tanda vital, kontraksi uterus, tinggi
fundus uteri dan perdarahan paska tindakan</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l11 level1 lfo9; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Berikan antibiotika profilaksis, kecuali bila jelas ditemui
tanda-tanda infeksi</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 90.0pt; mso-list: l11 level1 lfo9; tab-stops: list 90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Bila terjadi defisit cairan lakukan restorasi dan bila kadar Hb
dibawah 8 gr% berikan transfusi darah</span></div>
</div>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="color: black; font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 10.0pt; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<div class="Section2">
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 21.85pt; mso-list: l6 level1 lfo1; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">H.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Pengkajian</span></b></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 41.1pt; mso-list: l11 level2 lfo9; tab-stops: list 41.1pt; text-indent: -19.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Identitas : Sering terjadi pada
ibu usia dibawah 20 tahun dan diatas 35<span style="mso-spacerun: yes;">
</span>tahun</span></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 41.1pt; mso-list: l11 level2 lfo9; tab-stops: list 41.1pt; text-indent: -19.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keluhan utama : Perdarahan dari
jalan lahir, badan lemah, limbung, keluar keringat dingin, kesulitan nafas,
pusing, pandangan berkunang-kunang.</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 41.1pt; mso-list: l11 level2 lfo9; tab-stops: list 41.1pt; text-indent: -19.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Riwayat kehamilan dan
persalinan : Riwayat hipertensi dalam kehamilan, preeklamsi / eklamsia, bayi
besar, gamelli, hidroamnion, grandmulti gravida, primimuda, anemia, perdarahan
saat hamil. Persalinan dengan tindakan, robekan jalan lahir, partus
precipitatus, partus lama/kasep, chorioamnionitis, induksi persalinan,
manipulasi kala II dan III.</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 41.1pt; mso-list: l11 level2 lfo9; tab-stops: list 41.1pt; text-indent: -19.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Riwayat kesehatan : Kelainan
darah dan hipertensi</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 41.1pt; mso-list: l11 level2 lfo9; tab-stops: list 41.1pt; text-indent: -19.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pengkajian fisik : </span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l20 level2 lfo10; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tanda vital : </span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 106.9pt; mso-list: l9 level1 lfo15; tab-stops: list 106.9pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tekanan darah : Normal/turun (
kurang dari 90-100 mmHg)</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 106.9pt; mso-list: l9 level1 lfo15; tab-stops: list 106.9pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Nadi<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;"> </span>Normal/meningkat ( 100-120 x/menit)</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 106.9pt; mso-list: l9 level1 lfo15; tab-stops: list 106.9pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pernafasan<span style="mso-spacerun: yes;"> </span>: Normal/ meningkat ( 28-34x/menit )</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 106.9pt; mso-list: l9 level1 lfo15; tab-stops: list 106.9pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Suhu<span style="mso-spacerun: yes;"> </span>: Normal/ meningkat</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 106.9pt; mso-list: l9 level1 lfo15; tab-stops: list 106.9pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kesadaran<span style="mso-spacerun: yes;"> </span>:<span style="mso-spacerun: yes;">
</span>Normal / turun</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l20 level2 lfo10; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Fundus uteri/abdomen : lembek/keras, subinvolusi</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l20 level2 lfo10; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kulit : Dingin, berkeringat, kering, hangat, pucat, capilary refil
memanjang</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l20 level2 lfo10; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pervaginam : Keluar darah, robekan, lochea ( jumlah dan jenis )</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l20 level2 lfo10; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kandung kemih : distensi, produksi urin menurun/berkurang</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 63.0pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 21.85pt; mso-list: l6 level1 lfo1; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Diagnosa Keperawatan</span></b></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 43.65pt; mso-list: l13 level3 lfo16; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kekurangan volume cairan s/d
perdarahan pervaginam</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 43.65pt; mso-list: l13 level3 lfo16; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gangguan perfusi jaringan s/d
perdarahan pervaginam</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 43.65pt; mso-list: l13 level3 lfo16; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Cemas/ketakutan s/d perubahan
keadaan atau ancaman kematian</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 43.65pt; mso-list: l13 level3 lfo16; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Resiko infeksi s/d perdarahan</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 43.65pt; mso-list: l13 level3 lfo16; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Resiko shock hipovolemik s/d
perdarahan.</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 21.85pt;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 21.85pt; mso-list: l6 level1 lfo1; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">J.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Rencana tindakan keperawatan</span></b></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 43.65pt; mso-list: l18 level3 lfo17; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kekurangan volume cairan s/d
perdarahan pervaginam</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 42.0pt;">
<span lang="EN-US">Goal : Mencegah disfungsional bleeding dan memperbaiki volume cairan</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 42.0pt;">
<span lang="EN-US">Rencana tindakan :</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l16 level1 lfo11; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidurkan pasien dengan posisi
kaki lebih tinggi sedangkan badannya tetap terlentang</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Dengan kaki lebih tinggi akan meningkatkan venous return dan
memungkinkan darah keotak dan organ lain.</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l16 level1 lfo11; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Monitor tanda vital</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Perubahan tanda vital terjadi bila perdarahan semakin hebat</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l16 level1 lfo11; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Monitor intake dan output
setiap 5-10 menit</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Perubahan output merupakan tanda adanya gangguan fungsi ginjal</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l16 level1 lfo11; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Evaluasi kandung kencing</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Kandung kencing yang penuh menghalangi kontraksi uterus</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l16 level1 lfo11; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lakukan masage uterus dengan
satu tangan serta tangan lainnya diletakan diatas simpisis.</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Massage uterus merangsang kontraksi uterus dan membantu pelepasan
placenta, satu tangan diatas simpisis mencegah terjadinya inversio uteri</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l16 level1 lfo11; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Batasi pemeriksaan vagina dan
rektum</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Trauma yang terjadi pada daerah vagina serta rektum meningkatkan
terjadinya perdarahan yang lebih hebat, bila terjadi laserasi pada serviks /
perineum atau terdapat hematom</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 54.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US">Bila tekanan darah semakin
turun, denyut nadi makin lemah, kecil dan cepat, pasien merasa mengantuk,
perdarahan semakin hebat, segera kolaborasi.</span></i></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l16 level1 lfo11; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan infus atau cairan
intravena</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Cairan intravena mencegah terjadinya shock</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l16 level1 lfo11; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan uterotonika ( bila
perdarahan karena atonia uteri )</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Uterotonika merangsang kontraksi uterus dan mengontrol perdarahan</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l16 level1 lfo11; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan antibiotik</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Antibiotik mencegah infeksi yang mungkin terjadi karena
perdarahan pada subinvolusio</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l16 level1 lfo11; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan transfusi whole blood (
bila perlu )</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Whole blood membantu menormalkan volume cairan tubuh.</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 43.65pt; mso-list: l18 level3 lfo17; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gangguan perfusi jaringan s/d
perdarahan pervaginam</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 42.0pt;">
<span lang="EN-US">Goal : Tanda vital dan gas darah dalam batas normal</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 42.0pt;">
<span lang="EN-US">Rencana keperawatan :</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l3 level1 lfo12; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Monitor tanda vital tiap 5-10
menit</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Perubahan perfusi jaringan menimbulkan perubahan pada tanda vital</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l3 level1 lfo12; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Catat perubahan warna kuku, mukosa
bibir, gusi dan lidah, suhu kulit</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Dengan vasokontriksi dan hubungan keorgan vital, sirkulasi di
jaingan perifer berkurang sehingga menimbulkan cyanosis dan suhu kulit yang
dingin</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l3 level1 lfo12; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kaji ada / tidak adanya
produksi ASI</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Perfusi yang jelek menghambat produksi prolaktin dimana
diperlukan dalam produksi ASI</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l3 level1 lfo12; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tindakan kolaborasi :</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 87.3pt; mso-list: l14 level2 lfo19; tab-stops: list 87.3pt; text-indent: -21.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Monitor kadar gas darah dan PH ( perubahan kadar gas darah dan PH
merupakan tanda hipoksia jaringan )</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 87.3pt; mso-list: l14 level2 lfo19; tab-stops: list 87.3pt; text-indent: -21.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">v<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Berikan terapi oksigen ( Oksigen diperlukan untuk memaksimalkan
transportasi sirkulasi jaringan ).</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 43.65pt; mso-list: l18 level3 lfo17; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Cemas/ketakutan berhubungan
dengan perubahan keadaan atau ancaman kematian</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt; text-indent: -24.0pt;">
<span lang="EN-US">Goal : Klien dapat mengungkapkan secara
verbal rasa cemasnya dan mengatakan perasaan cemas berkurang atau hilang.</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt; text-indent: -24.0pt;">
<span lang="EN-US">Rencana tindakan : </span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l4 level1 lfo13; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kaji respon psikologis klien
terhadap perdarahan paska persalinan</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Persepsi klien mempengaruhi intensitas cemasnya</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l4 level1 lfo13; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kaji respon fisiologis klien (
takikardia, takipnea, gemetar )</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Perubahan tanda vital menimbulkan perubahan pada respon
fisiologis</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l4 level1 lfo13; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perlakukan pasien secara kalem,
empati, serta sikap mendukung</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Memberikan dukungan emosi</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l4 level1 lfo13; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan informasi tentang
perawatan dan pengobatan</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Informasi yang akurat dapat mengurangi cemas dan takut yang tidak
diketahui</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l4 level1 lfo13; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bantu klien mengidentifikasi
rasa cemasnya</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Ungkapan perasaan dapat mengurangi cemas</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l4 level1 lfo13; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kaji mekanisme koping yang
digunakan klien</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Cemas yang berkepanjangan dapat dicegah dengan mekanisme koping
yang tepat.</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 43.65pt; mso-list: l18 level3 lfo17; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Potensial infeksi sehubungan
dengan perdarahan</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 84.0pt; text-indent: -36.0pt;">
<span lang="EN-US">Goal : Tidak terjadi infeksi ( lokea tidak
berbau dan TV dalam batas normal )</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 84.0pt; text-indent: -36.0pt;">
<span lang="EN-US">Rencana tindakan :</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l4 level2 lfo13; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Catat perubahan tanda vital</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Perubahan tanda vital ( suhu ) merupakan indikasi terjadinya
infeksi</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l4 level2 lfo13; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Catat adanya tanda lemas,
kedinginan, anoreksia, kontraksi uterus yang lembek, dan nyeri panggul</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Tanda-tanda tersebut merupakan indikasi terjadinya bakterimia,
shock yang tidak terdeteksi</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l4 level2 lfo13; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Monitor involusi uterus dan
pengeluaran lochea</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Infeksi uterus menghambat involusi dan terjadi pengeluaran lokea
yang berkepanjangan</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l4 level2 lfo13; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perhatikan kemungkinan infeksi
di tempat lain, misalnya infeksi saluran nafas, mastitis dan saluran kencing</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ Infeksi di tempat lain memperburuk keadaan</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l4 level2 lfo13; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tindakan kolaborasi</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 87.3pt; mso-list: l15 level3 lfo20; tab-stops: list 87.3pt; text-indent: -21.8pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan zat besi ( Anemi
memperberat keadaan )</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 87.3pt; mso-list: l15 level3 lfo20; tab-stops: list 87.3pt; text-indent: -21.8pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Beri antibiotika ( Pemberian
antibiotika yang tepat diperlukan untuk keadaan infeksi ).</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 43.65pt; mso-list: l18 level3 lfo17; tab-stops: list 43.65pt; text-indent: -21.8pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Resiko shock hipovolemik s/d
perdarahan.</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 48.0pt;">
<span lang="EN-US">Goal : </span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 48.0pt;">
<span lang="EN-US">Rencana tindakan :</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 65.5pt; mso-list: l19 level1 lfo18; tab-stops: list 65.5pt; text-indent: -21.85pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US"> </span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 66.0pt;">
<span lang="EN-US">R/ </span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 0cm;">
<br /></div>
<div class="MsoBodyTextIndent" style="line-height: 150%; margin-left: 21.85pt; mso-list: l6 level1 lfo1; tab-stops: list 21.85pt; text-indent: -21.85pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">K.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Evaluasi</span></b></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 54.0pt; text-indent: -18.0pt;">
<span lang="EN-US">Semua tindakan yang dilakukan diharapkan
memberikan hasil : </span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 72.0pt; mso-list: l21 level1 lfo14; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tanda vital dalam batas normal
:</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 72.0pt;">
<span lang="EN-US">a. Tekanan darah<span style="mso-spacerun: yes;"> </span>:
110/70-120/80 mmHg</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 72.0pt;">
<span lang="EN-US">b.<span style="mso-spacerun: yes;"> </span>Denyut nadi<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>: 70-80 x/menit</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 72.0pt;">
<span lang="EN-US">c.<span style="mso-spacerun: yes;"> </span>Pernafasan<span style="mso-spacerun: yes;"> </span>: 20 – 24 x/menit</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 72.0pt;">
<span lang="EN-US">d. Suhu<span style="mso-spacerun: yes;">
</span>: 36 – 37 <sup>o</sup>c</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 72.0pt; mso-list: l21 level1 lfo14; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kadar Hb<span style="mso-spacerun: yes;"> </span>: Lebih atau sama dengan
10 g/dl</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 72.0pt; mso-list: l21 level1 lfo14; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gas darah dalam batas normal</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 72.0pt; mso-list: l21 level1 lfo14; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Klien dan keluarganya
mengekspresikan bahwa dia mengerti tentang komplikasi dan pengobatan yang
dilakukan</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 72.0pt; mso-list: l21 level1 lfo14; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Klien dan keluarganya
menunjukkan kemampuannya dalam mengungkapkan perasaan psikologis dan emosinya</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 72.0pt; mso-list: l21 level1 lfo14; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Klien dapat melakukan
aktifitasnya sehari-hari</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 72.0pt; mso-list: l21 level1 lfo14; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Klien tidak merasa nyeri</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 72.0pt; mso-list: l21 level1 lfo14; tab-stops: list 72.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Klien dapat mengungkapkan
secara verbal perasaan cemasnya</span></div>
<div class="MsoBodyTextIndent2" style="line-height: 150%; margin-left: 45.0pt; text-indent: -18.0pt;">
<br /></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="MsoTitle">
<span lang="EN-US">Sumber Pustaka :</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="EN-US">Brunner & Suddart,s (1996),<i>
Textbook of<span style="mso-spacerun: yes;"> </span>Medical Surgical Nursing –2,
</i>JB. Lippincot Company, Pholadelpia.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Klein. S (1997), <i>A Book Midwives; </i>The Hesperien<span style="mso-spacerun: yes;"> </span>Foundation, Berkeley, CA.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="EN-US">Lowdermilk. Perry. Bobak (1995), <i><span style="mso-spacerun: yes;"> </span>Maternity Nuring , </i><span style="mso-spacerun: yes;"> </span>Fifth Edition, Mosby Year Book, Philadelpia.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="EN-US">Prawirohardjo Sarwono ;
EdiWiknjosastro H (1997), <i>Ilmu Kandungan, </i>Gramedia, Jakarta.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="EN-US">RSUD Dr. Soetomo (2001), <i>Perawatan
Kegawat daruratan Pada Ibu Hamil, </i>FK. UNAIR, Surabaya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="EN-US">Subowo (1993), <i>Imunologi Klinik, </i>Angkasa,
Bandung.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: -36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="EN-US">Tabrani Rab 9 1998), <i>Agenda Gawat
Darurat, </i>Alumni, Bandung.</span></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-86583801491634135012013-01-26T06:10:00.001-08:002013-01-26T06:11:17.767-08:00ASKEP AMPUTASI<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div class="Section1">
<h1>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;">Pendahuluan</span></b></h1>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Keperawatan
sebagai salah satu profesi, memiliki peran spesifik dalam kegiatan pencapaian
kesehatan individu secara optimal, yaitu memiliki tanggung jawab dalam
pemenuhan kebutuhan dasar manuisa yang terganggu sebagai akibat perubahan
status/derajad kesehatan, baik pada individu maupun pada masyarakat umum.
Perawat memiliki peran praktis untuk memberikan bantuan kepada klien menemukan
masalah, memilih dan melakukan tindakan baik secara mandiri maupun dengan
bantuan untuk mengatasi masalah kesehatan tertentu<span style="mso-spacerun: yes;"> </span>( Kozier; 1991 ).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Klien
yang mendapatkan tindakan amputasi organ tubuhnya, merupakan salah satu bentuk
masalah yang tersendiri yang juga menjadi objek penyelenggaraan asuhan
keperawatan. Keperawatan secara holistik akan memandang masalah yang dihadapi
klien melalui berbagai aspek hidup yaitu biologis, psikologis, sosial dan
spiritual. Masalah yang dihadapi oleh klien yang mengalami amputasi tidak hanya
pada upaya memnuhi kebutuhan fisik semata, tetapi lebih dari itu, perawat
berusaha untuk mempertahankan integritas diri klien secara utuh, sehingga tidak
menibulkan komplikasi fisik selama kegiatan intraoperatif, tidak mengakibatkan
gangguan mental, klien dapat menerima dirinya secara utuh dan diterima dalam
masyarakat, yang akhirnya klien mampu mencapai kesehatan yang optimal dalam
pengertian klien produktif bagi diri, keluarga dan masyarakat.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Dalam
prakteknya, perawat tentu saja tidak dapat terpisah dengan tim kesehatan
lainnya yang memberikan kontribusi yang berbeda untuk mencapai keadaan sehat
optimal pada klien. Sehingga perlu bagi perawat untuk memahami tanggungjawabnya
secara pebuh dalam penanganan klien yang mendapatkan tindakan amputasi
sekaligus memahami tugas dan peran dari anggota kesehatan lain untuk melakukan
kegiatan kerjasama dalam menciptakan kesehatan optimal klien yang diamputasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<h2>
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;">Pengertian Amputasi</span></h2>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Amputasi
berasal dari kata “amputare” yang kurang lebih diartikan “pancung”.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Amputasi
dapat diartikan sebagai tindakan memisahkan bagian tubuh sebagian atau seluruh
bagian ekstremitas. Tindakan ini merupakan tindakan yang dilakukan dalam
kondisi pilihan terakhir manakala masalah organ yang terjadi pada ekstremitas
sudah tidak mungkin dapat diperbaiki dengan menggunakan teknik lain, atau
manakala kondisi organ dapat membahayakan keselamatan tubuh klien secara utuh
atau merusak organ tubuh yang lain seperti dapat menimbulkan komplikasi
infeksi.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Kegiatan
amputasi merupakan tindakan yang melibatkan beberapa sistem tubuh seperti
sistem integumen, sistem persyarafan, sistem muskuloskeletal dan sisten
cardiovaskuler. Labih lanjut ia dapat menimbulkan madsalah psikologis bagi
klien atau keluarga berupa penurunan citra diri dan penurunan produktifitas.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Penyebab / faktor predisposisi
terjadinya amputasi</span></b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;"></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Tindakan
amputasi dapat dilakukan pada kondisi :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Fraktur multiple organ tubuh yang tidak
mungkin dapat diperbaiki.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Kehancuran jaringan kulit yang tidak
mungkin diperbaiki.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Gangguan vaskuler/sirkulasi pada
ekstremitas yang berat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Infeksi yang berat atau beresiko tinggi
menyebar ke anggota tubuh lainnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Adanya tumor pada organ yang tidak
mungkin diterapi secara konservatif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level1 lfo1; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Deformitas organ.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<h3>
<span lang="EN-US">Jenis Amputasi</span></h3>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Berdasarkan pelaksanaan amputasi,
dibedakan menjadi :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l6 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">amputasi selektif/terencana</span></div>
<div class="MsoBodyTextIndent2">
<span lang="EN-US">Amputasi jenis ini dilakukan pada
penyakit yang terdiagnosis dan mendapat penanganan yang baik serta terpantau
secara terus-menerus. Amputasi dilakukan sebagai salah satu tindakan alternatif
terakhir</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l6 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">amputasi akibat trauma</span></div>
<div class="MsoBodyTextIndent2">
<span lang="EN-US">Merupakan amputasi yang terjadi
sebagai akibat trauma dan tidak direncanakan. Kegiatan tim kesehatan adalah
memperbaiki kondisi lokasi amputasi serta memperbaiki kondisi umum klien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l6 level1 lfo13; tab-stops: list 18.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">amputasi darurat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Kegiatan
amputasi dilakukan secara darurat oleh tim kesehatan. Biasanya merupakan
tindakan yang memerlukan kerja yang cepat seperti pada trauma dengan patah
tulang multiple dan kerusakan/kehilangan kulit yang luas.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Jenis
amputasi yang dikenal adalah :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo12; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">amputasi terbuka </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l8 level1 lfo12; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>amputasi tertutup.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>Amputasi terbuka dilakukan pada kondisi
infeksi yang berat dimana pemotongan pada tulang dan otot pada tingkat yang
sama. Amputasi tertutup dilakukan dalam kondisi yang lebih memungkinkan dimana
dibuat skaif kulit untuk menutup luka yang dibuat dengan memotong kurang lebih
5 sentimeter dibawah potongan otot dan tulang.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Setelah
dilakukan tindakan pemotongan, maka kegiatan selanjutnya meliputi perawatan
luka operasi/mencegah terjadinya infeksi, menjaga kekuatan otot/mencegah
kontraktur, mempertahankan intaks jaringan, dan persiapan untuk penggunaan
protese ( mungkin ).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Berdasarkan
pada gambaran prosedur tindakan pada klien yang mengalami amputasi maka perawat
memberikan asuhan keperawatan pada klien sesuai dengan kompetensinya.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<h3>
<span lang="EN-US">Manajemen Keperawatan</span></h3>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Kegiatan
keperawatan yang dilakukan pada klien dapat dibagi dalam tiga tahap yaitu pada
tahap preoperatif, tahap intraoperatif, dan pada tahap postoperatif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l9 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i></b><b style="mso-bidi-font-weight: normal;"><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Pre Operatif</span></i></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Pada
tahap praoperatif, tindakan keperawatan lebih ditekankan pada upaya untuk
mempersiapkan kondisi fisik dan psikolgis klien dalam menghadapi kegiatan
operasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Pada
tahap ini, perawat melakukan pengkajian yang erkaitan dengan kondisi fisik,
khususnya yang berkaitan erat dengan kesiapan tubuh untuk menjalani operasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<h4>
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-weight: normal;">Pengkajian Riwayat Kesehatan</span></i></h4>
<div class="MsoBodyTextIndent3">
<span lang="EN-US">Perawat memfokuskan pada riwayat
penyakit terdahulu yang mungkin dapat mempengaruhi resiko pembedahan seperti adanya
penyakit diabetes mellitus, penyakit jantung, penyakit ginjal dan penyakit
paru. Perawat juga mengkaji riwayat penggunaan rokok dan obat-obatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify;">
<br /></div>
<h4>
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-weight: normal;">Pengkajian Fisik</span></i></h4>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Pengkajian
fisik dilaksanakan untuk meninjau secara umum kondisi tubuh klien secara utuh
untuk kesiapan dilaksanakannya tindakan operasi manakala tindakan amputasi
merupakan tindakan terencana/selektif, dan untuk mempersiapkan kondisi tubuh
sebaik mungkin manakala merupakan trauma/ tindakan darurat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Kondisi
fisik yang harus dikaji meliputi <span style="mso-spacerun: yes;"> </span>:</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 26.7pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="background: #A6A6A6; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-pattern: gray-35 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">SISTEM TUBUH</span></b></div>
</td>
<td style="background: #A6A6A6; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-pattern: gray-35 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 289.95pt;" valign="top" width="387"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">KEGIATAN</span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Integumen :</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Kulit secara umum.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Lokasi amputasi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 289.95pt;" valign="top" width="387"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengkaji kondisi umum kulit untuk
meninjau tingkat hidrasi.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Lokasi amputasi mungkin mengalami
keradangan akut atau kondisi semakin buruk, perdarahan atau kerusakan
progesif. Kaji kondisi jaringan diatas lokasi amputasi terhadap terjadinya
stasis vena atau gangguan venus return.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Sistem Cardiovaskuler :</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Cardiac reserve</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Pembuluh darah</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 289.95pt;" valign="top" width="387"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengkaji tingkat aktivitas harian
yang dapat dilakukan pada klien sebelum operasi sebagai salah satu indikator
fungsi jantung.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengkaji kemungkinan atherosklerosis
melalui penilaian terhadap elastisitas pembuluh darah.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Sistem Respirasi </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 289.95pt;" valign="top" width="387"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengkaji kemampuan suplai oksigen
dengan menilai adanya sianosis, riwayat gangguan nafas.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Sistem Urinari</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 289.95pt;" valign="top" width="387"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengkaji jumlah urine 24 jam.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menkaji adanya perubahan warna, BJ
urine.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Cairan dan elektrolit</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 289.95pt;" valign="top" width="387"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengkaji tingkat hidrasi.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Memonitor intake dan output cairan.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Sistem Neurologis</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 289.95pt;" valign="top" width="387"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengkaji tingkat kesadaran klien.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengkaji sistem persyarafan,
khususnya sistem motorik dan sensorik daerah yang akan diamputasi.</span></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 127.55pt;" valign="top" width="170"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Sistem Mukuloskeletal</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 289.95pt;" valign="top" width="387"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengkaji kemampuan otot
kontralateral.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoBodyTextIndent2">
<br /></div>
<div class="MsoBodyTextIndent2">
<br /></div>
<div class="MsoBodyTextIndent2">
<br /></div>
<div class="MsoBodyTextIndent2">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US">Pengkajian Psikologis, Sosial, Spiritual</span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Disamping
pengkajian secara fisik perawat melakukan pengkajian pada kondisi psikologis (
respon emosi ) klien yaitu adanya kemungkinan terjadi kecemasan pada klien
melalui penilaian klien terhadap amputasi yang akan dilakukan, penerimaan klien
pada amputasi dan dampak amputasi terhadap gaya hidup. Kaji juga tingkat
kecemasan akibat operasi itu sendiri. Disamping itu juga dilakukan pengkajian
yang mengarah pada antisipasi terhadap nyeri yang mungkin timbul.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Perawat
melakukan pengkajian pada gambaran diri klien dengan memperhatikan tingkatr
persepsi klien terhadap dirinya, menilai gambaran ideal diri klien dengan
meninjau persepsi klien terhadap perilaku yang telah dilaksanakan dan
dibandingkan dengan standar yang dibuat oleh klien sendiri, pandangan klien
terhadap rendah diri antisipasif, gangguan penampilan peran dan gangguan
identitas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Adanya
gangguan konsep diri antisipasif harus diperhatikan secara seksama dan
bersama-sama dengan klien melakukan pemilihan tujuan tindakan dan pemilihan
koping konstruktif.</span></div>
<div class="MsoBodyTextIndent2">
<span lang="EN-US">Adanya masalah kesehatan yang
timbul secara umum seperti terjadinya gangguan fungsi jantung dan sebagainya
perlu didiskusikan dengan klien setelah klien benar-benar siap untuk menjalani
operasi amputasi itu sendiri. Kesadaran yang penuh pada diri klien untuk
berusaha berbuat yang terbaik bagi kesehatan dirinya, sehingga memungkinkan
bagi perawat untuk melakukan tindakan intervensi dalam mengatasi masalah umum
pada saat pre operatif. Asuhan keperawatan pada klien preoperatif secara umum
tidak dibahas pada makalah ini.</span></div>
<div class="MsoBodyTextIndent2">
<br /></div>
<h5>
<span lang="EN-US">Laboratorik</span></h5>
<div class="MsoBodyTextIndent2">
<span lang="EN-US">Tindakan pengkajian dilakukan juga
dengan penilaian secara laboratorik atau melalui pemeriksaan penunjang lain
secara rutin dilakukan pada klien yang akan dioperasi yang meliputi penilaian
terhadap fungsi paru, fungsi ginjal, fungsi hepar dan fungsi jantung.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<h5>
<span lang="EN-US">Diagnosa Keperawatan dan Perencanaan</span></h5>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Dari
pengkajian yang telah dilakukan, maka diagnosa keperawatan yang dapat timbul
antara lain :</span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo3; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Kecemasan berhubungan dengan
kurang pengetahuan tentang kegiatan perioperatif.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Karakteristik
penentu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengungkapkan rasa tajut akan
pembedahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menyatakan kurang pemahaman.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Meminta informasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Tujuan
: Kecemasan pada klien berkurang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Kriteria
evaluasi :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Sedikit melaporkan tentang gugup atau
cemas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengungkapkan pemahaman tentang
operasi.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 40.85pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="background: #A6A6A6; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-pattern: gray-35 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 181.25pt;" valign="top" width="242"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">INTERVENSI</span></b></div>
</td>
<td style="background: #A6A6A6; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-pattern: gray-35 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">RASIONAL</span></b></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 181.25pt;" valign="top" width="242"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Memberikan bantuan secara fisik dan
psikologis, memberikan dukungan moral.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menerangkan prosedur operasi dengan
sebaik-baiknya.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengatur waktu khusus dengan klien
untuk berdiskusi tentang kecemasan klien.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296"><div class="MsoBodyText2" style="line-height: normal;">
<span lang="EN-US">Secara
psikologis meningkatkan rasa aman dan meningkatkan rasa saling percaya.</span></div>
<div class="MsoBodyText2" style="line-height: normal;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Meningkatkan/memperbaiki pengetahuan/
persepsi klien.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Meningkatkan rasa aman dan
memungkinkan klien melakukan komunikasi secara lebih terbuka dan lebih
akurat.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l7 level1 lfo3; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Berduka yang<span style="mso-spacerun: yes;"> </span>antisipasi (anticipated griefing)
berhubungan dengan kehilangan akibat amputasi.</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Karakteristik
penentu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengungkapkan rasa takut kehilangan
kemandirian.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Takut kecacatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Rendah diri, menarik diri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Tujuan
: Klien mampu mendemontrasikan kesadaran akan dampak pembedahan pada citra
diri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Kriteria
evaluasi :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">mengungkapkan perasaan bebas, tidak
takut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menyatakan perlunya membuat penilaian
akan gaya hidup yangbaru.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 40.85pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="background: #A6A6A6; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-pattern: gray-35 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.65pt;" valign="top" width="284"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">INTERVENSI</span></b></div>
</td>
<td style="background: #A6A6A6; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-pattern: gray-35 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.7pt;" valign="top" width="254"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">RASIONAL</span></b></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 212.65pt;" valign="top" width="284"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Anjurkan klien untuk mengekspresikan
perasaan tentang dampak pembedahan pada gaya hidup.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Berikan informasi yang adekuat dan
rasional tentang alasan pemilihan tindakan pemilihan amputasi.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Berikan informasi bahwa amputasi
merupakan tindakan untuk memperbaiki kondisi klien dan merupakan langkah awal
untuk menghindari ketidakmampuan atau kondisi yang lebih parah.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Fasilitasi untuk bertemu dengan orang
dengan amputasi yang telah berhasil dalam penerimaan terhadap situasi
amputasi.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 190.7pt;" valign="top" width="254"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengurangi rasa tertekan dalam diri
klien, menghindarkan depresi, meningkatkan dukungan mental.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoBodyText2" style="line-height: normal;">
<span lang="EN-US">Membantu
klien mengapai penerimaan terhadap kondisinya melalui teknik rasionalisasi.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Meningkatkan dukungan mental.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Strategi untuk meningkatkan adaptasi
terhadap perubahan citra diri.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Selain
masalah diatas, maka terdapat beberapa tindakan keperawatan preoperatif antara
lain :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l11 level1 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">þ<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengatasi nyeri</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 68.2pt; mso-list: l0 level1 lfo4; tab-stops: list 68.2pt; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;">Menganjurkan
klien untuk menggunakan teknik dalam mengatsi nyeri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l0 level1 lfo4; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menginformasikan tersdianya obat untuk
mengatasi nyeri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l0 level1 lfo4; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menerangkan pada klien bahwa klien akan
“merasakan” adanya kaki untuk beberapa waktu lamanya, sensasi ini membantu
dalam menggunakan kaki protese atau ketika belajar mengenakan kaki protese.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l11 level1 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">þ<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengupayakan pengubahan posisi tubuh
efektif</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 68.2pt; mso-list: l0 level1 lfo4; tab-stops: list 68.2pt; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;">Menganjurkan
klien untuk mengubah posisi sendiri setiap 1 – 2 jam untuk mencegah kontraktur.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l0 level1 lfo4; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Membantu klien mempertahankan kekuatan
otot kaki ( yang sehat ), perut dan dada sebagai persiapan untuk penggunaan
alat penyangga/kruk.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l0 level1 lfo4; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengajarkan klien untuk menggunakan
alat bantu ambulasi preoperasi, untuk membantu meningkatkan kemampuan mobilitas
posoperasi, memprtahankan fungsi dan kemampuan dari organ tubuh lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l11 level1 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">þ<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mempersiapkan kebutuhan untuk
penyembuhan</span></div>
<div class="MsoBodyTextIndent" style="margin-left: 70.9pt; mso-list: l0 level1 lfo4; tab-stops: list -63.8pt; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;">Mengklarifikasi
rencana pembedahan yang akan dilaksanakan kepada tim bedah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level1 lfo4; tab-stops: list -63.8pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Meyakinkan bahwa klien mendapatkan
protese/alat bantu<span style="mso-spacerun: yes;"> </span>( karena tidak semua
klien yang mengalami operasi amputasi mendapatkan protese seperti pada penyakit
DM, penyakit jantung, CVA, infeksi, dan penyakit vaskuler perifer, luka yang
terbuka ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level1 lfo4; tab-stops: list -63.8pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Semangati klien dalam persiapan mental
dan fisik dalam penggunaan protese.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l0 level1 lfo4; tab-stops: list -63.8pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Ajarkan tindakan-tindakan rutin
postoperatif : batuk, nafas dalam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l9 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Intra Operatif</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Pada
masa ini perawat berusaha untuk tetap mempertahankan kondisi terbaik klie.
Tujuan utama dari manajemen (asuhan) perawatan saat ini adalah untuk
menciptakan kondisi opyimal klien dan menghindari komplikasi pembedahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Perawat
berperan untuk tetap mempertahankan kondisi hidrasi cairan, pemasukan oksigen
yang adekuat dan mempertahankan kepatenan jalan nafas, pencegahan injuri selama
operasi dan dimasa pemulihan kesadaran. Khusus untuktindakan perawatan luka,
perawat membuat catatan tentang prosedur operasi yang dilakukan dan kondisi
luka, posisi jahitan dan pemasangan drainage. Hal ini berguna untuk perawatan
luka selanjutnya dimasa postoperatif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Makalah
ini tidak membahas secara detail kegiatan intraoperasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l9 level1 lfo2; tab-stops: list 18.0pt; text-align: justify; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Post Operatif</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Pada
masa post operatif, perawat harus berusaha untuk mempertahankan tanda-tanda
vital, karena pada amputasi, khususnya amputasi ekstremitas bawah diatas lutut
merupakan tindakan yang mengancam jiwa.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Perawat
melakukan pengkajian tanda-tanda vital selama klien belum sadar secara rutin
dan tetap mempertahankan kepatenan jalas nafas, mempertahankan oksigenisasi
jaringan, memenuhi kebutuhan cairan darah yang hilang selama operasi dan
mencegah injuri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Daerah
luka diperhatikan secara khusus untuk mengidentifikasi adanya perdarahan masif
atau kemungkinan balutan yang basah, terlepas atau terlalu ketat. Selang
drainase benar-benar tertutup. Kaji kemungkinan saluran drain tersumbat oleh
clot darah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Awal
masa postoperatif, perawat lebih memfokuskan tindakan perawatan secara umum
yaitu menstabilkan kondisi klien dan mempertahankan kondisi optimum klien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Perawat
bertanggungjawab dalam pemenuhan kebutuhan dasar klien, khususnya yang dapat
menyebabkan gangguan atau mengancam kehidupan klien.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Berikutnya
fokus perawatan lebih ditekankan pada peningkatan kemampuan klien untuk
membentuk pola hidup yang baru serta mempercepat penyembuhan luka. Tindakan
keperawatan yang lain adalah mengatasi adanya nyeri yang dapat timbul pada
klien seperti nyeri Panthom Limb dimana klien merasakan seolah-olah nyeri
terjadi pada daerah yang sudah hilang akibat amputasi. Kondisi ini dapat
menimbulkan adanya depresi pada klien karena membuat klien seolah-olah merasa
‘tidak sehat akal’ karena merasakan nyeri pada daerah yang sudah hilang. Dalam
masalah ini perawat harus membantu klien mengidentifikasi nyeri dan menyatakan
bahwa apa yang dirasakan oleh klien benar adanya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Diagnosa
keperawatan yang dapat ditegakkan antara lain adalah :</span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l10 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Gangguan rasa nyaman : Nyeri
berhubungan dengan insisi bedah sekunder terhadap amputasi</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Karakteristik
penentu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menyatakan nyeri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Merintih, meringis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Tujuan
: nyeri hilang / berkurang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Kriteria
evaluasi :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menyatakan nyeri hilang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Ekspresi wajah rileks.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 26.7pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="background: #A6A6A6; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-pattern: gray-35 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.4pt;" valign="top" width="261"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">INTERVENSI</span></b></div>
</td>
<td style="background: #A6A6A6; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-pattern: gray-35 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">RASIONAL</span></b></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 195.4pt;" valign="top" width="261"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Evaluasi nyeri : berasal dari sensasi
panthom limb atau dari luka insisi. Bila terjadi nyeri panthom limb </span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Beri analgesik ( kolaboratif ).</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Ajarkan klien memberikan tekanan
lembut dengan menempatkan puntung pada handuk dan menarik handuk dengan
berlahan.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Sensasi panthom limb memerlukan waktu
yang lama untuk sembuh daripada nyeri akibat insisi.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Klien sering bingung membedakan nyeri
insisi dengan nyeri panthom limb.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Untuk menghilangkan nyeri</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengurangi nyeri akibat nyeri panthom
limb</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l10 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Gangguan konsep diri berhubungan
dengan perubahan citra tubuh sekunder terhadap amputasi</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Karakteristik
penentu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menyatakan berduka tentang kehilangan
bagian tubuh.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengungkapkan negatif tentang tubuhnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Depresi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Tujuan
: Mendemontrasikan penerimaan diri pada situasi yang baru.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Kriteria
evaluasi :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menyatakan penerimaan terhadap
penerimaan diri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Membuat rencana untuk melanjutkan gaya
hidup.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 33.75pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="background: #A6A6A6; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-pattern: gray-35 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 188.35pt;" valign="top" width="251"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">INTERVENSI</span></b></div>
</td>
<td style="background: #A6A6A6; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-pattern: gray-35 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">RASIONAL</span></b></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 188.35pt;" valign="top" width="251"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Validasi masalah yang dialami klien.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Libatkan klien dalam melakukan
perawatan diri yang langsung menggunakan putung :</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Perawatan luka.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mandi.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menggunakan pakaian.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Berikan dukungan moral.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Hadirkan orang yang pernah amputasi
yang telah menerima diri.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 222.1pt;" valign="top" width="296"><div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Meninjau perkembangan klien.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mendorong antisipasi meningkatkan
adaptasi pada perubahan citra tubuh.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Meningkatkan status mental klien.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Memfasilitasi penerimaan terhadap
diri.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<ol start="3" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l10 level1 lfo6; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Resiko tinggi terhadap komplikasi
: Infeksi, hemorragi, kontraktur, emboli lemak berhubungan dengan amputasi</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Karakteristik
penentu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Terdapat tanda resiko infeksi,
perdarahan berlebih, atau emboli lemak.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Tujuan
: tidak terjadi komplikasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Kriteria
evaluasi : tidak ada infeksi, hemorragi dan emboli lemak.</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; margin-left: 40.85pt; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed;">
<tbody>
<tr>
<td style="background: #A6A6A6; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-pattern: gray-35 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">INTERVENSI</span></b></div>
</td>
<td style="background: #A6A6A6; border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-pattern: gray-35 auto; mso-shading: white; padding: 0cm 5.4pt 0cm 5.4pt; width: 226.15pt;" valign="top" width="302"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">RASIONAL</span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236"><h3>
<span lang="EN-US">Infeksi</span></h3>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Lakukan
perawatan luka adekuat.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 226.15pt;" valign="top" width="302"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mencegah
terjadinya infeksi.</span></div>
</td>
</tr>
<tr style="height: 104.55pt;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 104.55pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236"><h3 style="line-height: normal;">
<span lang="EN-US">Perdarahan</span></h3>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Pantau :</span></div>
<div class="MsoBodyText2" style="line-height: normal; margin-left: 1.7pt; text-indent: -1.7pt;">
<span lang="EN-US">-Masukan dan pengeluaran cairan.</span></div>
<div class="MsoBodyText2" style="line-height: normal; margin-left: 1.7pt; text-indent: -1.7pt;">
<br /></div>
<div class="MsoBodyText2" style="line-height: normal;">
<span lang="EN-US">-
Tanda-tanda vital tiap 4 jam.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">- Kondisi balutan tiap 4-8 jam.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l0 level1 lfo4; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;"> </span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 104.55pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 226.15pt;" valign="top" width="302"><div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menghindari resiko kehilangan cairan
dan resiko terjadinya perdarahan pada daerah amputasi.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<h1>
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;">Sebagai monitor status hemodinamik</span></h1>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Indikator adanya perdaraham masif</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 177.2pt;" valign="top" width="236"><h3 style="line-height: normal;">
<span lang="EN-US">Emboli lemak</span></h3>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Monitor pernafasan.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<h1 style="line-height: normal;">
<span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 10.0pt;">Persiapkan oksigen</span></h1>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Pertahankan posisi flower atau tetap
tirah baring selama beberapa waktu</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 226.15pt;" valign="top" width="302"><div class="MsoNormal" style="text-align: justify;">
<br /></div>
<h1 style="line-height: normal;">
<span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 10.0pt;">Memantau tanda emboli lemak sedini mungkin</span></h1>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Untuk mempercepat tindakan bila sewaktu-waktu
dperlukan untuk tindakan yang cepat.</span></div>
<div class="MsoNormal" style="text-align: justify;">
<br /></div>
<div class="MsoNormal" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengurangi kebutuhan oksigen jaringan
atau memudahkan pernafasan.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Beberapa
kegiatan keperawatan lain yang dilakukan adalah :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l12 level1 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">þ<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Melakukan perawatan luka postoperasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l1 level1 lfo8; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengganti balutan dan melakukan
inspeksi luka.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l1 level1 lfo8; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Terangkan bahwa balutan mungkin akan
digunakan hingga protese yang digunakan telah tepat dengan kondisi daerah
amputasi (6 bulan –1 tahun).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l12 level1 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">þ<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Membantu klien beradaptasi dengan
perubahan citra diri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l4 level1 lfo9; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Memberi dukungan psikologis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l4 level1 lfo9; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Memulai melakukan perawatan diri atau
aktivitas dengan kondisi saat ini.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l12 level1 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">þ<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mencegah kontraktur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l5 level1 lfo10; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menganjurkan klien untuk melakukan
gerakan aktif pada daerah amputasi segera setelah pembatasan gerak tidak
diberlakukan lagi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l5 level1 lfo10; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menerangkan bahwa gerakan pada organ
yang diamputasi berguna untuk meningkatkan kekuatan untuk penggunaan protese,
menghindari terjadinya kontraktur.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 50.2pt; mso-list: l12 level1 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: Wingdings; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">þ<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Aktivitas perawatan diri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l2 level1 lfo11; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Diskusikan ketersediaan protese (
dengan terapis fisik, ortotis ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l2 level1 lfo11; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengajari klien cara menggunakan dan
melepas protese.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l2 level1 lfo11; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Menyatakan bahwa klien idealnya mencari
bantuan/superfisi dari tim rehabilitasi kesehatan selama penggunaan protese.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l2 level1 lfo11; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mendemontrasikan alat-alat bantu
khusus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 68.2pt; mso-list: l2 level1 lfo11; tab-stops: list 68.2pt; text-align: justify; text-indent: -11.5pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Mengajarkan cara mengkaji adanya
gangguan kulit akibat penggunaan protese.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<h3>
<span lang="EN-US">Kesimpulan</span></h3>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Asuhan
keperawatan pada klien yang mengalami amputasi merupakan bentuk asuhan kompleks
yang melibatkan aspek biologis, spiritual dan sosial dalam proporsi yang cukup
besar ke seluruh aspek tersebut perlu benar-benar diperhatikan sebaik-baiknya.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Tindakan
amputasi merupakan bentuk operasi dengan resiko yang cukup besar bagi klien
sehingga asuhan keperawatan perioperatif harus benar-benar adekuat untuk
memcapai tingkat homeostatis maksimal tubuh. Manajemen keperawatan harus
benar-benar ditegagkkan untuk membantu klien mencapai tingkat optimal dalam
menghadapi perubahan fisik dan psikologis akibat amputasi.</span><span lang="EN-US" style="font-family: "Arial Narrow","sans-serif"; font-size: 8.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;">(anas)</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;"></span></div>
</div>
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div class="Section2">
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; line-height: 150%; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">REFERENSI</span></b></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Engram,
Barbara ( 1999 ), <i style="mso-bidi-font-style: normal;">Rencana Asuhan
Keperawatan Medikal – Bedah</i>, edisi Indonesia, EGC, Jakarta.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Brunner,
Lillian S; Suddarth, Doris S ( 1986 ), <i style="mso-bidi-font-style: normal;">Manual
of Nursing Practice</i>, 4th edition, J.B. Lippincott Co. Philadelphia.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoBodyText" style="line-height: normal; margin-left: 1.0cm; text-indent: -1.0cm;">
<span lang="EN-US" style="font-size: 11.0pt; mso-bidi-font-size: 10.0pt;">Kozier,
erb; Oliveri ( 1991 ), <i style="mso-bidi-font-style: normal;">Fundamentals of
Nursing, Concepts, Process and Practice</i>, Addison-Wesley Co. California.</span></div>
<div class="MsoBodyText">
<br /></div>
<div class="MsoNormal" style="margin-left: 1.0cm; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;">Reksoprodjo,
S; dkk ( 1995 ), <i style="mso-bidi-font-style: normal;">Kumpulan Kuliah Ilmu
Bedah</i>, Bina Rupa Aksara, Jakarta.</span><span style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt;"></span></div>
</div>
<span style="font-family: "Arial","sans-serif"; font-size: 11.0pt; mso-ansi-language: IN; mso-bidi-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: IN;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<br />
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-5683129901594575872013-01-26T06:03:00.000-08:002013-01-26T06:03:04.115-08:00ASKEP LUKA BAKAR (COMBUSTIO)<div dir="ltr" style="text-align: left;" trbidi="on">
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<span lang="EN-US">ASUHAN KEPERAWATAN</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%;">PADA KLIEN
DENGAN LUKA BAKAR (COMBUSTIO)</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l8 level1 lfo1; tab-stops: list -81.0pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 11.0pt; line-height: 150%;">KONSEP DASAR MEDIS</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Definisi</span></b></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Luka bakar adalah
suatu trauma yang disebabkan oleh panas, arus listrik, bahan kimia dan petir
yang mengenai kulit, mukosa dan jaringan yang lebih dalam (Irna Bedah RSUD
Dr.Soetomo, 2001).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level2 lfo1; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Etiologi</span></b></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Luka bakar termal
(cedera terbakar, kontak dan kobaran api).</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Luka bakar
listrik.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Luka bakar kimia.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Luka bakar
radiasi.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level2 lfo1; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Fase Luka Bakar</span></b></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -108.0pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Fase akut.</span></b></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-indent: 18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Disebut sebagai
fase awal atau fase syok. Secara umum pada fase ini, seorang penderita akan
berada dalam keadaan yang bersifat relatif life thretening. Dalam fase awal
penderita akan mengalami ancaman gangguan airway (jalan nafas), brething
(mekanisme bernafas), dan circulation (sirkulasi). Gnagguan airway tidak hanya
dapat terjadi segera atau beberapa saat setelah terbakar, namun masih dapat
terjadi obstruksi saluran pernafasan akibat cedera inhalasi dalam 48-72 jam
pasca trauma. Cedera inhalasi adalah penyebab kematian utama penderiat pada
fase akut.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pada fase akut sering
terjadi gangguan keseimbangan cairan dan elektrolit akibat cedera termal yang
berdampak sistemik. Problema sirkulasi yang berawal dengan kondisi syok
(terjadinya ketidakseimbangan antara paskan O<sub>2</sub> dan tingkat kebutuhan
respirasi sel dan jaringan) yang bersifat hipodinamik dapat berlanjut dengan
keadaan hiperdinamik yang masih ditingkahi denagn problema instabilitas
sirkulasi.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -108.0pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Fase sub akut.</span></b></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-indent: 18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Berlangsung
setelah fase syok teratasi. Masalah yang terjadi adalah kerusakan atau
kehilangan jaringan akibat kontak denga sumber panas. Luka yang terjadi
menyebabkan:</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; tab-stops: list -108.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Proses inflamasi
dan infeksi.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; tab-stops: list -108.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Problempenuutpan
luka dengan titik perhatian pada luka telanjang atau tidak berbaju epitel luas
dan atau pada struktur atau organ – organ fungsional.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; tab-stops: list -108.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Keadaan
hipermetabolisme.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -108.0pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Fase lanjut.</span></b></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-indent: 18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Fase lanjut akan
berlangsung hingga terjadinya maturasi parut akibat luka dan pemulihan fungsi
organ-organ fungsional. Problem yang muncul pada fase ini adalah penyulit
berupa parut yang hipertropik, kleoid, gangguan pigmentasi, deformitas dan
kontraktur.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level2 lfo1; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Klasifikasi Luka Bakar</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Dalamnya luka bakar.</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kedalaman</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.35pt;" valign="top" width="98">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Penyebab</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.65pt;" valign="top" width="166">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Penampilan</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.0pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Warna</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Perasaan</span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 72.0pt;" valign="top" width="96">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Ketebalan partial superfisial</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">(tingkat I)</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.35pt;" valign="top" width="98">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Jilatan api, sinar ultra violet (terbakar oleh matahari).</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.65pt;" valign="top" width="166">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kering tidak ada gelembung.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Oedem minimal atau tidak ada.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pucat bila ditekan dengan ujung jari, berisi kembali bila
tekanan dilepas.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.0pt;" valign="top" width="120">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Bertambah merah.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Nyeri</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 72.0pt;" valign="top" width="96">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Lebih dalam dari ketebalan partial</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">(tingkat II)</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Superfisial</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Dalam</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.35pt;" valign="top" width="98">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kontak dengan bahan air atau bahan padat.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Jilatan api kepada pakaian.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Jilatan langsung kimiawi.</span></div>
<div class="MsoNormal">
<span style="mso-ansi-language: IN;">Sinar ultra violet.</span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.65pt;" valign="top" width="166">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Blister<span style="mso-spacerun: yes;"> </span>besar dan
lembab yang ukurannya bertambah besar.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pucat bial ditekan dengan ujung jari, bila tekanan dilepas
berisi kembali.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.0pt;" valign="top" width="120">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Berbintik-bintik yang kurang jelas, putih, coklat, pink,
daerah merah coklat.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Sangat nyeri</span></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 72.0pt;" valign="top" width="96">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Ketebalan sepenuhnya</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">(tingkat III)</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 73.35pt;" valign="top" width="98">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kontak dengan bahan cair atau padat.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Nyala api.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kimia.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kontak dengan arus listrik.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 124.65pt;" valign="top" width="166">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kering disertai kulit mengelupas.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pembuluh darah seperti arang terlihat dibawah kulit yang
mengelupas.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Gelembung jarang, dindingnya sangat tipis, tidak membesar.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tidak pucat bila ditekan.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.0pt;" valign="top" width="120">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Putih, kering, hitam, coklat tua.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Hitam.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Merah.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 65.55pt;" valign="top" width="87">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tidak sakit, sedikit sakit.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Rambut mudah lepas bila dicabut.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Luas luka bakar</span></b></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-indent: 18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Wallace membagi
tubuh atas bagian 9% atau kelipatan 9 yang terkenal dengan nama rule of nine
atua rule of wallace yaitu:</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">1) Kepala dan leher<span style="mso-tab-count: 4;"> </span>:
9%</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">2) Lengan masing-masing 9%<span style="mso-tab-count: 3;"> </span>: 18%</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">3) Badan depan 18%, badan
belakang 18%<span style="mso-tab-count: 1;"> </span>: 36%</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">4) Tungkai maisng-masing 18%<span style="mso-tab-count: 3;"> </span>: 36%</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">5) genetalia/perineum<span style="mso-tab-count: 4;"> </span>: 1%</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>Total<span style="mso-tab-count: 6;"> </span>:
100%</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Berat ringannya luka bakar</span></b></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-indent: 18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">American college
of surgeon membagi dalam:</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Parah – critical:</span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">a) Tingkat II<span style="mso-tab-count: 2;"> </span>: 30% atau lebih.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">b) Tingkat III<span style="mso-tab-count: 2;"> </span>: 10% atau lebih.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">c) Tingkat III pada tangan,
kaki dan wajah.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">d) Dengan adanya komplikasi
penafasan, jantung, fractura, soft tissue yang luas.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Sedang – moderate:</span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">a) Tingkat II<span style="mso-tab-count: 2;"> </span>: 15 – 30%</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">b) Tingkat III<span style="mso-tab-count: 2;"> </span>: 1 – 10%</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Ringan – minor:</span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">a) Tingkat II<span style="mso-tab-count: 2;"> </span>: kurang 15%</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">b) Tingkat III<span style="mso-tab-count: 2;"> </span>: kurang 1%</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt;"></span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level2 lfo1; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 11.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 11.0pt;">Patofisiologi
Luka Bakar</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: -72.0pt;">
<span style="height: 27px; left: 0px; margin-left: 402px; margin-top: 31px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251631104;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image001.gif" width="12" /></span><span style="mso-ignore: vglayout; position: relative; z-index: 251685376;"><span style="height: 22px; left: 0px; left: 114px; position: absolute; top: -1px; width: 12px;"><img height="22" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image002.gif" width="12" /></span></span><span style="height: 25px; left: 0px; margin-left: 215px; margin-top: 8px; mso-ignore: vglayout; position: absolute; width: 19px; z-index: 251686400;"><img height="25" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image003.gif" width="19" /></span><span style="height: 24px; left: 0px; margin-left: 155px; margin-top: 32px; mso-ignore: vglayout; position: absolute; width: 19px; z-index: 251632128;"><img height="24" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image004.gif" width="19" /></span><span style="height: 29px; left: 0px; margin-left: 138px; margin-top: 12px; mso-ignore: vglayout; position: absolute; width: 21px; z-index: 251629056;"><img height="29" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image005.gif" width="21" /></span><span style="height: 42px; left: 0px; margin-left: 474px; margin-top: 36px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251646464;"><img height="42" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image006.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>Eritrosit<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Metabolisme<span style="mso-spacerun: yes;"> </span>a</span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">nemia<span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;">Perubahan
nutrisi:kurang kebutuhan</b><span style="mso-spacerun: yes;">
</span>Glukoneogenesis<span style="mso-spacerun: yes;">
</span>Glikogenolisis<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251630080;"><span style="height: 67px; left: 0px; left: 176px; position: absolute; top: -3px; width: 382px;">
</span></span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="0" width="0"><br /></td>
<td width="101"><br /></td>
<td width="10"><br /></td>
<td width="66"><br /></td>
<td width="186"><br /></td>
<td width="19"><br /></td>
</tr>
<tr>
<td height="4"><br /></td>
<td colspan="2"><br /></td>
<td align="left" rowspan="5" valign="top"><img height="67" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image007.gif" width="66" /></td>
</tr>
<tr>
<td height="4"><br /></td>
<td colspan="2"><br /></td>
<td><br /></td>
<td align="left" rowspan="2" valign="top"><img height="30" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image008.gif" width="19" /></td>
</tr>
<tr>
<td height="26"><br /></td>
<td align="left" rowspan="2" valign="top"><img height="54" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image009.gif" width="101" /></td>
</tr>
<tr>
<td height="28"><br /></td>
</tr>
<tr>
<td height="5"><br /></td>
</tr>
</tbody></table>
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> </span>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoNormal">
<span style="height: 26px; left: 0px; margin-left: 90px; margin-top: 14px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251633152;"><img height="26" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image010.gif" width="12" /></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;">Resiko<span style="mso-spacerun: yes;">
</span>infeksi </b><span style="mso-spacerun: yes;"> </span>Kebutuhan
O<sub>2</sub><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;">
</span><span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="margin-bottom: .0001pt; margin-bottom: 0cm; margin-left: 36.0pt; margin-right: -25.45pt; margin-top: 0cm;">
<span style="height: 42px; left: 0px; margin-left: 311px; margin-top: 11px; mso-ignore: vglayout; position: absolute; width: 42px; z-index: 251681280;"><img height="42" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image011.gif" width="42" /></span><span style="height: 12px; left: 0px; margin-left: 299px; margin-top: 3px; mso-ignore: vglayout; position: absolute; width: 27px; z-index: 251644416;"><img height="12" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image012.gif" width="27" /></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;">Luka bakar luas<span style="mso-spacerun: yes;"> </span>Resiko kerusakan Pertukaran gas</b></span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251634176;"><span style="height: 78px; left: 0px; left: 347px; position: absolute; top: -2px; width: 211px;">
</span></span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="0" width="0"><br /></td>
<td width="89"><br /></td>
<td width="103"><br /></td>
<td width="19"><br /></td>
</tr>
<tr>
<td height="1"><br /></td>
<td align="left" rowspan="3" valign="top"><img height="78" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image013.gif" width="89" /></td>
</tr>
<tr>
<td height="29"><br /></td>
<td><br /></td>
<td align="left" valign="top"><img height="29" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image014.gif" width="19" /></td>
</tr>
<tr>
<td height="48"><br /></td>
</tr>
</tbody></table>
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> </span>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoNormal">
<span style="height: 27px; left: 0px; margin-left: 498px; margin-top: 19px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251655680;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image015.gif" width="12" /></span><span style="height: 29px; left: 0px; margin-left: 155px; margin-top: 9px; mso-ignore: vglayout; position: absolute; width: 19px; z-index: 251637248;"><img height="29" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image016.gif" width="19" /></span><span style="height: 23px; left: 0px; margin-left: 282px; margin-top: 11px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251647488;"><img height="23" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image017.gif" width="12" /></span><span style="height: 12px; left: 0px; margin-left: 82px; margin-top: 2px; mso-ignore: vglayout; position: absolute; width: 159px; z-index: 251645440;"><img height="12" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image018.gif" width="159" /></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;">
</span>Aldosteron<span style="mso-spacerun: yes;">
</span>Sekresi adrenal<span style="mso-spacerun: yes;"> </span>Depresi
miokard/ MDF<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="mso-ignore: vglayout;">
</span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="1" width="54"><br /></td>
<td width="12"><br /></td>
<td width="264"><br /></td>
<td width="12"><br /></td>
<td width="178"><br /></td>
<td width="23"><br /></td>
</tr>
<tr>
<td height="2"><br /></td>
<td align="left" rowspan="3" valign="top"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image015.gif" width="12" /></td>
</tr>
<tr>
<td height="10"><br /></td>
<td colspan="3"><br /></td>
<td align="left" rowspan="3" valign="top"><img height="26" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image019.gif" width="23" /></td>
</tr>
<tr>
<td height="15"><br /></td>
<td><br /></td>
<td align="left" rowspan="3" valign="top"><img height="23" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image017.gif" width="12" /></td>
</tr>
<tr>
<td height="1"><br /></td>
</tr>
<tr>
<td height="7"><br /></td>
</tr>
</tbody></table>
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> </span>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoNormal">
<span style="height: 27px; left: 0px; margin-left: 119px; margin-top: 32px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251684352;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image020.gif" width="12" /></span><span style="height: 27px; left: 0px; margin-left: 498px; margin-top: 19px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251654656;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image015.gif" width="12" /></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;">
</span>Katekolamin release<span style="mso-spacerun: yes;"> </span>Insufisiensi miokard </span></div>
<div class="MsoNormal">
<span style="mso-ignore: vglayout; position: relative; z-index: 251635200;"><span style="height: 43px; left: 0px; left: 174px; position: absolute; top: -2px; width: 367px;">
</span></span></div>
<table align="left" cellpadding="0" cellspacing="0">
<tbody>
<tr>
<td height="0" width="0"><br /></td>
<td width="12"><br /></td>
<td width="96"><br /></td>
<td width="12"><br /></td>
<td width="230"><br /></td>
<td width="17"><br /></td>
</tr>
<tr>
<td height="14"><br /></td>
<td colspan="2"><br /></td>
<td align="left" rowspan="3" valign="top"><img height="23" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image017.gif" width="12" /></td>
</tr>
<tr>
<td height="1"><br /></td>
<td align="left" rowspan="4" valign="top"><img height="29" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image021.gif" width="12" /></td>
</tr>
<tr>
<td height="8"><br /></td>
<td><br /></td>
<td><br /></td>
<td align="left" rowspan="2" valign="top"><img height="23" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image022.gif" width="17" /></td>
</tr>
<tr>
<td height="15"><br /></td>
</tr>
<tr>
<td height="5"><br /></td>
</tr>
</tbody></table>
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> </span>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoNormal">
<span style="height: 27px; left: 0px; margin-left: 378px; margin-top: 24px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251650560;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image015.gif" width="12" /></span><span style="height: 27px; left: 0px; margin-left: 94px; margin-top: 14px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251651584;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image023.gif" width="12" /></span><span style="height: 23px; left: 0px; margin-left: 486px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251653632;"><img height="23" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image017.gif" width="12" /></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>Renal flow<span style="mso-spacerun: yes;"> </span>Vasokontriksi<span style="mso-spacerun: yes;"> </span>H<sub>2</sub>O loss<span style="mso-spacerun: yes;"> </span>cardiac output<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal">
<span style="mso-ignore: vglayout; position: relative; z-index: 251659776;"><span style="height: 19px; left: 0px; left: 443px; position: absolute; top: -7px; width: 41px;"><img height="19" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image024.gif" width="41" /></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> </span></div>
<br clear="ALL" style="mso-ignore: vglayout;" />
<div class="MsoNormal">
<span style="height: 75px; left: 0px; margin-left: 282px; margin-top: 5px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251683328;"><img height="75" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image025.gif" width="12" /></span><span style="height: 36px; left: 0px; margin-left: 141px; margin-top: 18px; mso-ignore: vglayout; position: absolute; width: 38px; z-index: 251656704;"><img height="36" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image026.gif" width="38" /></span><span style="height: 22px; left: 0px; margin-left: 388px; margin-top: 6px; mso-ignore: vglayout; position: absolute; width: 21px; z-index: 251640320;"><img height="22" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image027.gif" width="21" /></span><span style="height: 12px; left: 0px; margin-left: 80px; margin-top: 2px; mso-ignore: vglayout; position: absolute; width: 39px; z-index: 251660800;"><img height="12" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image028.gif" width="39" /></span><span style="height: 18px; left: 0px; margin-left: 99px; margin-top: 17px; mso-ignore: vglayout; position: absolute; width: 22px; z-index: 251639296;"><img height="18" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image029.gif" width="22" /></span><span style="height: 87px; left: 0px; margin-left: 390px; margin-top: 11px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251662848;"><img height="87" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image030.gif" width="12" /></span><span style="height: 27px; left: 0px; margin-left: 498px; margin-top: 11px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251652608;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image015.gif" width="12" /></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Retensi Na<sup>+</sup><span style="mso-spacerun: yes;"> </span>GFR<span style="mso-spacerun: yes;"> </span>Splenic
flow<span style="mso-spacerun: yes;"> </span>hipovolemik<span style="mso-spacerun: yes;"> </span>Ggn perfusi jar.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="height: 43px; left: 0px; margin-left: 71px; margin-top: 9px; mso-ignore: vglayout; position: absolute; width: 148px; z-index: 251663872;"><img height="43" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image031.gif" width="148" /></span><span style="height: 31px; left: 0px; margin-left: 59px; margin-top: 33px; mso-ignore: vglayout; position: absolute; width: 172px; z-index: 251664896;"><img height="31" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image032.gif" width="172" /></span><span style="height: 27px; left: 0px; margin-left: 498px; margin-top: 21px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251661824;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image033.gif" width="12" /></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>K<sup>+</sup>
loss<span style="mso-spacerun: yes;"> </span>Gagal ginjal<span style="mso-spacerun: yes;"> </span>Hipoksia hepar<span style="mso-spacerun: yes;"> </span>Asidosis</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span style="height: 27px; left: 0px; margin-left: 282px; margin-top: 14px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251649536;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image015.gif" width="12" /></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;">
</span>Gagal hepar<span style="mso-spacerun: yes;"> </span><b>G</b><b style="mso-bidi-font-weight: normal;">angguan perfusi jaringan</b></span></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span><b style="mso-bidi-font-weight: normal;">Resiko
kekurangan volume cairan</b></span></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Nyeri</span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Ansietas</span></b></div>
<div align="center" class="MsoNormal" style="margin-left: 36.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kerusakan mobilitas fisik</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">( Hudak & Gallo; 1997)</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level2 lfo1; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Perubahan Fisiologis Pada Luka Bakar</span></b></div>
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<tbody>
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<td rowspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.0pt;" valign="top" width="72">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Peruba-</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">han</span></b></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tingkatan hipovolemik</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">( s/d 48-72 jam pertama)</span></b></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tingkatan diuretik</span></b></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">(12 jam – 18/24 jam pertama)</span></b></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Mekanisme</span></b></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Dampak dari...</span></b></div>
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<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Mekanisme</span></b></div>
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<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.55pt;" valign="top" width="111">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Dampak dari...</span></b></div>
</td>
</tr>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pergeseran cairan ekstra</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">seluler.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Vaskuler ke insterstitial.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Hemokonsentrasi oedem pada lokasi luka bakar.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Interstitial ke vaskuler.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Hemodilusi.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Fungsi renal.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Aliran darah renal berkurang karena desakan darah turun dan
CO berkurang.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Oliguri.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Peningkatan aliran darah renal karena desakan darah
meningkat.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Diuresis.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kadar sodium/</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">natrium.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Na<sup>+</sup> direabsorbsi oleh ginjal, tapi kehilangan Na<sup>+</sup>
melalui eksudat dan tertahan dalam cairan oedem.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Defisit sodium.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kehilangan Na<sup>+</sup> melalui diuresis (normal kembali
setelah 1 minggu).</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Defisit sodium.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kadar potas</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">sium.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">K<sup>+</sup> dilepas sebagai akibat cidera jarinagn
sel-sel darah merah, K<sup>+</sup> berkurang ekskresi karena fungsi renal
berkurang.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Hiperkalemi</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">K<sup>+</sup> bergerak kembali ke dalam sel, K<sup>+</sup>
terbuang melalui diuresis (mulai 4-5 hari setelah luka bakar).</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Hipokalemi.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kadar protein.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kehilangan protein ke dalam jaringan akibat kenaikan permeabilitas.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Hipoproteinemia.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kehilangan protein waktu berlangsung terus katabolisme.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Hipoproteine-</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">mia.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Keseim-</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">bangan nitrogen.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Katabolisme jaringan, kehilangan protein dalam jaringan,
lebih banyak kehilangan dari masukan.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Keseimbangan nitrogen negatif.</span></div>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Katabolisme jaringan, kehilangan protein, immobilitas.</span></div>
</td>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Keseimbangan nitrogen negatif.</span></div>
</td>
</tr>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Keseim-</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">bnagan asam basa.</span></div>
</td>
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<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Metabolisme anaerob karena perfusi jarinagn berkurang
peningkatan asam dari produk akhir, fungsi renal berkurang (menyebabkan
retensi produk akhir tertahan), kehilangan bikarbonas serum.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.75pt;" valign="top" width="114">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Asidosis metabolik.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.25pt;" valign="top" width="138">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kehilangan sodium bicarbonas melalui diuresis,
hipermetabolisme disertai peningkatan produk akhir metabolisme.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.55pt;" valign="top" width="111">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Asidosis metabolik.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.0pt;" valign="top" width="72">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Respon stres.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 117.0pt;" valign="top" width="156">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Terjadi karena trauma, peningkatan produksi cortison.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.75pt;" valign="top" width="114">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Aliran darah renal berkurang.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.25pt;" valign="top" width="138">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Terjadi karena sifat cidera berlangsung lama dan terancam
psikologi pribadi.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.55pt;" valign="top" width="111">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Stres karena luka.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.0pt;" valign="top" width="72">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Eritrosit</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 117.0pt;" valign="top" width="156">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Terjadi karena panas, pecah menjadi fragil.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.75pt;" valign="top" width="114">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Luka bakar termal.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.25pt;" valign="top" width="138">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tidak terjadi pada hari-hari pertama.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.55pt;" valign="top" width="111">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Hemokonsentrasi.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.0pt;" valign="top" width="72">
<div class="MsoNormal">
<span lang="EN-US" style="font-size: 11.0pt; line-height: 150%; mso-bidi-font-size: 10.0pt;">Lambung.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 117.0pt;" valign="top" width="156">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Curling ulcer (ulkus pada gaster), perdarahan lambung,
nyeri.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.75pt;" valign="top" width="114">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Rangsangan central di hipotalamus dan peingkatan jumlah
cortison.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.25pt;" valign="top" width="138">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Akut dilatasi dan paralise usus.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.55pt;" valign="top" width="111">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Peningkatan jumlah cortison.</span></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 54.0pt;" valign="top" width="72">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Jantung.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 117.0pt;" valign="top" width="156">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">MDF meningkat 2x lipat, merupakan glikoprotein yang toxic
yang dihasilkan oleh kulit yang terbakar.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 85.75pt;" valign="top" width="114">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Disfungsi jantung.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 103.25pt;" valign="top" width="138">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Peningkatan zat MDF (miokard depresant factor) sampai 26
unit, bertanggung jawab terhadap syok spetic.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 83.55pt;" valign="top" width="111">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">CO menurun.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level2 lfo1; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Indikasi Rawat Inap Luka Bakar</span></b></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Luka bakar grade II:</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Dewasa > 20%</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Anak/orang tua > 15%</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Luka bakar grade III.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Luka bakar dengan komplikasi: jantung, otak dll.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level2 lfo1; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Penatalaksanaan</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; text-indent: 18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Seperti menangani
kasus emergency umum yaitu:</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -90.0pt; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Resusitasi A, B,
C.</span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; tab-stops: list -90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pernafasan:</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l8 level5 lfo1; tab-stops: list -90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Udara panas </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> mukosa rusak </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> oedem </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> obstruksi.</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l8 level5 lfo1; tab-stops: list -90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Efek toksik dari
asap: HCN, NO<sub>2</sub>, HCL, Bensin </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> iritasi </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> Bronkhokontriksi </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> obstruksi </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> gagal nafas.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; tab-stops: list -90.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Sirkulasi:</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; mso-list: l8 level5 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">gangguan permeabilitas kapiler: cairan dari intra vaskuler
pindah ke ekstra vaskuler </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> hipovolemi
relatif </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> syok </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> ATN </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> gagal ginjal.</span></div>
<div class="MsoNormal" style="margin-left: 162.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -90.0pt; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Infus, kateter,
CVP, oksigen, Laboratorium, kultur luka.</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -90.0pt; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Resusitasi
cairan<span style="mso-spacerun: yes;"> </span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>Baxter.</span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; tab-stops: list -117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">1)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><u><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Dewasa</span></u><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> : Baxter.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">RL 4 cc x BB x % LB/24 jam.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; tab-stops: list -117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">2)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><u><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Anak</span></u><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">: jumlah
resusitasi + kebutuhan faal:</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">RL : Dextran = 17 : 3</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">2 cc x BB x % LB.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l8 level4 lfo1; tab-stops: list -117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">3)<span style="font: 7.0pt "Times New Roman";"> </span></span></span><u><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kebutuhan faal:</span></u></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">< 1 tahun<span style="mso-tab-count: 1;"> </span>: BB x 100 cc</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">1 – 3 tahun<span style="mso-tab-count: 1;"> </span>: BB x 75 cc</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">3 – 5 tahun<span style="mso-tab-count: 1;"> </span>: BB x 50 cc</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">½ </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> diberikan<span style="mso-spacerun: yes;"> </span>8 jam pertama</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">½ </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> diberikan<span style="mso-spacerun: yes;"> </span>16 jam berikutnya.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Hari
kedua</span></b><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">:</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<u><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Dewasa</span></u><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span>: Dextran 500 – 2000 + D5% / albumin.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<u><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">( 3-x) x 80 x BB gr/hr</span></u></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-spacerun: yes;"> </span>100</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">(Albumin 25% = gram x 4 cc) </span><span lang="EN-US" style="font-family: Wingdings; line-height: 150%; mso-ascii-font-family: "Times New Roman"; mso-bidi-font-size: 10.0pt; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">à</span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> 1 cc/mnt.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<u><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Anak</span></u><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-tab-count: 2;"> </span>: Diberi sesuai kebutuhan faal.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -90.0pt; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Monitor urine dan
CVP.</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -90.0pt; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Topikal dan
tutup<span style="mso-spacerun: yes;"> </span>luka</span></i></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level1 lfo2; tab-stops: list -117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Cuci luka dengan
savlon : NaCl 0,9% ( 1 : 30 ) + buang jaringan nekrotik.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level1 lfo2; tab-stops: list -117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tulle.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level1 lfo2; tab-stops: list -117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Silver sulfa
diazin tebal.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level1 lfo2; tab-stops: list -117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tutup kassa
tebal.</span></div>
<div class="MsoNormal" style="margin-left: 72.0pt; mso-list: l1 level1 lfo2; tab-stops: list -117.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Evaluasi 5 – 7
hari, kecuali balutan kotor.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; tab-stops: list -90.0pt; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Obat – obatan:</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">- Antibiotika<span style="mso-tab-count: 1;"> </span>: tidak diberikan bila pasien datang
< 6 jam sejak kejadian.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">- Bila perlu berikan
antibiotika sesuai dengan pola kuman dan sesuai hasil kultur.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">- Analgetik<span style="mso-tab-count: 1;"> </span>: kuat (morfin, petidine)</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">- Antasida<span style="mso-tab-count: 1;"> </span>: kalau perlu</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l8 level1 lfo1; tab-stops: list -81.0pt; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">KONSEP ASUHAN
KEPERAWATAN</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level2 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Pengkajian (
Doengoes, </span></b><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;">2000 )</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Aktifitas/istirahat:</span></i></div>
<div class="MsoNormal" style="margin-left: 90.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tanda: Penurunan
kekuatan, tahanan; keterbatasan rentang gerak pada area yang sakit; gangguan
massa otot, perubahan tonus.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Sirkulasi:</span></i></div>
<div class="MsoNormal" style="margin-left: 90.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tanda ( dengan
cedera luka bakar lebih dari 20% APTT): hipotensi (syok); penurunan nadi
perifer distal pada ekstremitas yang cedera; vasokontriksi perifer umum dengan
kehilangan nadi, kulit putih dan dingin (syok listrik); takikardia
(syok/ansietas/nyeri); disritmia (syok listrik); pembentukan oedema jaringan
(semua luka bakar).</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Integritas ego:</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Gejala: masalah tentang
keluarga, pekerjaan, keuangan, kecacatan.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tanda: ansietas, menangis,
ketergantungan, menyangkal, menarik diri, marah.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Eliminasi:</span></i></div>
<div class="MsoNormal" style="margin-left: 90.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tanda: haluaran
urine menurun/tak ada selama fase darurat; warna mungkin hitam kemerahan bila
terjadi mioglobin, mengindikasikan kerusakan otot dalam; diuresis (setelah
kebocoran kapiler dan mobilisasi cairan ke dalam sirkulasi); penurunan bising
usus/tak ada; khususnya pada luka bakar kutaneus lebih besar dari 20% sebagai
stres penurunan motilitas/peristaltik gastrik.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Makanan/cairan:</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tanda: oedema jaringan umum;
anoreksia; mual/muntah.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Neurosensori:</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Gejala: area batas;
kesemutan.</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tanda: perubahan
orientasi; afek, perilaku; penurunan refleks tendon dalam (RTD) pada cedera
ekstremitas; aktifitas kejang (syok listrik); laserasi korneal; kerusakan
retinal; penurunan ketajaman penglihatan (syok listrik); ruptur membran
timpanik (syok listrik); paralisis (cedera listrik pada aliran saraf).</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Nyeri/kenyamanan:</span></i></div>
<div class="MsoNormal" style="margin-left: 90.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Gejala: Berbagai
nyeri; contoh luka bakar derajat pertama secara eksteren sensitif untuk
disentuh; ditekan; gerakan udara dan perubahan suhu; luka bakar ketebalan
sedang derajat kedua sangat nyeri; smentara respon pada luka bakar ketebalan
derajat kedua tergantung pada keutuhan ujung saraf; luka bakar derajat tiga
tidak nyeri.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pernafasan:</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Gejala: terkurung dalam
ruang tertutup; terpajan lama (kemungkinan cedera inhalasi).</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt; text-indent: -36.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tanda: serak;
batuk mengii; partikel karbon dalam sputum; ketidakmampuan menelan sekresi oral
dan sianosis; indikasi cedera inhalasi.</span></div>
<div class="MsoNormal" style="margin-left: 90.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pengembangan torak mungkin
terbatas pada adanya luka bakar lingkar dada; jalan nafas atau stridor/mengii
(obstruksi sehubungan dengan laringospasme, oedema laringeal); bunyi nafas:
gemericik (oedema paru); stridor (oedema laringeal); sekret jalan nafas dalam
(ronkhi).</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">i.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Keamanan:</span></i></div>
<div class="MsoNormal" style="margin-left: 54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tanda: </span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; text-indent: -54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kulit umum:
destruksi jarinagn dalam mungkin tidak terbukti selama 3-5 hari sehubungan
dengan proses trobus mikrovaskuler pada beberapa luka.</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; text-indent: -54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Area kulit tak
terbakar mungkin dingin/lembab, pucat, dengan pengisian kapiler lambat pada
adanya penurunan curah jantung sehubungan dengan kehilangan cairan/status syok.</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; text-indent: -54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Cedera api:
terdapat area cedera campuran dalam sehubunagn dengan variase intensitas panas
yang dihasilkan bekuan terbakar. Bulu hidung gosong; mukosa hidung dan mulut
kering; merah; lepuh pada faring posterior;oedema lingkar mulut dan atau
lingkar nasal.</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; text-indent: -54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Cedera kimia:
tampak luka bervariasi sesuai agen penyebab.</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; text-indent: -54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kulit mungkin
coklat kekuningan dengan tekstur seprti kulit samak halus; lepuh; ulkus;
nekrosis; atau jarinagn parut tebal. Cedera secara mum ebih dalam dari
tampaknya secara perkutan dan kerusakan jaringan dapat berlanjut sampai 72 jam
setelah cedera.</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; text-indent: -54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Cedera listrik:
cedera kutaneus eksternal biasanya lebih sedikit di bawah nekrosis. Penampilan
luka bervariasi dapat meliputi luka aliran masuk/keluar (eksplosif), luka bakar
dari gerakan aliran pada proksimal tubuh tertutup dan luka bakar termal
sehubungan dengan pakaian terbakar.</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; text-indent: -54.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Adanya
fraktur/dislokasi (jatuh, kecelakaan sepeda motor, kontraksi otot tetanik
sehubungan dengan syok listrik).</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">j.<span style="font: 7.0pt "Times New Roman";">
</span></span></span></i><i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pemeriksaan
diagnostik:</span></i></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">LED: mengkaji
hemokonsentrasi.</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Elektrolit serum
mendeteksi ketidakseimbangan cairan dan biokimia. Ini terutama penting untuk
memeriksa kalium terdapat peningkatan dalam 24 jam pertama karena peningkatan
kalium dapat menyebabkan henti jantung.</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Gas-gas darah
arteri (GDA) dan sinar X dada mengkaji fungsi pulmonal, khususnya pada<span style="mso-spacerun: yes;"> </span>cedera inhalasi asap.</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">BUN dan kreatinin
mengkaji fungsi ginjal.</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Urinalisis
menunjukkan mioglobin dan hemokromogen menandakan kerusakan otot pada luka
bakar ketebalan penuh luas.</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Bronkoskopi
membantu memastikan cedera inhalasi asap.</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Koagulasi
memeriksa faktor-faktor pembekuan yang dapat menurun pada luka bakar masif.</span></div>
<div class="MsoNormal" style="margin-left: 81.0pt; text-indent: -27.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kadar karbon
monoksida serum meningkat pada cedera inhalasi asap.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level2 lfo1; text-indent: -18.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Diagnosa Keperawatan </span></b><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;">(
Doengoes ; 2000)</span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"></span></b></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt; mso-bidi-font-weight: bold;">Resiko tinggi bersihan jalan nafas
tidak efektif<span style="mso-spacerun: yes;"> </span>berhubungan dengan
obtruksi trakeabronkial;edema mukosa dan hilangnya kerja silia ; luka bakar
daerah leher; kompresi jalan nafas thorak dan dada.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Resiko tinggi<span style="mso-spacerun: yes;">
</span>kekurangan volume cairan b/d. Kehilangan cairan melalui rute abnormal;
status hypermetabolik</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Resiko kerusakan pertukaran gas b/d cedera inhalasi asap atau
sindrom kompartemen torakal sekunder terhadap luka bakar sirkumfisial dari dada
atau leher.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Resiko infeksi b/d. Pertahanan primer tidak adequat;
kerusakan perlinduingan kulit; jaringan traumatik.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Nyeri b/d. Kerusakan kulit/jaringan; bentukam edem;
manifulasi jaringan cidera.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Resiko kerusakan perfusi jarinagn b/d luka bakar melingkari
ekstremitas<span style="mso-spacerun: yes;"> </span>atau luka bakar listrik
dalam.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">g.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Gangguan citra tubuh (penampilan peran) b/d krisis situasi;
kecacatan ;nyeri.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; mso-list: l8 level3 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-list: Ignore;">h.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kerusakan<span style="mso-spacerun: yes;"> </span>integritas
kulit b/d destruksi lapisan kulit</span></div>
</div>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 12.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-size: 11.0pt; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<div class="Section2">
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l8 level2 lfo1; text-indent: -18.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Rencana
Intervensi dan Rasional</span></b><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;"></span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480; width: 100%px;">
<tbody>
<tr style="page-break-inside: avoid;">
<td rowspan="2" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.15pt;" width="128">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Diagnosa Keperawatan</span></b></div>
</td>
<td colspan="3" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 397.4pt;" width="530">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Rencana Keperawatan</span></b></div>
</td>
</tr>
<tr style="page-break-inside: avoid;">
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.8pt;" width="142">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Tujuan dan Kriteria Hasil</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.8pt;" width="240">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Intervensi</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.8pt;" width="148">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 11.0pt;">Rasional</span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.15pt;" valign="top" width="128">
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Resiko tinggi bersihan jalan nafas tidak efektif b/d
obstruksi trakheobronkhial; oedema mukosa; kompressi jalan nafas .</span></div>
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Resiko kekurangan volume cairan b/d luka bakar luas.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.8pt;" valign="top" width="142">
<div class="MsoNormal">
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<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Bersihan jalan nafas tetap efektif.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kriteria Hasil : Bunyi nafas vesikuler, RR dalam batas
normal, bebas dispnoe/cyanosis.</span></div>
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<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pasien dapat mendemostrasikan status cairan dan biokimia
membaik.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kriteria evaluasi: tak ada manifestasi dehidrasi, resolusi
oedema, elektrolit serum dalam batas normal, haluaran urine di atas 30
ml/jam.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.8pt;" valign="top" width="240">
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Awasi tanda vital, CVP. Perhatikan kapiler dan kekuatan
nadi perifer.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Awasi pengeluaran urine dan berat jenisnya. Observasi warna
urine dan hemates sesuai indikasi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pantau drainase luka dan kejilangan yang tampak</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Timbang berat badan setiap hari</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Ukur lingkar ekstremitas yang terbakar tiap hari sesuai
indikasi</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Selidiki perubahan mental</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Observasi distensi abdomen,hematomesis,feces hitam.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Hemates drainase NG dan feces secara periodik.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Lakukan program kolaborasi meliputi :</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pasang / pertahankan kateter urine</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Berikan penggantian cairan IV yang dihitung, elektrolit,
plasma, albumin.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Awasi hasil pemeriksaan laboratorium ( Hb, elektrolit,
natrium ).</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Berikan obat sesuai idikasi :</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Diuretiaka</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kalium</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l1 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Antasida</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pantau:</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tanda-tanda vital setiap jam selama periode darurat,
setiap 2 jam selama periode akut, dan setiap 4 jam selama periode
rehabilitasi.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Warna urine.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Masukan dan haluaran setiap jam selama periode
darurat, setiap 4 jam selam aperiode akut, setiap 8 jam selama periode
rehabilitasi.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Hasil-hasil JDL dan laporan elektrolit.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Berat badan setiap hari.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">CVP (tekanan vena sentral) setiap jam bial
diperlukan.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Status umum setiap 8 jam.</span></div>
<div class="MsoNormal" style="margin-left: 3.6pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pada penerimaan rumah sakit, lepaskan semua pakaian dan
perhiasan dari area luka bakar.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Mulai terapi IV yang ditentukan dengan jarum lubang besar
(18G), lebih disukai melalui kulit yang telah terluka bakar. Bila pasien
menaglami luka bakar luas dan menunjukkan gejala-gejala syok hipovolemik,
bantu dokter dengan pemasangan kateter vena sentral untuk pemantauan CVP.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Beritahu dokter bila: haluaran urine < 30 ml/jam, haus,
takikardia, CVP < 6 mmHg, bikarbonat serum di bawah rentang normal,
gelisah, TD di bawah rentang normal, urine gelap atau encer gelap.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Konsultasi doketr bila manifestasi kelebihan cairan
terjadi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tes guaiak muntahan warna kopi atau feses ter hitam.
Laporkan temuan-temuan positif.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Berikan antasida yag diresepkan atau antagonis reseptor
histamin seperti simetidin.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.8pt;" valign="top" width="148">
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Memberikan pedoman untuk penggantian cairan dan mengkaji
respon kardiovaskuler.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Penggantian cairan dititrasi<span style="mso-spacerun: yes;"> </span>untuk meyakinkan rata-2 pengeluaran urine
30-50 cc/jam pada orang dewasa. Urine berwarna merah pada kerusakan otot
masif karena adanyadarah dan keluarnya mioglobin.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Peningkatan permeabilitas kapiler, perpindahan protein,
proses inflamasi dan kehilangan cairan melalui evaporasi mempengaruhi volume
sirkulasi dan pengeluaran urine.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Penggantian cairan tergantung pada berat badan pertama dan
perubahan selanjutnya</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Memperkirakan luasnya oedema/perpindahan cairan yang
mempengaruhi volume sirkulasi dan pengeluaran urine.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Penyimpangan pada tingkat kesadaran dapat mengindikasikan
ketidak adequatnya volume sirkulasi/penurunan perfusi serebral</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Stres (Curling) ulcus terjadi pada setengah dari semua
pasien yang luka bakar berat(dapat terjadi pada awal minggu pertama).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Observasi ketat fungsi ginjal dan mencegah stasis atau
refleks urine.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Resusitasi cairan menggantikan kehilangan cairan/elektrolit
dan membantu mencegah komplikasi.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Mengidentifikasi kehilangan darah/kerusakan SDM dan
kebutuhan penggantian<span style="mso-spacerun: yes;"> </span>cairan dan
elektrolit.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Meningkatkan pengeluaran urine dan membersihkan tubulus
dari debris /mencegah nekrosis.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Penggantian lanjut karena kehilangan urine dalam jumlah
besar</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Menurunkan keasaman gastrik sedangkan inhibitor histamin
menurunkan produksi asam hidroklorida untuk menurunkan produksi asam
hidroklorida untuk menurunkan iritasi gaster.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Mengidentifikasi penyimpangan indikasi kemajuan atau
penyimpangan dari hasil yang diharapkan. Periode darurat (awal 48 jam pasca
luka bakar) adalah periode kritis yang ditandai oleh hipovolemia yang
mencetuskan individu pada perfusi ginjal dan jarinagn tak adekuat.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Inspeksi adekuat dari luka bakar.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Penggantian cairan cepat penting untuk mencegah gagal
ginjal. Kehilangan cairan bermakna terjadi melalui jarinagn yang terbakar
dengan luka bakar luas. Pengukuran tekanan vena sentral memberikan data
tentang status volume cairan intravaskular.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Temuan-temuan ini mennadakan hipovolemia dan perlunya
peningkatan cairan. Pada lka bakar luas, perpindahan cairan dari ruang
intravaskular ke ruang interstitial menimbukan hipovolemi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pasien rentan pada kelebihan beban volume intravaskular
selama periode pemulihan bila perpindahan cairan dari kompartemen
interstitial pada kompartemen intravaskuler.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Temuan-temuan guaiak positif ennandakan adanya perdarahan
GI. Perdarahan GI menandakan adaya stres ulkus (Curling’s).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Mencegah perdarahan GI. Luka bakar luas mencetuskan pasien
pada ulkus stres yang disebabkan peningkatan sekresi hormon-hormon adrenal
dan asam HCl oleh lambung.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.15pt;" valign="top" width="128">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Resiko kerusakan pertukaran gas b/d cedera inhalasi asap
atau sindrom kompartemen torakal sekunder terhadap luka bakar sirkumfisial
dari dada atau leher.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.8pt;" valign="top" width="142">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pasien dapat mendemonstrasikan oksigenasi adekuat.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kriteroia evaluasi: RR 12-24 x/mnt, warna kulit normal, GDA
dalam renatng normal, bunyi nafas bersih, tak ada kesulitan bernafas.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.8pt;" valign="top" width="240">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pantau laopran GDA dan kadar karbon monoksida serum.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Beriakan suplemen oksigen pada tingkat yang ditentukan.
Pasang atau bantu dengan selang endotrakeal dan temaptkan pasien pada
ventilator mekanis sesuai pesanan bila terjadi insufisiensi pernafasan
(dibuktikan dnegna hipoksia, hiperkapnia, rales, takipnea dan perubahan
sensorium).</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Anjurkan pernafasan dalam dengan penggunaan spirometri
insentif setiap 2 jam selama tirah baring.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pertahankan posisi semi fowler, bila hipotensi tak ada.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Untuk luka bakar sekitar torakal, beritahu dokter bila
terjadi dispnea disertai dengan takipnea. Siapkan pasien untuk pembedahan
eskarotomi sesuai pesanan.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.8pt;" valign="top" width="148">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Mengidentifikasi kemajuan dna penyimpangan dari hasil yang
diharapkan. Inhalasi asap dapat merusak alveoli, mempengaruhi pertukaran gas
pada membran kapiler alveoli.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Suplemen oksigen meningkatkan jumlah oksigen yang tersedia
untuk jaringan. Ventilasi mekanik diperlukan untuk pernafasan dukungan sampai
pasie dapat dilakukan secara mandiri.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pernafasan dalam mengembangkan alveoli, menurunkan resiko
atelektasis.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Memudahkan ventilasi dengan menurunkan tekanan abdomen
terhadap diafragma.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Luka bakar sekitar torakal dapat membatasi ekspansi adda.
Mengupas kulit (eskarotomi) memungkinkan ekspansi dada.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.15pt;" valign="top" width="128">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Resiko infeksi b/d pertahanan primer tidak adekuat,
kerusakan perlindunga kulit.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.8pt;" valign="top" width="142">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pasien bebas dari infeksi.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kriteria evaluasi: tak ada demam, pembentukan jaringan
granulasi baik.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.8pt;" valign="top" width="240">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pantau:</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; tab-stops: list -59.4pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Penampilan luka
bakar (area luka bakar, sisi donor dan status balutan di atas sisi tandur
bial tandur kulit dilakukan) setiap 8 jam.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; tab-stops: list -59.4pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Suhu setiap 4
jam.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; tab-stops: list -59.4pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Jumlah makanan
yang dikonsumsi setiap kali makan.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; tab-stops: list -59.4pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; line-height: 150%; mso-bidi-font-size: 10.0pt; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"> </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Bersihakn area luka bakar setiap hari dan lepaskan jarinagn
nekrotik (debridemen) sesuai pesanan. Berikan mandi kolam sesuai pesanan,
implementasikan perawatan yang ditentukan untuk sisi donor, yang dapat
ditutup dengan balutan vaseline atau op site.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Lepaskan krim lama dari luka sebelum pemberian krim baru.
Gunakan sarung tangan steril dan beriakn krim antibiotika topikal yang
diresepkan pada area luka bakar dengan ujung jari. Berikan krim secara
menyeluruh di atas luka.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Beritahu dokter bila demam drainase purulen atau bau busuk
dari area luka bakar, sisi donor atau balutan sisi tandur. Dapatkan kultur
luka dan berikan antibiotika IV sesuai ketentuan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tempatkan pasien pada ruangan khusus dan lakukan
kewaspadaan untuk luka bakar luas yang mengenai area luas tubuh. Gunakan
linen tempat tidur steril, handuk dan skort untuk pasien. Gunakan skort
steril, sarung tangan dan penutup kepala dengan masker bila memberikan
perawatan pada pasien. Tempatkan radio atau televisis pada ruangan pasien
untuk menghilangkan kebosanan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Bial riwayat imunisasi tak adekuat, berikan globulin imun
tetanus manusia (hyper-tet) sesuai pesanan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Mulai rujukan pada ahli diet, beriakn protein tinggi, diet
tinggi kalori. Berikan suplemen nutrisi seperti ensure atau sustacal dengan
atau antara makan bila masukan makanan kurang dari 50%. Anjurkan NPT atau
makanan enteral bial pasien tak dapat makan per oral.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.8pt;" valign="top" width="148">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Mengidentifikasi indikasi-indikasi kemajuan atau
penyimapngan dari hasil yang diharapkan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pembersihan dan pelepasan jaringan nekrotik meningkatkan
pembentukan granulasi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Antimikroba topikal membantu mencegah infeksi. Mengikuti
prinsip aseptik melindungi pasien dari infeksi. Kulit yang gundul menjadi
media yang baik untuk kultur pertumbuhan baketri.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Temuan-temuan ini mennadakan infeksi. Kultur membantu
mengidentifikasi patogen penyebab sehingga terapi antibiotika yang tepat
dapat diresepkan. Karena balutan siis tandur hanya diganti setiap 5-10 hari,
sisi ini memberiakn media kultur untuk pertumbuhan bakteri.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kulit adalah lapisan pertama tubuh untuk pertahanan
terhadap infeksi. Teknik steril dan tindakan perawatan perlindungan
lainmelindungi pasien terhadap infeksi. Kurangnya berbagai rangsang ekstrenal
dan kebebasan bergerak mencetuskan pasien pada kebosanan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Melindungi terhadap tetanus.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Ahli diet adalah spesialis nutrisi yang dapat mengevaluasi
paling baik status nutrisi pasien dan merencanakan diet untuk emmenuhi
kebuuthan nutrisi penderita. Nutrisi adekuat memabntu penyembuhan luka dan
memenuhi kebutuhan energi.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.15pt;" valign="top" width="128">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Nyeri b/d kerusakan kulit/jaringan, pembentukan oedema,
manipulasi jaringan cedera.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.8pt;" valign="top" width="142">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pasien dapat mendemonstrasikan hilang dari ketidaknyamanan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kriteria evaluasi: menyangkal nyeri, melaporkan perasaan
nyaman, ekspresi wajah dan postur tubuh rileks.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.8pt;" valign="top" width="240">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Berikan anlgesik narkotik yang diresepkan prn dan
sedikitnya 30 menit sebelum prosedur perawatan luka. Evaluasi keefektifannya.
Anjurkan analgesik IV bila luka bakar luas.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pertahankan pintu kamar tertutup, tingkatkan suhu ruangan
dan berikan selimut ekstra untuk memberikan kehangatan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Berikan ayunan di atas temapt tidur bila diperlukan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Bnatu dengan pengubahan posisi setiap 2 jam bila
diperlukan. Dapatkan bantuan tambahan sesuai kebutuhan, khususnya bila pasien
tak dapat membantu membalikkan badan sendiri.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.8pt;" valign="top" width="148">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Analgesik narkotik diperlukan utnuk memblok jaras nyeri
dengan nyeri berat. Absorpsi obat IM buruk pada pasien dengan luka bakar luas
yang disebabkan oleh perpindahan interstitial berkenaan dnegan peningkatan
permeabilitas kapiler.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Panas dan air hilang melalui jaringan luka bakar,
menyebabkan hipoetrmia. Tindakan eksternal ini membantu menghemat kehilangan
panas.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Menururnkan neyri dengan mempertahankan berat badan jauh
dari linen temapat tidur terhadap luka dan menuurnkan pemajanan ujung saraf
pada aliran udara.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Menghilangkan tekanan pada tonjolan tulang dependen.
Dukungan adekuat pada luka bakar selama gerakan membantu meinimalkan
ketidaknyamanan.</span></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 96.15pt;" valign="top" width="128">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Resiko kerusakan perfusi jaringan b/d luka bakar melingkari
ekstremitas atau luka bakar listrik dalam.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kerusakan integritas kulit b/d kerusakan permukaan kulit
sekunder destruksi lapisan kulit.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.8pt;" valign="top" width="142">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pasien menunjukkan sirkulasi tetap adekuat.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kriteria evaluasi: warna kulit normal, menyangkal kebas dan
kesemutan, nadi perifer dapat diraba.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US">Memumjukkan regenerasi jaringan</span></div>
<div class="MsoNormal">
<span lang="EN-US">Kriteria hasil:<span style="mso-spacerun: yes;"> </span>Mencapai penyembuhan tepat waktu pada area
luka bakar.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 179.8pt;" valign="top" width="240">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Untuk luka bakar yang mengitari ekstermitas atau luka bakar
listrik, pantau status neurovaskular dari ekstermitas setaip 2 jam.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pertahankan ekstermitas bengkak ditinggikan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Beritahu dokter dengan segera bila terjadi nadi berkurang,
pengisian kapiler buruk, atau penurunan sensasi. Siapkan untuk pembedahan
eskarotomi sesuai pesanan.</span></div>
<div class="MsoNormal" style="tab-stops: 169.0pt;">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;"><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNormal" style="tab-stops: 169.0pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kaji/catat ukuran, warna, kedalaman luka, perhatikan jaringan
nekrotik dan kondisi sekitar luka.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Lakukan perawatan luka bakar yang tepat dan tindakan
kontrol infeksi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pertahankan penutupan luka sesuai indikasi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Tinggikan area graft bila mungkin/tepat. Pertahankan posisi
yang diinginkan dan imobilisasi area bila diindikasikan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Pertahankan balutan diatas area graft baru dan/atau sisi
donor sesuai indikasi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Cuci sisi dengan sabun ringan, cuci, dan minyaki dengan
krim, beberapa waktu dalam sehari, setelah balutan dilepas dan penyembuhan
selesai.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Lakukan program kolaborasi :</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">- Siapkan / bantu prosedur bedah/balutan biologis.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 110.8pt;" valign="top" width="148">
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Mengidentifikasi indikasi-indikasi kemajuan atau
penyimpangan dari hasil yang diharapkan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Meningkatkan aliran balik vena dan menurunkan pembengkakan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Temuan-temuan ini menandakan keruskana sirkualsi distal.
Dokter dapat mengkaji tekanan jaringan untuk emnentukan kebutuhan terhadap
intervensi bedah. Eskarotomi (mengikis pada eskar) atau fasiotomi mungkin
diperlukan untuk memperbaiki sirkulasi adekuat.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Memberikan informasi dasar tentang kebutuhan penanaman
kulit dan kemungkinan petunjuk tentang sirkulasi pada aera graft.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Menyiapkan jaringan untuk penanaman dan menurunkan resiko
infeksi/kegagalan kulit.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kain nilon/membran silikon mengandung kolagen porcine
peptida yang melekat pada permukaan luka sampai lepasnya atau mengelupas
secara spontan kulit repitelisasi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Menurunkan pembengkakan /membatasi resiko pemisahan graft.
Gerakan jaringan dibawah graft dapat mengubah posisi yang mempengaruhi
penyembuhan optimal.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Area mungkin ditutupi oleh bahan dengan permukaan tembus
pandang tak reaktif.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Kulit graft baru dan sisi donor yang sembuh memerlukan
perawatan khusus untuk mempertahankan kelenturan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">Graft kulit diambil dari kulit orang itu sendiri/orang lain
untuk penutupan sementara pada luka bakar luas sampai kulit orang itu siap
ditanam.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
</div>
<span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 11.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="Section3">
<div class="MsoTitle">
<span lang="EN-US">DAFTAR PUSTAKA</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo3; tab-stops: list -27.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Barbara C. Long (1996), <i style="mso-bidi-font-style: normal;">Perawatan Medikal Bedah: Suatu Pendekatan
Proses Keperawatan,</i> The C.V Mosby Company St. Louis, USA.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo3; tab-stops: list -27.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Barbara Engram (1998), <i style="mso-bidi-font-style: normal;">Rencana Asuhan Keperawatan Medikal – Bedah
Jilid II</i> Penerbit Buku Kedokteran EGC, Jakarta.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo3; tab-stops: list -27.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Donna D. Ignatavicius
(1991), <i style="mso-bidi-font-style: normal;">Medical Surgical Nursing: A
Nursing Process Approach,</i> WB. Sauders Company, Philadelphia.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo3; tab-stops: list -27.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Guyton & Hall (1997), <i style="mso-bidi-font-style: normal;">Buku Ajar Fisiologi Kedokteran Edisi 9</i>,
Penerbit Buku Kedoketran EGC, Jakarta</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo3; tab-stops: list -27.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Hudak & Gallo (1997),
Keperawatan Kritis: <i style="mso-bidi-font-style: normal;">Pendekatan Holistik
Volume I,</i> Penerbit Buku Kedoketran EGC, Jakarta.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo3; tab-stops: list -27.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Instalasi Rawat Inap Bedah
RSUD Dr. Soetomo Surabaya (2001), <i style="mso-bidi-font-style: normal;">Pendidikan
Keperawatan Berkelanjutan (PKB V) Tema: Asuhan Keperawatan Luka Bakar Secara
Paripurna</i>, Instalasi Rawat Inap Bedah RSUD Dr. Soetomo, Surabaya.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo3; tab-stops: list -27.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Marylin E. Doenges (2000),
<i style="mso-bidi-font-style: normal;">Rencana Asuhan Keperawatan: Pedoman Untuk
Perencanaan dan Pendokumentasian Perawatan Pasien edisi 3,</i> Penerbit Buku
Kedoketran EGC, Jakarta.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo3; tab-stops: list -27.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">R. Sjamsuhidajat, Wim De
Jong (1997), <i style="mso-bidi-font-style: normal;">Buku Ajar Ilmu Bedah Edisi
Revisi</i>, Penerbit Buku Kedokteran EGC, Jakarta.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; mso-list: l4 level1 lfo3; tab-stops: list -27.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;">Sylvia A. Price (1995), <i style="mso-bidi-font-style: normal;">Patofisiologi:
Konsep Klinis Proses-proses Penyakit</i> <i style="mso-bidi-font-style: normal;">Edisi
4 Buku 2</i>, Penerbit Buku Kedokteran EGC, Jakarta</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
</div>
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 16.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-font-kerning: 14.0pt;"><br clear="all" style="mso-break-type: section-break; page-break-before: right;" />
</span></b>
<div class="Section4">
<div class="MsoTitle">
<span lang="EN-US">ASUHAN KEPERAWATAN</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; font-weight: normal; line-height: 150%;">PADA PASIEN NY.SLF .
DENGAN<span style="mso-spacerun: yes;"> </span>COMBUSTIO GR. II A-B 45 % DGN
CEDERA INHALASI<span style="mso-spacerun: yes;"> </span>POST BULECTOMY</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; font-weight: normal; line-height: 150%;">DI RUANG BEDAH G, RSUD DR.
SOETOMO SURABAYA</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 14.0pt; font-weight: normal; line-height: 150%;">TANGGAL<span style="mso-spacerun: yes;"> </span>11 – 13 MARET 2002</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle" style="text-align: justify;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-size: 16.0pt; mso-bidi-font-weight: bold;">PENGKAJIAN</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">A.
PRA OPERASI</span></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pengkajian
dilaksanakan pada tanggal<span style="mso-spacerun: yes;"> </span>11 Maret 2002
pada pukul 09.00 WIB.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>1. <b>Identitas</b></span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span></span></b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Nama<span style="mso-tab-count: 2;"> </span>:
Ny.SLF<span style="mso-tab-count: 2;"> </span>Tgl MRS<span style="mso-tab-count: 1;"> </span>:<span style="mso-spacerun: yes;">
</span>2<span style="mso-spacerun: yes;"> </span>- 3 - 2002</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Umur<span style="mso-tab-count: 2;"> </span>: 40 tahun<span style="mso-tab-count: 2;"> </span>Register<span style="mso-tab-count: 1;"> </span>: 10138088</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Jenis kelamin<span style="mso-tab-count: 1;"> </span>: Perempuan<span style="mso-tab-count: 2;"> </span>Diagnose<span style="mso-tab-count: 1;"> </span>: Combustio gr II A-B 45%<span style="mso-spacerun: yes;">
</span>dengan </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Suku Bangsa<span style="mso-tab-count: 1;"> </span>: Jawa<span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>cedera inhalasi
post bulectomy.<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Agama<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>Kristen Protestan</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Pekerjaan<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>swasta</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Pendidikan<span style="mso-tab-count: 1;"> </span>: SMA.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Alamat<span style="mso-tab-count: 2;"> </span>:.</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Keluhan utama</span></b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-tab-count: 1;"> </span>: Luka bakar kena ledakan kompor pada wajah, badan, punggung dan
kedua tangan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span><b>sebelumnya<span style="mso-tab-count: 1;"> </span></b>: </span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pada
tanggal 2 Maret 2002 pukul 04.00, klien mengalami ledakan kompor minyak tanah
di rumah. Ledakan mengenai wajah, leher, badan, punggung dan kedua tangan. Pasien
merasakan nyeri serta panas pada sekujur area yang terbakar. Keluarga langsung
membawa pasien ke RS swasta di Jl. Diponegoro untuk mendapat penanganan lebih
lanjut, kemudian setelah menadpat pemeriksaan, pasien disarankan untuk dirujuk
ke RSUD Dr. Soetomo Surabaya untuk mendapat pengobatan dan perawatan yang lebih
maksimal.</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt; text-indent: 36.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pada
hari itu juga pasien dilakukan bulectomy untuk mengangkat bula pada luka bakar,
dilakukan pemasangan infus (terapi baxter), CVP, kateter urine, pencucian luka
di IRD. Kemudian pasien dirawat di unit luka bakar di GBPT, hingga pada tanggal
7 Maret pasien dipindahkan ke Ruang Bedah G untuk mendapat perawatan lanjutan.</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>II Riwayat Keperawatan</span></b></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>2.1 Riwayat penyakit sebelumnya</span></b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">:
Dm dan riwayat HT disangkal, luka bakar sebelumnya (-), epilepsi (-).</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><b>2.2 Riwayat penyakit sekarang</b><span style="mso-tab-count: 1;"> </span></span><span lang="EN-US">: </span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pada
saat pengkajian tanggal 11 Maret 2002 pukul 09.00 WIB, pasien dalam keadaan
sadar baik (CM) GCS E4V5M6, keluhan nyeri dan panas pada luka bakar, suara
serak, sulit menelan (-), pasien mengeluh haus.</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Total
luas luka bakar</span></b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">:</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;">K/L<span style="mso-tab-count: 2;"> </span>:
gr II A-B<span style="mso-tab-count: 1;"> </span>: 6%</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Th
ant<span style="mso-tab-count: 2;"> </span>: gr II A-B<span style="mso-tab-count: 1;"> </span>: 16%</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Post<span style="mso-tab-count: 2;"> </span>:
gr II A-B<span style="mso-tab-count: 1;"> </span>: 10%</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Ext
sup S<span style="mso-tab-count: 2;"> </span>: gr II A-B<span style="mso-tab-count: 1;"> </span>: 8%</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>D<span style="mso-tab-count: 2;"> </span>:
gr II A-B<span style="mso-tab-count: 1;"> </span>: 5%</span></div>
<div class="MsoNormal" style="margin-left: 27.0pt;">
<span style="mso-ignore: vglayout; position: relative; z-index: 251667968;"><span style="height: 2px; left: 0px; left: 30px; position: absolute; top: -1px; width: 254px;"><img height="2" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image034.gif" width="254" /></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Total<span style="mso-tab-count: 4;"> </span>:
45%</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span style="mso-ansi-language: IN;"><span style="mso-spacerun: yes;"> </span></span><span lang="EN-US">2.3 Riwayat
kesehatan keluarga</span></b><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>:
(-) .</span></div>
<div class="MsoNormal">
<span lang="EN-US"><span style="mso-spacerun: yes;">
</span><b>2.4 Keadaan kesehatan lingkungan</b><span style="mso-tab-count: 1;"> </span>:
Menurut pasien keadaan lingkungan rumah cukup bersih, karena kebiasaan warga
sekitar membersihkan lingkungan rumah masing-masing setiap minggu secara
teratur.</span></div>
<div class="MsoNormal">
<b><span lang="EN-US"><span style="mso-spacerun: yes;">
</span>2.5 Riwayat kesehatan lainnya</span></b><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>: taa</span></div>
<div class="MsoNormal">
<b><span lang="EN-US"><span style="mso-spacerun: yes;">
</span>2.6 Alat bantu yang dipakai</span></b></div>
<div class="MsoNormal">
<span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Gigi palsu<span style="mso-tab-count: 1;"> </span>: --</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Kaca mata<span style="mso-tab-count: 1;"> </span>: taa</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Pendengaran<span style="mso-tab-count: 1;"> </span>:taa</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Lain-lain<span style="mso-tab-count: 1;"> </span>:taa</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>III. Observasi dan Pemeriksaan Fisik</span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><b>1.
Keadaan umum</b><span style="mso-tab-count: 1;"> </span>: sadar CM.</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>2. Tanda vital<span style="mso-tab-count: 1;"> </span></span></b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">:S:
36,8 <sup>0</sup>C, N: 92 x/mnt, TD: 100/70 mmHg, RR: 16 x/mnt, BB: 50 kg, TB:
157 cm.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><b>3.
Body System</b></span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>3.1 Pernafasan</span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Hidung<span style="mso-tab-count: 3;"> </span>:
taa, bulu hidung terbakar.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Trachea<span style="mso-tab-count: 2;"> </span>: taa</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Dada<span style="mso-tab-count: 3;"> </span>:</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>- Bentuk<span style="mso-tab-count: 2;"> </span>:
simetris, terdapat luka bakar gr II A-B 16%, punggung terdapat luka bakar gr II
A – B 10%, bula (-), luka sudah agak mengering, warna putih pucat merah muda.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>- Gerakan<span style="mso-tab-count: 2;"> </span>:
simetris, nyeri dada (-), retraksi (-).</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Suara nafas dan lokasi<span style="mso-tab-count: 1;"> </span>:
vesikuler +/+, massa (-), rh -/-, wh -/-</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Jenis nafas<span style="mso-tab-count: 2;"> </span>:
hidung</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Batuk<span style="mso-tab-count: 3;"> </span>: --</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Sputum<span style="mso-tab-count: 2;"> </span>: taa</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Cyanosis<span style="mso-tab-count: 2;"> </span>: taa</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Frekwensi nafas<span style="mso-tab-count: 1;"> </span>: 16
x/mnt.</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>3.2 Kardiovaskuler</span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Nyeri dada<span style="mso-tab-count: 2;"> </span>:
taa</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Pusing<span style="mso-tab-count: 3;"> </span>:
taa.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>Kram kaki<span style="mso-tab-count: 2;"> </span>: --.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Sakit kepala<span style="mso-tab-count: 2;"> </span>: --</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Palpitasi<span style="mso-tab-count: 3;"> </span>:
--</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Clubing finger<span style="mso-tab-count: 2;"> </span>:--</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Suara jantung<span style="mso-tab-count: 2;"> </span>: S1
S2 tunggal.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Edema<span style="mso-tab-count: 3;"> </span>:
taa</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Kapilari refill<span style="mso-tab-count: 2;"> </span>:
2 dtk.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Lainnya<span style="mso-tab-count: 3;"> </span>:
--</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>3.3 Persarafan</span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Kesadaran<span style="mso-tab-count: 2;"> </span>:
CM</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>GCS<span style="mso-tab-count: 3;"> </span>:
E4V5M6</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Kepala dan wajah<span style="mso-tab-count: 2;"> </span>:
terdapat luka bakar gr II A-B 6%.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Mata<span style="mso-tab-count: 3;"> </span>:
Konjungtiva merah muda, sklera puith bersih, pupil isokor, reflek pupil baik,
bulu mata hangus,<span style="mso-spacerun: yes;"> </span>bulu alis hangus, luka
sudah agak mengering, warna merah muda pucat, bula (-).</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Mulut<span style="mso-tab-count: 3;"> </span>:
Bibir mengalami luka bakar, sudah agak kering, mukosa bibir (+).</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Leher<span style="mso-tab-count: 3;"> </span>:
DVJ (-), pembesaran kelenjar limfe (-).<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Reflek fisiologis<span style="mso-tab-count: 2;"> </span>:
dbn</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Reflek patologis<span style="mso-tab-count: 2;"> </span>:
taa</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Pendengaran<span style="mso-tab-count: 2;"> </span>:
dbn</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Penciuman<span style="mso-tab-count: 2;"> </span>:
dbn</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Pengecapan<span style="mso-tab-count: 2;"> </span>:
Klien mengatakan tidak mengalmai penurunan rasa sensasi pengecapan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Penglihatan<span style="mso-tab-count: 2;"> </span>:
dbn</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Perabaan<span style="mso-tab-count: 3;"> </span>:
Pasien mengatakan pada area luka bakar nyeri bila disentuh (terutama<span style="mso-spacerun: yes;"> </span>saat merawat luka dan mandi), rasa
kesemutan (-), refleks saraf III, IV, V, VI, VII, tidak ada kelainan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Lainnya<span style="mso-tab-count: 3;"> </span>:
--</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>3.4 Perkemihan –Eliminasi Urine</span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Produksi urine<span style="mso-tab-count: 2;"> </span>:<span style="mso-spacerun: yes;"> </span>600-800 cc per 24 jam.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Warna urine<span style="mso-tab-count: 2;"> </span>:
kuning jernih</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Gangguan saat kencing<span style="mso-tab-count: 1;"> </span>: taa.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">.<span style="mso-spacerun: yes;">
</span>Lainnya<span style="mso-tab-count: 3;"> </span>:
--</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>3.5 Pencernaan -<span style="mso-spacerun: yes;"> </span>Eliminasi Alvi</span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Mulut<span style="mso-tab-count: 2;"> </span>: bersih,
gigi molar 1 kanan (-), mukosa bibir agak kering.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Tenggorokan<span style="mso-tab-count: 1;"> </span>: sakit menelan
(-).</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Abdomen<span style="mso-tab-count: 2;"> </span>: distensi (-),
peristaltik usus baik. </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Rectum<span style="mso-tab-count: 2;"> </span>: dbn</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Bab<span style="mso-tab-count: 2;"> </span>: --</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Obat pencahar<span style="mso-tab-count: 1;"> </span>: --</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Lavement<span style="mso-tab-count: 1;"> </span>: --</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Lain-lain<span style="mso-tab-count: 2;"> </span>: pasien
mengatakan<span style="mso-spacerun: yes;"> </span>Bab setiap 2 hari sekali, konsistensi
lembek warna coklat.</span></div>
<div class="MsoNormal">
<span style="height: 50px; left: 0px; margin-left: 255px; margin-top: 4px; mso-ignore: vglayout; position: absolute; width: 2px; z-index: 251666944;"><img height="50" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image035.gif" width="2" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span><b>3.6 Tulang – Otot – Integumen</b></span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Kemampuan pergerakan sendi:<span style="mso-spacerun: yes;">
</span>555<span style="mso-spacerun: yes;"> </span>555</span></div>
<div class="MsoNormal">
<span style="height: 2px; left: 0px; margin-left: 225px; margin-top: 0px; mso-ignore: vglayout; position: absolute; width: 62px; z-index: 251665920;"><img height="2" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image036.gif" width="62" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>555<span style="mso-spacerun: yes;"> </span>555</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Extremitas<span style="mso-tab-count: 1;"> </span>: </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>- Atas<span style="mso-tab-count: 2;"> </span>: pergerakan
baik, kekuatan otot baik, terdapat luka bakar gr II A-B 5% pada tangan kanan,
8% pada tnagn kiri, luka masih basah, warna merah kehitaman, bula (-).</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>- Bawah<span style="mso-tab-count: 2;"> </span>: pergerakan
baik, kekuatan otot baik.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>- Tulang belakang<span style="mso-tab-count: 1;"> </span>:dbn</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Kulit:</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; text-indent: -108.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>- Warna kulit<span style="mso-tab-count: 1;"> </span>:sawo matang.</span></div>
<div class="MsoNormal" style="margin-left: 108.0pt; text-indent: -108.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>- Akral<span style="mso-tab-count: 1;"> </span>:hangat, oedem (--)</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>- Turgor<span style="mso-tab-count: 2;"> </span>: baik</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>3.7 Sistem Endokrin</span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Terapi hormon<span style="mso-tab-count: 1;"> </span>: --</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Karakteristik seks sekunder: dbn</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Riwayat pertumbuhan dan perkembnagan fisik: taa</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>3.8 Sistem Hematopoietik</span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Diagnosis penyakit hematopoietik yang lalu: --</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Type darah: O</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>3.9 Reproduksi</span></b></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">.<span style="mso-spacerun: yes;"> </span>Perempuan<span style="mso-tab-count: 1;"> </span>: perkembangan organ seks sekunder normal, menopause belum,
anak terkecil umur 5 bulan dari pernikahan kedua, menikah umur 20 tahun,
menarche umur 15 tahun, nyeri haid (-), darah haid normal, siklus haid kadang
maju kadang mundur lebih kurang 2-3 hari.</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>4.0 Psikososial</span></b></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Konsep diri: --</span></b></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Citra diri:</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tanggapan tentang tubuh: taa</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Bagian tubuh yang disukai:
taa</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Bagian tubuh yang tidak
disukai:<span style="mso-spacerun: yes;"> </span>taa</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Persepsi thd kehilangan
bagian tubuh: pasien bertanya kemungkinan cacat pada wajah bekas luka bakar dan
kemungkinan penyembuhannya.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Lainnya, sebutkan: (-).</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Identitas:</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Status klien dalam keluarga:
istri, ibu rumah tangga</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kepuasan klien thd status
dan posisi dlm keluarga: puas</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kepuasan klien thd jenis
kelamin: puas</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Lainnya, sebutkan: taa</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Peran:</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">tanggapan klien thd
perannya: cukup puas.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kemampuan/kesanggupan klien
melaksanakan perannya: sanggup melaksanakan peran.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kepuasan klien melaksanakan
perannya: puas.</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Ideal diri/harapan:</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">harapan klien thd:</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">=
Tubuh: supaya cepat sembuh.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">=
Posisi (dlm pekerjaan): taa</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">=
Status dlm keluarga: taa</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="line-height: 150%; mso-bidi-font-size: 10.0pt;">= Tugas/pekerjaan:taa.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Harapan klien thd
lingkungan: taa</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Harapan klien thd penyakit
yg diderita: penyakitnya dapat segera disembuhkan dan kondisi fisiknya dapat
kembali seperti sedia kala.</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Harga diri:</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tanggapan klien thd harga
dirinya: pasien merasa malu dengan keadaan wajah dan tubuhnya bekas luka bakar
dan pasien harus memakai balutan pada wajah dan badan sehingga tampak seperti
mummy.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Lainnya, sebutkan: taa</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>Sosial/interaksi:</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Hubungan dengan klien:
tante.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Dukungan keluarga: baik</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Dukungan
kelompok/teman/masyarakat: baik</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Reaksi saat interaksi:
kooperatif, komunikasi lancar dan jelas, suaraagak serak semenjak kejadian luka
bakar.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Konflik yang terjadi
terhadap: taa</span></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;">
</span>3.11 Spiritual:</span></b></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Konsep tentang penguasa
kehidupan: Tuhan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sumber kekuatan/harapan saat
sakit: Tuhan, tenaga dokter dan perawat serta dukungan keluarga.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Ritual agama yg berarti/diharapkan
saat ini: dapat melaksanakan ibadah dengan baik.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sarana/peralatan/orang yg
diperlukan dlm melaksanakan ritual agama yg diharapkan saat ini: taa</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Upaya kesehatan yang
bertentangan dgn keyakinan agama: taa</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Keyakinan/kepercayaan bahwa
Tuhan akan menolong dlm menghadapi situasi sakit saat ini: sangat yakin Tuhan
akan membantu kesembuhan.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Keyakinan/kepercayaan bahwa
penyakit dapat disembuhkan: sangat yakin.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt; mso-list: l3 level1 lfo4; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-size: 10.0pt; line-height: 150%; mso-bidi-font-weight: bold;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Persepsi thd penyebab
penyakit: luka bakar karena ledakan kompor.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pemeriksaan penunjang:</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Tanggal</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Jenis
Pemeriksaan</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Hasil</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.9pt;" valign="top" width="125">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Nilai
normal</span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">2- 03-2002</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Darah lengkap</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Elektrolit</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">AGD</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">GDA</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Hb: 17,5<span style="mso-spacerun: yes;"> </span>g/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Leuko: 16,2 x
1000/UL</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">PLT: 486x 10
e9/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">PCV: 0,52%</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">BUN: 13 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">SC: 0,76 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">SGOT: 60 U/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">K serum: 3,71
meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Na serum: 130
meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">GDA: 143 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">PH: 7,373</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">PCO<sub>2</sub>: 31,9</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">PO<sub>2</sub>: 91,4</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">HCO<sub>3</sub>: 18,1</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">BE: - 7,1, O<sub>2</sub> saturasi 96,92.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.9pt;" valign="top" width="125">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">11,4-15,1</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">4,3-11,3</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">150–350x10.e9/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">0,38 – 0,42%</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">10-20 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">< 1,2 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">< 38 U/L </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">3,8-5,5 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">136-144 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">< 200 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">7,35-7,45</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">35-45</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">80-104</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">21-25</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13,3+1,2</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">2-3-2002</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Foto thoraks</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Cor: bentuk dan
besar normal.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Pulmo: tidak ada
kelainan, kedua sinus phrenicocostalis tajam.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Kesimpulan: cor
dan pulmo dalam batas normal.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.9pt;" valign="top" width="125">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Normal </span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">2-3-2002</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Darah lengkap</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Hb: 18,8 g/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Leuko: 12,8 x
1000/UL</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Trombo: 295x10<sup>9</sup>/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">PCV: 0,55 %</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.9pt;" valign="top" width="125">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">11,4-15,1 g/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">4,3-11,3x1000/UL</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">150-350x10.e9/L.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">0,38-0,42%</span></div>
</td>
</tr>
<tr style="height: 71.35pt;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 71.35pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">3-3-2002</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 71.35pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">GDA</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Elektrolit</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Albumin</span></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 71.35pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">GDA: 111 gr/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">K: 4,4 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Na: 138 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Cl: 109 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Albumin: 2,11 gr/dl</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 71.35pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.9pt;" valign="top" width="125">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">< 200 gr/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">3,8-5,5 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">136-144 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">97-113 mmol/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">3,8-4,4 gr/dl</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
</td>
</tr>
<tr style="height: 158.75pt;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 158.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">4-3-2002</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 158.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Darah lengkap</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Elektrolit</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">RFT</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">LFT</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Albumin</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">GDA</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="text-indent: 36.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 158.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Hb: 16,5 g/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Leuko: 7,5 x
1000/UL</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Ery: 4,94 g/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">HCT: 48,9 %</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">PLT: 242 x 10
e9/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">MCV: 99,0 fl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">MCH: 33,4 Pg</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">MCHC: 33,7 g/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Diff:
eos/baso/stab/seg/lym/mono</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;"><span style="mso-spacerun: yes;"> </span>2/-/3/75/20/-</span></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">BUN: 15 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">SC: 0,6 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">K: 5,0 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Na: 132 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">GDA: 116 gr/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">SGOT: 59 U/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">SGPT: 39 U/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Albumin: 3,2
gr/dl</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 158.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.9pt;" valign="top" width="125">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">11,4-15,1</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">4,3-11,3</span></div>
<div class="MsoNormal">
<br /></div>
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<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">38 – 42 %</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">150–350x10.e9/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">80-93 fl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">27-31 Pg</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">32-36 g/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">1-2/0-1/3-5/54-62/25-33/3-7</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">10-20 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">< 1,2 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">3,8-5,0 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">136-144 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">< 200 gr/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">< 38 U/L </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">< 41 U/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">3,8-4,4 gr/dl</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
</td>
</tr>
<tr style="height: 158.75pt; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 158.75pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 68.4pt;" valign="top" width="91">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">6-03-2002</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 158.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 162.0pt;" valign="top" width="216">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Darah lengkap</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Elektrolit</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">RFT</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">LFT</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Albumin</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">GDA</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 158.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Hb: 12,0 g/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Leuko: 11,3 x
1000/UL</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">LED: 70 mm/jam</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Ery: 3,59 gr/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">HCT: 35,8 %</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">PLT: 146 x 10
e9/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">MCV: 99,7 fl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">MCH: 33,4 Pg</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">MCHC: 33,5 g/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Diff:
eos/baso/stab/seg/lym/mono</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;"><span style="mso-spacerun: yes;"> </span>-/-/-/92/8/-</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">BUN: 10 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">SC: 0,7 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">SGOT: 47 U/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">SGPT: 38 U/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">K serum: 3,8
meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Na serum: 134
meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Cl serum: 104
mmol/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">Albumin: 3,3
gr/dl</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 158.75pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.9pt;" valign="top" width="125">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">11,4-15,1</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">4,3-11,3</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">< 20</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">38 – 42 %</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">150–350x10.e9/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">80-93 fl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">27-31 Pg</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">32-36 g/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">1-2/0-1/3-5/54-62/25-33/3-7</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">10-20 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">< 1,2 mg/dl</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">< 38 U/L </span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">< 41 U/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">3,8-5,5 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">136-144 meq/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">97-113 mmol/L</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-bidi-font-style: italic;">3,8-4,4 gr/dl</span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"></span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Terapi:</span></b></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tanggal 11 Maret 2002, diet TKTP ekstra susu,
Tarivid 2x400 mg, Mef Acid 3x500 mg, Sucralfat 3xCI, rawat luka tertutup dengan
SSD 1% dan Gentamycin zalf 1% untuk wajah.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">ANALISA
DATA:</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 140.4pt;" valign="top" width="187">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">DATA</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.0pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">ETIOLOGI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">PATOFISIOLOGI</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.9pt;" valign="top" width="125">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">MASALAH</span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 140.4pt;" valign="top" width="187">
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengeluh nyeri dan panas pada area luka bakar.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Pasien mengalami luka bakar gr II A-B 45%, luka masih basah, pasien meringis
kesakitan saat luka dirawat, skala nyeri 7-8, N: 92 x/mnt.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.0pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Cedera
luka bakar.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 102px; margin-top: 9px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251668992;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image037.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Luka bakar</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 103px; margin-top: 9px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251670016;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image038.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Terpajan sampai
lapisan dermis</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 103px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251671040;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image039.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Rangsang saraf
nosiseptor terputus</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 104px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251672064;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image040.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Rangsang nyeri ke
pusat saraf otak</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Dimanifestasikan
sebagai nyeri</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.9pt;" valign="top" width="125">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Nyeri.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 140.4pt;" valign="top" width="187">
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengeluh luka bakar terasa nyeri dan panas.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Area luka bakar masih basah, pasien mengalami luka bakar gr II A-B 45%, warna
merah muda pucat, HB: 12 gr/dl, LED: 70 mm/jam, albumin: 33,3 gr/dl.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.0pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kehilangan
integritas kulit yang disebabkan oleh luka bakar.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 104px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251673088;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image023.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Luka bakar luas</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 104px; margin-top: 8px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251674112;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image038.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Terpajan sampai
lapisan dermis</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 103px; margin-top: 21px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251675136;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image020.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Folikel rambut dan
lapisan epidermis terkena</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 103px; margin-top: 11px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251676160;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image020.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Epitel pelindung
tidak ada</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Port
de entry kuman infeksi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.9pt;" valign="top" width="125">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Resiko
infeksi.</span></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 140.4pt;" valign="top" width="187">
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengatakan malu dengan luka bakar yang mengenai wajah dan bertanya
apakah dapat sembuh maksimal dan wajah dapat kembali seperti semula.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Pasien mengalami luka bakar gr II A-B 45%, luka bakar pada wajah dan
leher<span style="mso-spacerun: yes;"> </span>6%, bulu mata, alis, bulu hidung
hangus.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 90.0pt;" valign="top" width="120">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Cedera
luka bakar luas pada daerah wajah.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 171.0pt;" valign="top" width="228">
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 101px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251677184;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image040.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Luka bakar luas</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 100px; margin-top: 11px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251678208;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image041.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Terpajan sampai
lapisan dermis</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 100px; margin-top: 24px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251679232;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image020.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Ketidakmampuan
pasien beradaptasi dengan kondisi baru</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span style="height: 27px; left: 0px; margin-left: 99px; margin-top: 10px; mso-ignore: vglayout; position: absolute; width: 12px; z-index: 251680256;"><img height="27" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image041.gif" width="12" /></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perubahan harga
diri</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Murung,
cemas, depresi.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 93.9pt;" valign="top" width="125">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perubahan
harga diri.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">DIAGNOSA
KEPERAWATAN:</span></b></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="mso-list: l7 level1 lfo8; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Nyeri
b/d cedera luka bakar.</span></li>
</ol>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Data
penunjang:</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengeluh nyeri dan panas pada area luka bakar.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Pasien mengalami luka bakar gr II A-B 45%, luka masih basah, pasien meringis
kesakitan saat luka dirawat, skala nyeri 7-8, N: 92 x/mnt.</span></div>
<ol start="2" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="mso-list: l7 level1 lfo8; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Resiko
infeksi b/d Kehilangan integritas kulit yang disebabkan oleh luka bakar.</span></li>
</ol>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Data
penunjang: </span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengeluh luka bakar terasa nyeri dan panas.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Area luka bakar masih basah, pasien mengalami luka bakar gr II A-B 45%, warna
merah muda pucat, HB: 12 gr/dl, LED: 70 mm/jam, albumin: 33,3 gr/dl.</span></div>
<ol start="3" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="mso-list: l7 level1 lfo8; tab-stops: list 36.0pt;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perubahan
harga diri b/d Cedera luka bakar luas pada daerah wajah.</span></li>
</ol>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Data
penunjang:</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengatakan malu dengan luka bakar yang mengenai wajah dan bertanya
apakah dapat sembuh maksimal dan wajah dapat kembali seperti semula.</span></div>
<div class="MsoNormal" style="margin-left: 54.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Pasien mengalami luka bakar gr II A-B 45%, luka bakar pada wajah dan leher<span style="mso-spacerun: yes;"> </span>6%, bulu mata, alis, bulu hidung hangus.</span></div>
<div class="MsoNormal" style="margin-left: 36.0pt;">
<br /></div>
</div>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<div class="Section5">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">RENCANA
TINDAKAN, IMPLEMENTASI DAN EVALUASI:</span></b></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-table-layout-alt: fixed; mso-yfti-tbllook: 480; width: 1087px;">
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<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Diagnosa Keperawatan</span></b></div>
</td>
<td colspan="3" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 415.95pt;" valign="top" width="555">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Rencana Intervensi</span></b></div>
</td>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Implementasi</span></b></div>
</td>
<td rowspan="2" style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.05pt;" valign="top" width="180">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Evaluasi</span></b></div>
</td>
</tr>
<tr style="page-break-inside: avoid;">
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.9pt;" valign="top" width="128">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tujuan</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.9pt;" valign="top" width="197">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Intervensi</span></b></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Rasional</span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Nyeri b/d cedera luka bakar.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Data penunjang:</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengeluh nyeri dan panas pada area luka bakar.</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Pasien mengalami luka bakar gr II A-B 45%, luka masih basah, pasien meringis
kesakitan saat luka dirawat, skala nyeri 7-8, N: 92 x/mnt.</span></div>
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<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.9pt;" valign="top" width="128">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Setelah diberikan asuhan keperawatan selama
3 hari, pasien dapat mendemonstrasikan hilang dari ketidaknyamanan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kriteria evaluasi: menyangkal nyeri,
melaporkan perasaan nyaman, ekspresi wajah dan postur tubuh rileks, pasien
dapat istirahat tidur dengan nyaman.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.9pt;" valign="top" width="197">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kaji skala nyeri.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Observasi vital sign.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pertahankan pintu kamar tertutup,
tingkatkan suhu ruangan dan berikan selimut ekstra untuk memberikan
kehangatan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Beriakn ayunan di atas temapt tidur bila
diperlukan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Bnatu dengan pengubahan posisi setiap 2 jam
bila diperlukan. Dapatkan bantuan tambahan sesuai kebutuhan, khususnya bila
pasien tak dapat membantu membalikkan badan sendiri.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Berikan anlgesik (mef acid 3x 500 mg) yang
diresepkan prn dan sedikitnya 30 menit sebelum prosedur perawatan luka.
Evaluasi keefektifannya. </span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Memantau tingkat nyeri pasien sehingga
dapat diberikan intervensi lebih lanjut.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Memantau keberhasilan serta adanya
penyimpangan atau kemajuan dari perawatan yang diberikan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Panas dan air hilang melalui jaringan luka
bakar, menyebabkan hipoetrmia. Tindakan eksternal ini membantu menghemat
kehilangan panas.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Menuurnkan neyri dengan mempertahankan
berat badan jauh dari linen temapat tidur terhadap luka dan menuurnkan
pemajanan ujung saraf pada aliran udara.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Menghilangkan tekanan pada tonjolan tulang
dependen. Dukungan adekuat pada luka bakar selama gerakan membantu
meinimalkan ketidaknyamanan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Analgesik diperlukan utnuk memblok jaras
nyeri dengan nyeri berat.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.0pt;" valign="top" width="201">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tgl 11-3-2002</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">08.00 Inj Novalgin 1 amp.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">08.30 Mengkaji skala nyeri.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">10.30 Memberi selimut ekstra.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13.00 membantu posisi duduk.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tgl 12-3-2002</span></div>
<div class="MsoNormal" style="margin-left: 28.65pt; text-indent: -28.65pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">08.00
Memberi obat oral Mef Acid 500 mg.</span></div>
<div class="MsoNormal" style="margin-left: 28.65pt; text-indent: -28.65pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">09.00
Memberi bahan bacaan pada pasien.</span></div>
<div class="MsoNormal" style="margin-left: 28.65pt; text-indent: -28.65pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">10.30
Memberi posisi semi fowler.</span></div>
<div class="MsoNormal" style="margin-left: 28.65pt; text-indent: -28.65pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13.00
Memberiakn hiburan radio pada pasien.</span></div>
<div class="MsoNormal" style="margin-left: 28.65pt; text-indent: -28.65pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13.30
Memberi obat oral Mef Acid 500 mg.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tgl 13-3-2002</span></div>
<div class="MsoNormal" style="margin-left: 28.65pt; text-indent: -28.65pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">08.00
Memberi obat oral Mef Acdi 500 mg.</span></div>
<div class="MsoNormal" style="margin-left: 28.65pt; text-indent: -28.65pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">09.00
Membantu pasien ke kamar mandi.</span></div>
<div class="MsoNormal" style="margin-left: 28.65pt; text-indent: -28.65pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">11.00
Mengukur vital sign.</span></div>
<div class="MsoNormal" style="margin-left: 28.65pt; text-indent: -28.65pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 28.65pt; text-indent: -28.65pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13.30
Memberi obat oral Mef Acid 500 mg.</span></div>
<div class="MsoNormal" style="margin-left: 28.65pt; text-indent: -28.65pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">14.00
Mengkaji skala nyeri.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.05pt;" valign="top" width="180">
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Alergi (-)</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Skala nyeri 7-8, pasien meringis dan
menolak dilakukan nekrotomy pada luka di area punggung dengan alasan sangat
nyeri.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien merasa hangat.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien merasa nyaman.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Obat sudah diminum.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien terlihat senang.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien merasa nyaman.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien ikut bernyanyi mengikuti lagu.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Obat sudah diminum.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Obat sudah diminum, mual (-).</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pusing (-), pasien berjalan tanpa
ragu-ragu.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S: 36,3<sup>0</sup>C, N: 80 x/mnt; TD:
110/70 mmHg.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Obat sudah diminum.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Skala nyeri 5-6, pasien tenang, meringis
(-), gelisah (-).</span></div>
<div class="MsoNormal">
<br /></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Resiko infeksi b/d Kehilangan integritas
kulit yang disebabkan oleh luka bakar.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Data penunjang: </span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengeluh luka bakar terasa nyeri dan panas.</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Area luka bakar masih basah, pasien mengalami luka bakar gr II A-B 45%, warna
merah muda pucat, HB: 12 gr/dl, LED: 70 mm/jam, albumin: 33,3 gr/dl.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.9pt;" valign="top" width="128">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Setelah diberikan asuhan keperatan selama 3
hari, pasien bebas dari infeksi.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kriteria evaluasi: tak ada demam,
pembentukan jaringan granulasi baik.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.9pt;" valign="top" width="197">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pantau:</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; tab-stops: list -59.4pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Penampilan
luka bakar (area luka bakar, sisi donor dan status balutan di atas sisi
tandur bial tandur kulit dilakukan) setiap 8 jam.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; tab-stops: list -59.4pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Suhu
setiap 4 jam.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; mso-list: l1 level1 lfo2; tab-stops: list -59.4pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-fareast-font-family: Arial;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Jumlah
makanan yang dikonsumsi setiap kali makan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Bersihakn area luka bakar setiap 4 hari dan
lepaskan jarinagn nekrotik (debridemen) sesuai pesanan. Berikan mandi kolam
sesuai pesanan, implementasikan perawatan yang ditentukan untuk sisi donor,
yang dapat ditutup dengan balutan vaseline atau op site.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Lepaskan krim lama dari luka sebelum
pemberian krim baru. Gunakan sarung tangan steril dan beriakn krim
antibiotika topikal yang diresepkan pada area luka bakar dengan ujung jari.
Berikan krim secara menyeluruh di atas luka.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Beritahu dokter bila demam drainase purulen
atau bau busuk dari area luka bakar, sisi donor atau balutan sisi tandur.
Dapatkan kultur luka dan berikan antibiotika IV sesuai ketentuan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tempatkan pasien pada ruangan khusus dan
lakukan kewaspadaan untuk luka bakar luas yang mengenai area luas tubuh.
Gunakan linen tempat tidur steril, handuk dan skort untuk pasien. Gunakan
skort steril, sarung tangan dan penutup kepala dengan masker bila memberikan
perawatan pada pasien. Tempatkan radio atau televisis pada ruangan pasien
untuk menghilangkan kebosanan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Bial riwayat imunisasi tak adekuat, berikan
globulin imun tetanus manusia (hyper-tet) sesuai pesanan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Muali rujukan pada ahli diet, beriakn
protein tinggi, diet tinggi kalori. Berikan suplemen nutrisi seperti ensure
atau sustacal dengan atau antara makan bila masukan makanan kurang dari 50%.
Anjurkan NPT atau makanan enteral bial pasien tak dapat makan per oral.</span></div>
<div class="MsoNormal" style="margin-left: 18.0pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Mengidentifikasi indikasi-indikasi kemajuan
atau penyimapngan dari hasil yang diharapkan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pembersihan dan pelepasan jaringan nekrotik
meningkatkan pembentukan granulasi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Antimikroba topikal membantu mencegah
infeksi. Mengikuti prinsip aseptik melindungi pasien dari infeksi. Kulit yang
gundul menjadi media yang baik untuk kultur pertumbuhan baketri.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Temuan-temuan ini mennadakan infeksi.
Kultur membantu mengidentifikasi patogen penyebab sehingga terapi antibiotika
yang tepat dapat diresepkan. Karena balutan siis tandur hanya diganti setiap
5-10 hari, sisi ini memberiakn media kultur untuk pertumbuhan bakteri.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kulit adalah lapisan pertama tubuh untuk
pertahanan terhadap infeksi. Teknik steril dan tindakan perawatan
perlindungan lainmelindungi pasien terhadap infeksi. Kurangnya berbagai
rangsang ekstrenal dan kebebasan bergerak mencetuskan pasien pada kebosanan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Melindungi terhadap tetanus.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Ahli diet adalah spesialis nutrisi yang
dapat mengevaluasi paling baik status nutrisi pasien dan merencanakan diet
untuk emmenuhi kebuuthan nutrisi penderita. Nutrisi adekuat memabntu
penyembuhan luka dan memenuhi kebutuhan energi.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.0pt;" valign="top" width="201">
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tgl
11-3-2002</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">08.30
Memandikan pasien, merawat luka, melakukan nekrotomy, mencuci rambut pasien.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">09.30
Merawat luka pasien dengan SSD dan bethadine dan Gentamycin zalf untuk luka
pada wajah, menuutp luka denga gas steril.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">11.00
memantau vital sign.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13.00
Membantu pasien makan.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13.30.
Memberi penjelasan pada pasien dan penunggu tentang:</span></div>
<div class="MsoNormal" style="margin-left: 19.65pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">-
pentingnya pasien menghabiskna makan yang diberikan.</span></div>
<div class="MsoNormal" style="margin-left: 19.65pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">-
Pentingnya minum banyak 2-3 liter perhari.</span></div>
<div class="MsoNormal" style="margin-left: 19.65pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">-
Pentingnya pasien makan protein tinggi (puith telur, daging, tahu, tempe,
ikan, hati) dan buah-buahan yang mengandung vit A,C dan E.</span></div>
<div class="MsoNormal" style="margin-left: 19.65pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tgl
12-3-2002</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">08.00
Membantu pasien makan pagi.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">08.30
Memberi obat oral: Tarivid 400 mg dan Zegavit 1 tab.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">09.00
Membersihkan tt dan menggnati linen penderita.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">09.30
Merawat luka pada wajah denagn zalf gentamycin.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Memberi kompres PZ pada luka wajah.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">10.00
Memberi ekstra susu.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13.00
memantau makan siang pasien.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13.30
Memberi kompres PZ.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tgl
13-3-2002</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">08.00
Membantu pasien makan pagi</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">08.30
Memberi obat oral: Traivid 400 mg, Zegavit 1 tab, Mef Acid 500 mg.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">09.00
Merawat luka wajah dengan Genatamycin zalf 1%.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Memberi kompres PZ pada wajah.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">10.30
Memberi ekstra susu.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">11.00
Memantau vital sign.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">12.00
Memberi posisi duduk.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13.00
Membantu makan siang.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13.30
Memebri obat oral: Mef Acid.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.05pt;" valign="top" width="180">
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Luka pada ext atas masih basah.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Serum pada luka wajah mengerak dan sulit
dibersihkan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Luka pada bagian tubuh yang lain, bersih
(+), bula(-).</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">TD: 100/60 mmHg, N: 92 x/mnt; S: 37<sup>0</sup>C.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien makan ½ porsi, minum 400 cc.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien dan keluarga mengatakan mengerti
dengan penjelasan yang idberikan dan berjanji akan mentaati petunjuk yang
diberikan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien makan 1 porsi habis, minum 400 cc.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Obat oral sudah diminum.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Linen bersih, tt rapi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Luka terdapat serum yang mengerak, sulit
dibersihkan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kompres PZ sudah dipasang.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Susu 200 cc diminum habis.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien makan 1 porsi habis, minum 400 cc.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien mengatakan nyaman.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien makan ½ porsi habis, minum 400 cc.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Obat oral sudah diminum.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Serum yang mnegerak pada bagian pipi sudah
terkelupas, luka kering dan bersih.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Susu 200 cc sudah diminum.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">TD: 100/70 mmHg, N: 100 x/mnt; S: 37,4<sup>0</sup>C.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien merasa nyaman.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien makan 1 porsi habis, minum 400 cc.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Obat oral sudah diminum.</span></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 4.0cm;" valign="top" width="151">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perubahan harga diri b/d Cedera luka bakar
luas pada daerah wajah.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Data penunjang:</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengatakan malu dengan luka bakar yang mengenai wajah dan bertanya
apakah dapat sembuh maksimal dan wajah dapat kembali seperti semula.</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Pasien mengalami luka bakar gr II A-B 45%, luka bakar pada wajah dan
leher<span style="mso-spacerun: yes;"> </span>6%, bulu mata, alis, bulu hidung
hangus.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 95.9pt;" valign="top" width="128">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Setelah diberikan asuhan keperawatan selama
3 hari, pasien menunjukkan perubahan harga diri yang adaptif.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Kriteria hasil:</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien tidak murung lagi, mau
bercakap-cakap dengan petugas dan pasien lain, kooperatif dalam pengobatan
dan perawatan yang diberikan, pasien dapat menerima adaptasi situasi baru terhadap
perubahan pada wajahnya.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 147.9pt;" valign="top" width="197">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Sediakan waktu untuk pasien dan orang
terdekat untuk mengekspresikan perasaannya. Beriakn informasi pada pasien
tentang regimen pengobatan dan perawatan yang dilakukan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Hindari pemberian informasi bertubi-tubi
pada pasien selama fase awal proses berduka. Jawab pertanyaan dengan jelas.
Masukkan informasi dan instruksi tambahan jika pasien menunjukkan kesiapan
mempelajari tindakan perawatan diri.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Bila pasien menyangkal, terima tanpa
menguatkan penyangkalan. Hindari berdebat dnegan pasien dan membebani pasien
dnegan realita.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Beriakn penghargaan untuk emngekspresikan
perasaan. Arahkan pasien pada kelompok pendukung sesuai indikasi bila ada.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pertahankan keluarga mendapat informasi
tentang kemajuan pasien. Libatkan keluarga dalam perawatan pasien.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Anjurkan latihan rentang gerak sendi aktif
setiap 2 jam. Posisikan bagian yang luka bakar pada kesejajaran tubuh
fungsional. Denagn cedera luka bakar luas pada ekstremitas, rujuk pada
terapis fisik untuk evaluasi terhadap kebutuhan dengan splint, alat atau
traksi yang dibutuhkan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Anjurkan pasien untuk melakukan AKS. Bnatu
sesuai kebutuhan.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 172.15pt;" valign="top" width="230">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Mengekspresikan perasaan membantu
memudahkan koping. Pengetahuan akurat tentang hasil yang diharapkan membantu
memudahkan transisi melalui proses berduka.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Interaksi terapi dapat membantu perubahan
individu untuk menerima. Informasi yang berlebihan dapat menambah ansietas
yang menyebabkan frustasi dan depresi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pendekatan ini menunjukkan penerimaan
pasien dan membuka pintu untuk pasien merasakan nyaman dalam ekspresi
perasaan jujur.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Dukungan kontinu penting untuk meningkatkan
kemajuan ke arah penerimaan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Membantu pasien menyatukan kembali harga
diri yang baru.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Mencegah pengencangan jarinagn parut
progresif dan kontraktur. Terapis fisik adalah spaesialis rehabilitatif yang
dapat mengevaluasi potensial pemulihan pasien dan merencanakan program
latihan untuk memaksimalkan pemulihan pasien. Latihan aktif membantu
mempertahankan fleksibilitas sendi dan tonus otot dan meningkatkan sirkulasi.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Melakukan AKS memberikan latihan aktif,
memudahkan pemeliharaan fleksibilitas sendi dan tonus otot, juga meningkatkan
sirkulasi sehingga terjadi penyembuhan luka.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 151.0pt;" valign="top" width="201">
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tgl
11-3-2002</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">08.00
Menemani pasien makan pagi.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">10.00
Memberikan hiburan radio pada pasien.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">11.00
Menemani pasien bercakap-cakap tenatng perasaanya setelah kejadian luka
bakar.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">12.00
menganjurakn apsien untuk aktif latihan ROM.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Melatih pasien latihan ROM secraa
sederhana.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tgl
12-3-2002</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">09.00
Melatih pasien ROM.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">10.00
melibatkan keluarga dalam memberiakn kompres PZ pada luka wajah pasien.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;"><span style="mso-spacerun: yes;"> </span>Menerangkan pada keluarga perlunya
memberikan kesempatan pada pasien utnuk melakukan AKS seperti makan, minum,
ke kamar mandi secara mandiri.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tgl
13-3-2002</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">08.00
menemani pasien makan.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">09.00
Mengajarkan keluarga melatih pasien ROM.</span></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">11.30
Menjelaskan pada keluarga pentingnya dukungan keluarga terutama suami dalam
meningkatkan harga diri pasien sehingga pasien dapat lebih nyaman dan tenang.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 135.05pt;" valign="top" width="180">
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien tampak senang karena ditemani makan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien ikut bernyanyi dengan gembira.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien mengatakan senang bila ditemani oleh
perawat bercakap-cakap dan mengemukakan keinginannya untuk dapat sembuh
seperti sedia kala tanpa cacat pada wajah.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien mengatakan mau berlatih secara
kontinu.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien mau mengikuti contoh gerakan yang
diajarkan oleh perawat.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien aktif berlatih sesuai petunjuk yang
diberikan.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Keluarga mau mengikuti petunjuk yang
diberikan.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Pasien makan sambil mengobrol tentang
anak-anaknya.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Keluarga mengatakan paham dnegan petunjuk
yang diberikan perawat.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Suami pasien mengatakan akan berusaha
sesering mungkin meluangkan waktu untuk menunggui pasien di RS.</span></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal">
<br /></div>
<div class="MsoNormal" style="margin-left: 12.6pt; text-indent: -12.6pt;">
<br /></div>
</td>
</tr>
</tbody></table>
</div>
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span>
<div class="Section6">
<div class="MsoNormal">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">CATATAN
PERKEMBANGAN:</span></b></div>
<div class="MsoNormal">
<br /></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoNormalTable" style="border-collapse: collapse; border: none; mso-border-alt: solid windowtext .5pt; mso-border-insideh: .5pt solid windowtext; mso-border-insidev: .5pt solid windowtext; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480; width: 100%px;">
<tbody>
<tr>
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 74.9pt;" width="100">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Tanggal / jam</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 187.0pt;" width="249">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Diagnosa Keperawatan</span></b></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.05pt;" width="273">
<div align="center" class="MsoNormal" style="text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Evaluasi</span></b></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 74.9pt;" valign="top" width="100">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13-3-2002</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">12.00
WIB</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 187.0pt;" valign="top" width="249">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Nyeri b/d cedera luka bakar.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Data penunjang:</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengeluh nyeri dan panas pada area luka bakar.</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Pasien mengalami luka bakar gr II A-B 45%, luka masih basah, pasien meringis
kesakitan saat luka dirawat, skala nyeri 7-8, N: 92 x/mnt.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.05pt;" valign="top" width="273">
<div class="MsoNormal" style="margin-left: 17.1pt; text-indent: -17.1pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengatakan rasa nyeri dan perih pada luka bakar terutama pada daerah
wajah sudah jauh berkurang, nyeri masih dirasakan pada daerah lengan kanan
atas. Pasien mengatakan malam hari dapat istirahat dnegan nyenyak.</span></div>
<div class="MsoNormal" style="margin-left: 17.1pt; text-indent: -17.1pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Skala nyeri 5-6, pasien tidak meringis kesakitan lagi saat diobati, luka pada
wajah sudah mengering, luka pada ext atas maish basah N: 100 x/mnt.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">A: Masalah belum teratasi.<br />
P: lanjutkan planning seluruhnya.</span></div>
</td>
</tr>
<tr>
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 74.9pt;" valign="top" width="100">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13-3-2002</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">12.00
WIB</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 187.0pt;" valign="top" width="249">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Resiko infeksi b/d Kehilangan integritas
kulit yang disebabkan oleh luka bakar.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Data penunjang: </span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengeluh luka bakar terasa nyeri dan panas.</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Area luka bakar masih basah, pasien mengalami luka bakar gr II A-B 45%, warna
merah muda pucat, HB: 12 gr/dl, LED: 70 mm/jam, albumin: 33,3 gr/dl.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.05pt;" valign="top" width="273">
<div class="MsoNormal" style="margin-left: -.9pt; text-indent: .9pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengatakan rasa nyeri dan apans pada luka sudah agak berkurang.<br />
O: Area luka bakar pada wajah sudah kering, luka bakar masih basah pada area
ext atas kanan, pasien rencaa dialkukan pemeriksaan ulang: DL, RFT, LFT, FH,
SE, albumni pada tanggal 14-3-2002. <br />
A: Masalah tidak<span style="mso-spacerun: yes;"> </span>terjadi.<br />
P: Lanjutkan planning sampai luka bakar kering.</span></div>
</td>
</tr>
<tr style="mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 74.9pt;" valign="top" width="100">
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">13-3-2002</span></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">12.00
WIB</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 187.0pt;" valign="top" width="249">
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Perubahan harga diri b/d Cedera luka bakar
luas pada daerah wajah.</span></div>
<div class="MsoNormal">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">Data penunjang:</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengatakan malu dengan luka bakar yang mengenai wajah dan bertanya
apakah dapat sembuh maksimal dan wajah dapat kembali seperti semula.</span></div>
<div class="MsoNormal" style="margin-left: 9.0pt; text-indent: -9.0pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Pasien mengalami luka bakar gr II A-B 45%, luka bakar pada wajah dan
leher<span style="mso-spacerun: yes;"> </span>6%, bulu mata, alis, bulu hidung
hangus.</span></div>
<div class="MsoNormal">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 205.05pt;" valign="top" width="273">
<div class="MsoNormal" style="margin-left: 17.1pt; text-indent: -17.1pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">S:
Pasien mengatakan sudah pasrah dnegan keadaan luka pada wajah dan tubuhnya,
pasien berjanji akan mentaati semua petunjuk yang diberikan demi kesembuhan
lukanya.</span></div>
<div class="MsoNormal" style="margin-left: 17.1pt; text-indent: -17.1pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">O:
Luka bakar pada area wajah sudah kering, luka bersih, pasien mau diajak
bercakap-cakap, pasien tidak menujukkan gejala murung, menarik diri, pasien
kooperatif terhadap semua perawatn yang dilakukan, pasien mau melakuakn AKS (mandi,
makan, minum, ke kamar mandi) secara mandiri.</span></div>
<div class="MsoNormal" style="margin-left: 17.1pt; text-indent: -17.1pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">A:
Masalah tidak terjadi.</span></div>
<div class="MsoNormal" style="margin-left: 17.1pt; text-indent: -17.1pt;">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 10.0pt; line-height: 150%;">P:
Pertahankan keberhasilan yang dicapai.</span></div>
</td>
</tr>
</tbody></table>
</div>
<b><span lang="EN-US" style="font-family: "Times New Roman","serif"; font-size: 16.0pt; line-height: 150%; mso-ansi-language: EN-US; mso-bidi-font-family: Arial; mso-bidi-language: AR-SA; mso-fareast-font-family: "Times New Roman"; mso-fareast-language: EN-US; mso-font-kerning: 14.0pt;"><br clear="all" style="mso-break-type: section-break; page-break-before: always;" />
</span></b>
<div class="MsoTitle">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">LAPORAN KASUS</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">ASUHAN KEPERAWATAN PADA PASIEN Ny.SLF. </span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">DENGAN<span style="mso-spacerun: yes;">
</span>COMBUSTIO GR II A-B 45 %</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 14.0pt;">DENGAN CEDERA
INHALASI POST BULECTOMY</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">DI RUANG BEDAH G,
RSUD DR. SOETOMO SURABAYA</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">TANGGAL 11 – 13 MARET
2002</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">( Disusun Sebagai Bahan Laporan Kasus Praktek
Keperawatan Profesi</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">di Ruang Bedah G, RSUD Dr. Soetomo Surabaya)</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div align="center" class="MsoNormal" style="text-align: center;">
<b><span lang="EN-US"><img height="190" src="file:///C:%5CUsers%5CASUSME%7E1%5CAppData%5CLocal%5CTemp%5Cmsohtmlclip1%5C01%5Cclip_image043.jpg" width="184" /></span></b></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">Oleh:</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 14.0pt;">SUBHAN</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">NIM 010030170 B</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">PROGRAM STUDI ILMU
KEPERAWATAN</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">FAKULTAS KEDOKTERAN
UNIVERSITAS AIRLANGGA</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">SURABAYA</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">2002</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">LEMBAR PENGESAHAN</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">Laporan Kasus Dengan
judul:</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-size: 16.0pt; mso-bidi-font-weight: bold;">ASUHAN KEPERAWATAN<span style="mso-spacerun: yes;"> </span>PADA PASIEN Ny. SLF. </span></i></div>
<div class="MsoTitle">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-size: 16.0pt; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span>DENGAN<span style="mso-spacerun: yes;">
</span>COMBUSTIO GR II A-B 45 % </span></i></div>
<div class="MsoTitle">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-size: 16.0pt; mso-bidi-font-weight: bold;">DENGAN CEDERA INHALASI POST BULECTOMY </span></i></div>
<div class="MsoTitle">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-size: 16.0pt; mso-bidi-font-weight: bold;">DI RUANG BEDAH G, RSUD DR. SOETOMO SURABAYA</span></i></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt; mso-bidi-font-weight: normal;">TANGGAL<span style="mso-spacerun: yes;"> </span>11 – 13 MARET 2002</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-size: 16.0pt;">Disahkan Sebagai Bahan Laporan
Kasus</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">Di Ruang Bedah G,
RSUD Dr. Soetomo Surabaya</span></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;">Tanggal<span style="mso-spacerun: yes;"> </span>14<span style="mso-spacerun: yes;">
</span>Maret<span style="mso-spacerun: yes;"> </span>2002</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; line-height: 150%; mso-bidi-font-size: 16.0pt;"><span style="mso-spacerun: yes;"> </span>Pembimbing Akademik,<span style="mso-spacerun: yes;"> </span>Pembimbing
Ruangan,</span></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<br /></div>
<div class="MsoTitle">
<span lang="EN-US" style="font-family: "Arial","sans-serif"; font-size: 12.0pt; font-weight: normal; line-height: 150%; mso-bidi-font-size: 16.0pt; mso-bidi-font-weight: bold;"><span style="mso-spacerun: yes;"> </span><span style="mso-spacerun: yes;"> </span>T J u T j u k, S.KP<span style="mso-spacerun: yes;"> </span>I Made
Saderu, A. Md. Kep</span></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-66843508909609686052013-01-25T06:21:00.003-08:002013-05-19T21:54:09.941-07:00PLASENTA MANUAL<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">PLASENTA MANUAL</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;">Plasenta manual adalah
prosedur pelepasan plasenta dari tempat implantasinya pada dinding uterus dan
mengeluarjannya dari cavum uteri secara manual.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;">Plasenta manual dilaksanakan
stelah dilaksanakan manajemen aktif kala III, dimana setelah 30 menit
terlampaui dan telah diberikan oksitosin 10 unit untuk kedua kalinya plasenta
tidak lahir, dengn catatan ada tanda – tanda perdarahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;">Karena jika tidak ada tanda –
tanda perdarahan, jangan mencoba untuk melepaskan plasenta dengan cara lain,
dan segera lakukan rujukan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Langkah – langkah manual plasenta adalah sebagai
berikut :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Menyiapkan
alat dan bahan yang akan digunakan. Menyususn alat dan bahan secara berurutan
sesuai dengan penggunaan (lternati), dan memeriksa kelengkapan serta meletakkan
pada tempat yang mudah dijangkau.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Memberikan
penjelasan pada ibu akan tindakan yang akan dilakukan. Dan mengatur posisi
pasien dengan posisi litotomi. Memperhatikan privacy dan kenyamanan ibu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Memberikan
sedative (valium / diazepam IV) 10 mg.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Mencuci
tangan hingga siku, dengan air mengalir, dan sbun, kemudian keringkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Memakai
sarung tangan pada kedua tangan dan mengenakan sarung tangan panjang sampai
siku pada tangan kanan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Membersihkan
daerah perineum dan vulva dengan kapas aseptic dan antiseptic, dan melakukan
kateterisasi bila perlu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Menegangkan
tali pusat dengan menggunakan klem, tegangkan secara perlahan, sejajar lantai.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Memasukkan
tangan kanan ke dalam vagina secara obstetric dengan menyatukan jari tangan
ketika masuk ke dalam vagina, sementara tangan kiri memegang tali pusat, tangan
kanan mneyusur tali pusat hingga lokasi plasenta berada.</span><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://z.tuspics.net/img/i/00097/ic71m27f75eq.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://z.tuspics.net/img/i/00097/ic71m27f75eq.jpg" /></a></div>
</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Melepaskan
pegangan tali pusat, dan memindahkan tangan kiri untuk memegang fundus uteri
dari luar untuk membantu uterus berkontraksi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Dengan
bagian lateral jari – jari tangan kanan, mencari insersi pinggir plasenta,
membuka tangan obstetric menjadi seperti memberi salam, jari – jari dirapatkan
secara perlahan, gerakan tangan menyisir dengan gerakan ke kanan dan kekiri
yang sangat lembut sampai seluruh plasenta terpisah dari dinding rahim, curigai
adanya plasenta akreta. Jika plasenta sulit dilepaskan, siapkan tindakan bedah,
kemudian lakukan masase dari luar dengan tangan kiri bila plasenta telah lepas
seluruhnya.</span><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://z.tuspics.net/img/i/00097/3sazxrvp85qn.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="244" src="http://z.tuspics.net/img/i/00097/3sazxrvp85qn.jpg" width="320" /></a></div>
</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Menarik
plasenta secara hati – hati dengan tangan kanan pada waktu uterus berkontraksi.
Dan harus diingat, sebelum mengeluarkan tangan kanan dari jalan lahir, yakinkan
tidak ada sisa plasenta yang tersisa pada cavum uteri / melakukan eksplorasi
ulangan untuk memastikan tidak ada bagian plasenta yang masih tertinggal.</span><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://z.tuspics.net/img/i/00097/bz43ah5p25ha.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="282" src="http://z.tuspics.net/img/i/00097/bz43ah5p25ha.jpg" width="320" /></a></div>
</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Memindahkan
tangan kiri ke supra simfisis untuk menahan uterus pada saat plasenta
dikeluarkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US"><span style="mso-list: Ignore;">13.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Memeriksa
plasenta setelah dilahirkan, lengkap / tidak. </span><span lang="EN-US">Kontraksi
uterus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">14.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Memberikan
0,2 mg ergometrin IM untuk membantu kontraksi uterus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">15.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Memeriksa
ibu dan mmelakukan penjahitan bila ada robekan cerviks atau vagina juga
episiotomi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">16.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Melepaskan
semua peralatan dan bahan yang terkontaminasi pada kom yang berisi klorin 0,5%</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">17.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">melepaskan
sarung tangan secara terbalik dan rendam dalam wadah larutan klorin 0,5%.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US"><span style="mso-list: Ignore;">18.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mencuci tangan kembali sampai
bersih dibawah air mengalir.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US"><span style="mso-list: Ignore;">19.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Memberikan antibiotic
profilaksis dosis tunggal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ampisillin 2 gr IV +
Metronidazole 500 mg</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Cefatazole 1 gr IV +
Metronidazole 500 mg </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="EN-US"><span style="mso-list: Ignore;">20.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mengobservasi perdarahan
pervaginam dan memeriksa vital sign</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Setiap
15 menit pada jam pertama.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">setiap
30 menit pada jam kedua.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; mso-list: l0 level1 lfo1; text-align: justify; text-indent: -1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">21.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Meyakinkan
uterus berkontraksi dengan baik.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
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muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-69522634719415981932013-01-25T06:20:00.002-08:002013-01-25T06:20:20.993-08:00PERDARAHAN PASCA PERSALINAN<div dir="ltr" style="text-align: left;" trbidi="on">
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">PERDARAHAN PASCA PERSALINAN</span></b></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">PENGERTIAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Perdarahan pervaginam yang melebihi 500 ml setelah
bersalin.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">MASALAH</span></b></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Perdarahan setelah bayi lahir, dalam 24
jam pertama post partum ( perdarahan persalinan primer / P3 )</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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Perdarahan setelah 24 jam pertama post
partum ( perdarahan pasca persalinan sekunder )</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">ETIOLOGI</span></b></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Atonia Uteri</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">ltern predisposisi terjadinya
atonia uteri adalah :</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Umur terlalu muda atau terlalu tua</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Paritas : sering dijumpai pada multipara
dan grande multipara</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Partus lama dan partus
terlantar</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Obstetri operatif dan no-kosa</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Uterus terlalu regang dan besar, misalnya
pada gemeli, hidramnion, dan janin besar</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kelainan pada uterus, seperti mioma uteri,
uterus couvelair pada solusio plasenta</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Faktor ltern ekonomi, yaitu mal nutrisi.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sisa plasenta dan selaput ketuban</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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jalan lahir : robekan perineum, vagina,
serviks, fornick dan rahim.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penyakit darah</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">kelainan pembekuan darah,
misalnya hipofibrinogenemia yang sering dijumpai pada :</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan yang banyak</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Solusio plasenta</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kematian janin yang lama dalam kandungan</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pre eklamsia dan eklamsia</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Infeksi, hepatitis, dan ltern syok.</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">DIAGNOSIS</span></b></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Atonia Uteri</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kenali dan tegakkan diagnosis kerja atonia
uteri.</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pemasangan ltern, dan pemberian
uterotonika, lakukan kompresi bimanual.</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pastikan plasenta lahir lengkap, ( bila
ada indikasi sebagian plasenta masih tertinggal, lakukan evakuasi sisa plasenta
), dan tidak ada laserasi jalan lahir.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lakukan uji beku darah</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Bila semua tindakan di atas telah
dilakukan, tetapi masih terjadi perdarahan, lakukan tindakan spesifik :</span></div>
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<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">kompresi Bimanual Externa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Menekan uterus melalui dinding
abdomen dengan jalan saling mendekatkan kedua belah telapak tangan yang
melingkari uterus, pantau aliran darah yang keluar. Bila perdarahan berkurang,
kompresi diteruskan, pertahankan hingga uterus kembali berkontraksi, atau di
bawa ke fasilitas kesehatan rujukan. </span><span lang="EN-US">Bila belum
berhasil, coba dengan Kompresi Bimanual Interna.</span></div>
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<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kompresi Bimanual Interna</span></div>
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<span lang="EN-US">Uterus ditekan diantara telapak tangan pada dinding
abdomen dan tinju tangan dalam vagina untuk menjepit pembuluh darah di dalam
miometrium ( sebagai pengganti mekanisme kontraksi ), perhatikan perdarahan
yang terjadi, pertahankan kondisis ini bila perdarahan berkurang atau berhenti.
</span><span lang="SV" style="mso-ansi-language: SV;">Tunggu hingga uterus
berkontraksi kembali, bila perdarahan tetap terjadi, lakukan kompresi aorta
abdominalis.</span></div>
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<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kompresi Aorta Abdominali</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Raba arteri femoralis dengan
ujung jari tangan kiri, pertahankan posisi tersebut, genggam tangan kanan,
kemudian tekanan pada daerah lternati. Tekan terus dengan sumbu badan, hingga
mencapai kolumna vertebralis penekanan yang hasil, kompresi dengan
memperhatikan perdarahan yang terjadi.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pada rumah sakit rujukan</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ligasi uteri uterna dan ovarita</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Flisterektomi</span></div>
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<br /></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Retensio Plasenta</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Hampir sebagian besar gangguan pelepasan
plasenta disebabkan oleh gangguan kontraksi uterus.</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Retensio plasenta adalah tertahannya atau
belum terlahirnya plasenta hingga atau melebihi 30 menit setelah bayi lahir.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jenis – jenis retensio plasenta</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">plasenta adesiva adalah implantasi yang
kuat dari jonjot korion plasenta, sehingga menyebabkan kegagalan mekanisme
seperti fidiologis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l1 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">plasenta akreta adalah implantasi jonjot
plasenta hingga memasuki sebagian lapisan miometrium.</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">plasenta inkreta adalah implantasi yang
kuat dari jonjot korion plasenta hingga mencapai / memasuki miometrium.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l1 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">plasenta perkreta adalah implantasi yang
kuat dari jonjot korion plasenta yang menembus lapisan otot, hingga mencapai
serosa dinding uterus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l1 level1 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">plasenta intra serosa adalah tertahannya
plasenta di dalam kavum uteri, disebabkan oleh kkontraksi ofisium uteri.</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sisa Plasenta</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Melakukan pemeriksaan kelengkapan plasenta
setelah dilahirkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level3 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pada kasus sisa plasenta eengan
perdarahan, pada persalinan lanjut sebagian besar pasien – pasien akan kembali
lagi ke tempat bersalin dengan keluhan perdarahan setelah 6 – 10 hari pulang ke
rumah, dan sub involusi uterus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level3 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Berikan lternativ, karena perdarahan juga
merupakan gejala etritis. Antibiotik yang dippilih adalah ampicillin dosis awal
1 gr IV, dilanjutkan dengan 3x1 oral, dikombinasikan dengan metronidazole 1 gr
suupositoria, dilanjutkan 3x500 mg oral.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level3 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">lakukan eksplorasi digital ( bila serviks
terbuka ) dan mengeluarkan bekuan darah atau jaringan. Bila serviks hanya lte
dilalui oleh lternativ, lakukan evakuasi plasenta dengan AVM atau dilatasi dan
kuretase.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level3 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Bila kadar Hb < 8 gr% lternati darah,
sedangkan bila kadar Hb ≥8 gr% berikan SF 600 mg/hari. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US">4. Ruptura Perineum dan robekan
dinding vagina</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Lakukan eksplorasi untuk mengidentifikasi
lokasi laserasi dan perdarahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Lakukan irigasi pada tempat luka dan
bubuhi larutan lternativ.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Lakukan penjahitan luka mulai dari bagian
yang paling distal terhadap operator</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jepit dengan klem, ujung – ujung sumber
perdarahan, kemudian ikat dengan benang yang dapat diserap.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l7 level1 lfo9; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Khusus pada lterna perineum komplit,
dilakukan penjahitan lapis demi lapis dengan bantuan busi pada ltern hingga
ujung robekan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US">5. Robekan serviks</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Robekan serviks sering terjadi pada sisi
internal karena serviks yang terjulur akan mengalami robekan pada sisi spina
iskiadika tertekan oleh kepala bayi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pada kontraksi uterus, baik plasenta lahir
lengkap tetapi perdarahan banyak maka segera lihat bagian lateral bawah kiri
dan kanan dari plasenta.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jepitkan klem ovum pada kedua sisi porsio
yang robek, sehingga perdarahan dapar segera berhenti.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan antibiotika
profilaksis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l8 level1 lfo10; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Bila HB dibawah 8gr %, berikan lternati
darah.</span></div>
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-55461743621279159112013-01-25T06:19:00.000-08:002013-01-25T06:19:09.285-08:00ASKEB PADA AKSEPTOR KONTRASEPSI MANTAP (MOW & MOP)<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<ol start="1" style="margin-top: 0cm;" type="A">
<li class="MsoNormal" style="line-height: 150%; mso-list: l9 level1 lfo1; tab-stops: list 36.0pt; text-align: center;"><b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">ASUHAN KEBIDANAN PADA KELUARGA
BERENCANA</span></b></li>
</ol>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">KONTRASEPSI MANTAP (MOW dan MOP)</span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 14.2pt;">
<i style="mso-bidi-font-style: normal;"><span lang="SV" style="mso-ansi-language: SV;">Kontrasepsi
mantap</span></i><span lang="SV" style="mso-ansi-language: SV;"> adalah suatu
metode kontasepsi yangdilakukan dengan cara mengikat atau memotong saluran
telur ( pada perempuan ) atau saluran seperma ( pada lelaki ). Kontap dijalankan
dengan melakukan oprasi kecil pada organ reproduksi , baik untuk tubektomi bagi
perempuan maupun vasektomi pada laki-laki .Dengan cara ini reproduksi tidak
lagi terjadi dan kehamilan akan terhindar untuk selamanya . Karena sifatnya
yang permanen Kontrasepsi ini hanya diperkenankan bagi mereka yang sudah mantap
untuk memutuskan sudah tidak punya anak (http :// </span><u><span lang="EN-US"><a href="http://www.kontap.com/"><span lang="SV" style="mso-ansi-language: SV;">www.kontap.com</span></a></span></u><span lang="SV" style="mso-ansi-language: SV;">).</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Kontrasepsi mantap dibagi menjadi 2 yaitu : </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l11 level2 lfo3; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kontrasepsi mantap wanita (
Tubektomi )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l11 level2 lfo3; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kontrasepsi mantap Pria (
Vasektomi )</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l7 level3 lfo2; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">TUBEKTOMI</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l7 level4 lfo2; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Profil</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l8 level2 lfo5; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sangat efektif dan permanent</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l8 level2 lfo5; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tindakan pembedahan yang aman dan
sederhana </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l8 level2 lfo5; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidak ada efek samping</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l8 level2 lfo5; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Konseling dan informed concent
mutlak diperlukan</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l12 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pengertian</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l1 level1 lfo7; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tindakan oprasi kecil untuk
mencegah kehamilan dilakukan pada saluran telur perempuan dengan memotong atau
mengikat salah satu bagian yang dilalui sel telur, diharapkan tidak terjadi
pembuahan (kehamilan)<span style="mso-spacerun: yes;"> </span>( http://www
.kontap.com)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l1 level1 lfo7; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Prosedur bedah sukarela untu menghentikan
fertilitas (kesuburan) seorang perempuan secara permanent ( saifudin, abdul
bari, 2003)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l12 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jenis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l2 level1 lfo4; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mini Laparotomi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt;">
<span lang="SV" style="mso-ansi-language: SV;">Metode ini , hanya diperlukan sayatan kecil
(sekitar 3 cm) baik pada daerah perut bawah (supra pubis) maupun subum bilikal
(pada lingkar pusat bawah). Tindakan ini dapat dilakukan terhadap banyak klien
, relatif murah dan dapat dilakukan oleh dokter yang dilakukan latihan khusus ,
Operasi ini aman dan efektif . Metode ini baik untuk masa interval maupunpasca
persalinan , pengambilan tuba dilakukan melalui sayatan kecil , setelah itu
dinding perut ditutup kembali, luka sayatan ditutup dengan kasa yang kering dan
steril dan apabila tidak ditemukan masalah yang berarti, klien dapat
dipulangkan setelah 2-4 jam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">b.<span style="mso-spacerun: yes;"> </span>Laparaskopi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt;">
<span lang="SV" style="mso-ansi-language: SV;">Prosedur ini memerlukan<span style="mso-spacerun: yes;"> </span>tenaga spesialis kebidanan dan penyakit
kandungan yang telah dilatih secara khusus agar pelaksanaannya aman dan
efektif. Tekhnik ini dapat dilakukan pada 6 – 8 minggu pasca persalinan atau
setelah abortus (tanpa komplikasi). Laparaskopi sebaiknya digunakan pada jumlah
klien yang cukup tinggi karena peralatan laparaskopi dan biaya pemeliharaannya
cukup mahal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt;">
<span lang="SV" style="mso-ansi-language: SV;">Laparaskopi dapat digunakan dengan anestesi local
dan diperlukan sebagai klien rawat jalan setelah pelayanan. peralatan ini
memerlukan perawatan yang cukup rumit dan sebaiknya ada tenaga ahli anestesi
pada saat tindakan laparaskoppi berlangsung.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l12 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mekanisme Kerja</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt;">
<span lang="SV" style="mso-ansi-language: SV;">Dengan mengokulsi tuba fallopi (mengikat dan
memotong atau memasang cincin), sehingga sperma tidak dapat bertemu dengan
ovum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l12 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Manfaat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; text-indent: -14.2pt;">
<span lang="EN-US">a.<span style="mso-spacerun: yes;"> </span>Kontrasepsi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l12 level2 lfo6; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Sangat efektif ( 0,2 – 11 kehamilan / 100
perempuan selama tahun pertama penggunaan ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l12 level2 lfo6; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Permanent</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l12 level2 lfo6; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidak mempengaruhi proses
menyusui (breast feeding)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l12 level2 lfo6; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidak bergantung pada factor
senggama</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l12 level2 lfo6; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Baik bagi klien apabila kehamilan akan
menjadi resiko kesehatan yang serius</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l12 level2 lfo6; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Perdarahan sederhana, dapat dilakukan
dengan anestesi local.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l12 level2 lfo6; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tidak ada efek samping dalam jangka
panjang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l12 level2 lfo6; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tidak ada perubahan dalam fungsi
seksual.(tidak ada efek pada produksi hormone ovarium)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l10 level1 lfo8; text-indent: -16.65pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Non Kontrasepsi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-indent: 14.15pt;">
<span lang="EN-US">Berkurangnya resiko kanker ovarium.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-indent: 14.15pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l12 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keterbatasan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Harus dipertimbangkan sifat permanent pada
metode kontrasepsi ini (tidak dapat dipulihkan kembali), kecuali dengan operasi
rekanalisasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Klien dapat menyesal di kemudian hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Resiko komplikasi kecil, (meningkat,
apabila digunakan anestesi umum)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Rasa sakit / ketidaknyamanan dalam jangka
pendek setelah tindakan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Dilakukan oleh dokter yang terlatih
(dibutuhkan dokter spesialis ginecologi atau dokter spesialis bedah untuk
proses laparaskopi)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level1 lfo9; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tidak melindungi diri dari IMS, termasuk
HPV dan HIV / AIDS.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l12 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Yang Dapat Menjalani Tubektomi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l6 level1 lfo10; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Usia > 26 tahun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l6 level1 lfo10; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Paritas > 2</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l6 level1 lfo10; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Yakin tidak mempunyai keluarga yang besar
sesuai dengan kehendaknya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l6 level1 lfo10; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pada kehamilannya akan menimbulkan resiko
kesehatan yang serius.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l6 level1 lfo10; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasca persalinan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l6 level1 lfo10; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasca keguguran</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l6 level1 lfo10; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Paham, sukarela, setuju dengan prosedur
ini.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l12 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Yang Sebaiknya Tidak Menjalani
Tubektomi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level1 lfo11; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hamil (sudah terdeteksi /
dicurigai)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level1 lfo11; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Perdarahan vaginal yang belum jelas hingga
harus dievaluasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level1 lfo11; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Infeksi sistemik, atau pelvic yang akut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level1 lfo11; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidak boleh menjalani proses
pembedahan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level1 lfo11; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kurang pasti mengenai keinginannya untuk
fertilitas di masa depan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level1 lfo11; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Belum memberikan persetujuan
tertulis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l12 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kapan dilakukan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l13 level1 lfo12; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Setiap<span style="mso-spacerun: yes;">
</span>waktu selama siklus menstruasi apabila diyakini rasional klien tersebut
tidak hamil.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l13 level1 lfo12; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Hari ke – 6 hingga hari ke – 13 dari
siklus menstruasi (fase proliferasi)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l13 level1 lfo12; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasca persalinan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt;">
<span lang="SV" style="mso-ansi-language: SV;">Mini Laparaskopi<span style="mso-tab-count: 1;"> </span>:
di dalam waktu 2 hari atau setelah 6 / 12 minggu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt;">
<span lang="SV" style="mso-ansi-language: SV;">Laparaskopi<span style="mso-tab-count: 2;"> </span>:
tidak tepat untuk klien pasca persalinan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l13 level1 lfo12; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasca keguguran</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt;">
<span lang="SV" style="mso-ansi-language: SV;">Triwulan Pertama : Dalam waktu 7 hari sepanjang
tidak ada bukti infeksi pelvic (Mini lap atau Laparaskopi)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt;">
<span lang="SV" style="mso-ansi-language: SV;">Triwulan Kedua : dalam waktu 7 hari sepanjang
tidak ada bukti infeksi pelvic (Minilap saja)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">10. Penanganan Atas Komplikasi
Yang Mungkin terjadi</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 41.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Komplikasi</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Penanganan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Infeksi Luka</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Bila terlihat infeksi luka, obati dengan antibiotic</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Demam pasca
operasi ( > 38° )</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Obati infeksi berdasarkan apa yang ditemukan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Luka pada
kandung kemih</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Bila kandung kemih atau usus luka, dan diketahui sewaktu operasi, lakukan
reparasi primer</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Emboli gas ( sangat jarang terjadi )</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Mulai resusitasi intensif, termasuk cairan intravena, resusitasi kardio
pulmonal dan tindakan penunjang kehidupan lainnya</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Rasa sakit pada lokasi pembedahan</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Pastikan adanya infeksi atau abses dan obati berdasarkan apa yang
ditemukan.</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 153.0pt;" valign="top" width="204">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Perdarahan
superfinal (tepi<span style="mso-spacerun: yes;"> </span>kulit, atau sub
cutan)</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 225.0pt;" valign="top" width="300">
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Mengontrol perdarahan dan obati berdasarkan apa yang ditemukan.</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l12 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">10.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Instruksi Kepada Klien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l13 level1 lfo12; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jagalah luka operasi tetap
kering hingga pembalut dilepaskan, mulai aktivitas normal secara bertahap
(sebaiknya dapat kembali ke aktifitas normal dalam waktu 7 hari setelah
perdarahan)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l13 level1 lfo12; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Hindari hubungan intim hingga merasa cukup
nyaman, setelah mulai kembali melakukan hubungan intim, hentikan bila ada
perasaan kiurang nyaman.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l13 level1 lfo12; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Hindari mengangkat benda – benda berat dan
bekerja keras selama 1 minggu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l13 level1 lfo12; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika sakit, minum 1 atau 2 tablet analgesik
satiap 4 hingga 6 jam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l13 level1 lfo12; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jadwalkan kunjungan pemeriksaan secara
rutin antara 7 dan 14 hari setelah pembedahan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.75pt; mso-list: l13 level1 lfo12; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kembalilah apabila ada keleuhan atau tanda
– tanda yang tidak biasa.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l12 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">11.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Efek Samping</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt;">
<span lang="SV" style="mso-ansi-language: SV;">Dengan kontrasepsi ini, efek samping hampir tidak
ada yang pasti muncul hanyalah luka parut kecil bekas operasi di bagian bawah
perut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l12 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">12.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Rumor – Rumor</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt;">
<span lang="EN-US">Hilangnya gairah sex mengingat sudah tidak ada sel telur yang
keluar.</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">B. VASEKTOMI</span></b></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Profil</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sangat efektif dan permanent</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tidak ada efek samping jangka panjang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tindakan bedah yang aman dan sederhana</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Efektif setelah 20 x ejakulasi / 3 bulan.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Konseling dan informed consent
mutlak diperlukan.</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l3 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pengertian</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Prosedur klinik untuk
menghentikan kapasitas reproduksi pria dengan jalan melakukan oklusi vasa
deferensia sehingga alur transportasi sperma terhambat dan proses fertilisaasi
tidak terjadi (Saiful, Abdul Bari, 2003)</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Menutup
saluran bibit laki – laki dengan melakukan operasi kecil pada kantong zakar
sebelah kanan dan kiri. </span><span lang="EN-US">(<a href="http://www.kontap.com/">http://www.Kontap.com</a>)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l3 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">konseling Informasi dan Persetujuan
Tindakan Medis</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">klien harus diberi informasi bahwa
prosedur vasektomi tidak mengganggu hormone pria dan tidak menyebabkan
perubahan kemampuan / kepuasan seksual.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Setelah prosedur vasektomi digunakan salah
satu kontrasepsi terpilih hingga spermatozoa yang tersisa dalam vesikula
seminalis telah dikeluarkan seluruhnya, maka akan menunjukkan hasil negative
setelah 15 – 20 x ejakulasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l3 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Yang Tidak Cocok Dengan Metode Ini</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penderita Hernia</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penderita kencing manis (Diabetes)</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penderita kelainan pembekuan
darah</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Penderita penyakit kulit/ jamur di daerah
kemaluan</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidak tetap pendiriannya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Memiliki peradangan pada buah zakar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l3 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Yang Dianggap Cocok dengan Metode Ini</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pasangan yang tidak ingin menambah jumlah
anak.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pasangan yang istrinya sudah sering
melahirkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Memiliki penyakit yang membahayakan
kesehatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pasangan yang telah gagal dengan
kontrasepsi lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l3 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Hal Yang Harus Diinformasikan kepada klien
setelah operasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Luka yang sedang dalam penyembuhan jangan
ditarik – tarik atau digaruk.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Boleh mandi setelah 24 jam, asal daeah
luka tidak basah, setelah 3 hari, luka boleh dicuci dengan sabun dan air.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pakailah penunjang skrotum, usahakan
daerah operasi kering.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika ada nyeri, berikan 1 – 2 tablet
analgetik seperti parasetamol atau ibu profen setiap 4 – 5 jam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Hindari mengangkat barang berat dan kerja
keras untuk 3 hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Boleh bersenggama setelah hari ke -2 atau
ke – 3, namun untuk mencegah kehamilan, pakailah kondom atau cara kontrasepsi
lain selama 3 bulan atau sampai ejakulasi 15 – 20 kali.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Periksa selama 3 bulan pasca vasektomi
atau sesudah 15 – 20 kali ejakulasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l3 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penilaian Klinik</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Riwayat yyang perlu diketahui dari
seseorang calon akseptor vasektomi;</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Riwayat operasi pada skrotalis dan
inguinalils.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Riwayat disfungsi seksual
termasuk impotensi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hernia inguinalis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Riwayat alergi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Adanya proteinuria atau diabetes mellitus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l3 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Komplikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Komplikasi selama prosedur
dapat berupa komplikasi akibat reaksi amafilaktik yang disebabkan oleh
penggunaan lidokain atau manipulasi berlebihan terhadap anyaman pembuluh darah
disekitar vasa diferensia.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l5 level1 lfo14; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kokmlikasi pasca tindakan dapat berupa
hematoma skrotalis, infeksi atau abses pada testis, epididimis kongestif atau
peradangan kronik granuloma di tempat insisi. Penyulit jangka panjang yang
dapat mengganggu upaya pemulihan fungsi reproduksi adalah terjadinya antibody
sperma.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 1.0cm; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l3 level1 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Rumor – rumor</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l3 level2 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gairah sex menurun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l3 level2 lfo13; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menyebabkan impotent.</span></div>
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-84189221283561387092013-01-25T06:16:00.002-08:002013-05-19T22:25:13.955-07:00MOLAHIDATIDOSA<div dir="ltr" style="text-align: left;" trbidi="on">
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">MOLAHIDATIDOSA</span></b><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://s.tuspics.net/img/i/00097/luxlpm6zc870.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="218" src="http://s.tuspics.net/img/i/00097/luxlpm6zc870.jpg" width="320" /></a></div>
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"> </span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PRINSIP DASAR</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 1.0cm;">
<span lang="EN-US">Hamil
mola adalah suatu keadaan dimana kehamilan hasil konsepsi tidak berkembang
menjadi embrio tetapi terjadi proliferasi vili koriales disertai dengan
degenerasi hidropik, uterus melunak dan berkembang lebih cepat dari usia gestasi
yang normal. Tidak dijumpai adanya janin. Kavum uteri hanya terisi oleh
jaringan seperti rangkaian buah anggur.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">MASALAH</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pergarahan pada kehamilan muda
yang disertai dengangejala mirip pre eklamsia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l2 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Resiko tinggi untuk terjadi
keganasan (koriokarsinoma)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENILAIAN KLINIK</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hampir sebagian besar
kehamilanmola akan disertai dengan pembesaran uterus dan peningkatan kadar HCG</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gejala klinik mirip dengan
kehamilan muda dan abortus imminens tetapi gejala mual dan muntah lebih hebat,
disertai gejala seperti pre eklamsia. Pemeriksaan dengan USG akan menunjukkan
gambaran seperti sarang tawon tanpa disertai adanya janin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Diagnosa pasti adalah dengan
melihat jaringan mola, baik melalui ekspulsi spontan, maupun ltern.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENANGANAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Segera lakukan evakuasi
jaringan mola dan sementara proses evakuasi berlangsung, berikan infuse RL 10
IU oksitosin dalam 500 ml dengan kecepatan 40 – 60 tetes / menit.(sebagai
tindakan preventif terhadap perdarahan hebat dan efektifitas kontraksi terhadap
pengosongan uterus secara cepat)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pengosongan dengan aspirasi
vakum lebih aman dari kuretase tajam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kenali dan tangani komplikasi
penyerta seperti krisis thyroid baik sebelum, selama, dan setelah prosedur
evakuasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Anemia sedang, cukup diberikan
SF 600 mg/hari, untuk anemia berat, lakukan transfuse</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kadar HCG diatas 100.000 iu/lt
praevakuasi dianggap sebagai resiko tinggi. Untuk anemia berat sehingga perlu
dilakukan transfuse.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lakukan pemantauan kadar HCG
hingga minimal 1 tahun pasca evakuasi. Kadar yang menetap atau meninggi setelah
8 minggu pasca evakuasi menunjukkan masih terdapat trofoblas aktif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Selama pemantauan pasien
dianjurkan untuk menggunakan kontrasepsi hormonal (apabila masih ingin punya
anak) atau tubektomi apabila ingin menghentikan fertilitas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-35482453924690814792013-01-25T06:15:00.004-08:002013-05-19T22:32:48.509-07:00MIOMA UTERI<div dir="ltr" style="text-align: left;" trbidi="on">
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">MIOMA UTERI</span></b></div>
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<br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://i.tuspics.net/img/i/00097/pn0nmz006gzz.jpeg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="266" src="http://i.tuspics.net/img/i/00097/pn0nmz006gzz.jpeg" width="320" /></a></div>
<br /></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 288.75pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENGERTIAN<span style="mso-tab-count: 1;"> </span></span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">Mioma uteri adalah tumor jinak yang berasal dari
otot uterus dan jaringan ikat, bentuknya ada 2, yaitu :</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Padat, dominant jaringan ikat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo1; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lunak, dominant otot </span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Mioma uteri ditemukan pada masa reproduksi, dan
mengalami pengeciln setelah menopause. Bila pada masa menopause, mioma tetap
tumbuh dan bertambah besar, maka mengarah pada keganasan.</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PATOLOGI </span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l2 level1 lfo2; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pertumbuhan berlapis seperti bawang merah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l2 level1 lfo2; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lokalisasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo2; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Subserosa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l2 level3 lfo2; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Dibawah lapisan peritoneum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l2 level3 lfo2; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Dapat bertangkai dan melayang dalam cavum
abdomen</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo2; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Intramural</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt;">
<span lang="EN-US">Di dalam otot uterus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo2; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Submukosa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Di dalam lapisan dalam rahim</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Memperluas permukaan cavum
uteri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Bertangkai dan dapat dikeluarkan melalui
canalis servikalis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo2; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Servikal Mioma</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt;">
<span lang="EN-US">Tumbuh di daerah servik uteri</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Mioma uteri terdiri dari otot polos dan jaringan ikat yang tersusun seperti
konde diliputi pseudokopsul. Perubahan sekunder pada mioma uteri bersifat
degeneratif, karena berkurangnya aliran ke mioma uteri.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Perubahan sekunder meliputi atrofi degeneratif hialin, degenerasi kistik,
degenerasi membantu, dan degenerasi merah.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">GEJALA</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan tidak normal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Terasa berat di abdomen bagian bawah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sukar miksi dan defekasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penderita tampak anemis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Gangguan pertumbuhan dan perkembangan
janin.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">DIAGNOSIS</span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Penderita dating dengan keluhan ada benjolan di perut bagian bawah, rasa
berat, perdarahan abnormal, retensia urine. Pada pemeriksaan bimanual di
dapatkan tumor pada uterus yang teraba benjol atau bertangkai. </span><span lang="EN-US">Dengan periksa sonde didapatkan cavum uteri lebih luas.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PEMERIKSAAN PENUNJANG</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">USG abdominal dan transvaginal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Laparaskopi</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">KOMPLIKASI</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Degenerasi panas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Torsi yang menimbulkan nekrosis, sindrom
abdomen akut</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENATALAKSANAAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mioma kecil tidak menimbulkan
keluhan, tidak perlu di terapi, hanya diobservasi tiap 3 – 6 bulan mioma akan
menyusut setelah menopause</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Miomektomi dengan atau tanpa histerektomi.
Bila besar uterus melebihi seperti kehamilan 12 – 14 minggu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Radioterapi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo3; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Estrogen setelah menopause dan
observasi setiap 6 bulan.</span></div>
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-71429865611632224882013-01-25T06:14:00.000-08:002013-01-25T06:14:04.292-08:00MENOPAUSE<div dir="ltr" style="text-align: left;" trbidi="on">
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<div align="center" class="MsoNormal" style="line-height: 150%; tab-stops: 18.0pt; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 14.0pt; line-height: 150%; mso-bidi-font-size: 12.0pt;">Menopause</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; tab-stops: 18.0pt; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Menopause merupakan sebuah kata yang mempunyai banyak
arti yang terdiri dari kata men dan pauseis yang berasal dari bahasa Yunani
yang pertama kali digunakan untuk menggambarkan berhentinya haid. </span><span lang="SV" style="mso-ansi-language: SV;">Ini merupakan suatu akhir proses biologis
dari siklus menstruasi yang terjadi karena penurunan produksi hormon Estrogen
yang dihasilkan ovarium (indung telur) (Sarwono P, 2003).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Penurunan kadar Estrogen,
menyebabkan periode menstruasi yang tidak teratur, dan ini dapat dijadikan
petunjuk terjadinya menopause. </span><span lang="EN-US">Ada</span><span lang="EN-US"> tiga periode
menopause, yaitu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level4 lfo4; tab-stops: 18.0pt list 144.0pt; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Klimaterium, yaitu merupakan masa
peralihan antara masa reproduksi dan masa senium. Biasanya masa ini disebut
juga dengan pramenopause, antara usia 40 tahun, ditandai dengan siklus haid
yang tidak teratur, dengan perdarahan haid yang memanjang dan relatif banyak.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level4 lfo4; tab-stops: 18.0pt list 144.0pt; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Menopause, yaitu<span style="mso-spacerun: yes;"> </span>saat haid terakhir atau berhentinya
menstruasi, dan bila sesudah menopause<span style="mso-spacerun: yes;">
</span>disebut pasca menopause bila telah mengalami menopause 12 bulan sampai
menuju ke senium umumnya terjadi pada usia 50-an tahun.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; mso-list: l3 level4 lfo4; tab-stops: 18.0pt list 144.0pt; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Senium adalah periode sesudah pasca
menopasue, yaitu ketika individu telah mampu menyesuaikan dengan kondisinya,
sehingga tidak mengalami gangguan fisik antara usia 65 tahun (Sarwono P, 2003)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Beberapa wanita juga mengalami
berbagai gejala karena perubahan keseimbangan hormon. Bagian-bagian tubuh dapat
mulai menua dengan jelas, tetapi kebanyakan wanita seharusnya tetap aktif
secara fisik, mental, dan seksual sesudah menopause seperti sebelumnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Menopause mulai pada umur yang
berbeda pada orang-orang yang berbeda umur yang umum adalah sekitar 50 tahun,
meskipun ada sedikit wanita memulai menopause pada umur 30-an, sementara
wanita-wanita lain mulainya menopause tertunda sampai umur 50-an.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level1 lfo7; tab-stops: -126.0pt list 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tahap-tahap Dalam Menopouse</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Menurut Sarwono P.2003, menopause di
bagi dalam beberapa tahapan yaitu sebagai berikut :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-list: l6 level2 lfo7; tab-stops: list 35.45pt; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pra menopause</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Fase antara usia 40 tahun dan
dimulainya fase klimakterik. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US">Gejala-gejala yang timbul : </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level1 lfo8; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Siklus haid yang tidak teratur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level1 lfo8; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pendarahan haid yang memanjang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level1 lfo8; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jumlah darah haid yang banyak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l7 level1 lfo8; tab-stops: 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Nyeri haid.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-list: l6 level2 lfo7; tab-stops: list 35.45pt; text-indent: -21.25pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Peri menopause</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span lang="EN-US">Fase peralihan antara pra menopause dan pasca menopause.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Gejala-gejala yang timbul : -
Siklus haid yang tidak teratur.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 4;"> </span><span style="mso-spacerun: yes;"> </span>- Siklus haid yang panjang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-list: l6 level2 lfo7; tab-stops: list 35.45pt; text-indent: -21.25pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menopause</span><span lang="SV" style="mso-ansi-language: SV;"></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Haid alami terakhir akibat
menurunnya fungsi estrogen dalam tubuh. Menurut Luciana (2005), keluhan-keluhan
yang timbul pada menopause :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keringat malam hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mudah marah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sulit tidur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Haid tidak teratur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gangguan fungsi seksual</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kekeringan vagina</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gelisah </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Rasa khawatir</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sulit konsentrasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mudah lupa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sering tidak dapat menahan
kencing</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Nyeri otot sendi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l0 level4 lfo1; tab-stops: 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Depresi</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level1 lfo7; tab-stops: -126.0pt list 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Perubahan Yang Terjadi Pada Menopause</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Menurut
Lastiko (2004),<span style="mso-spacerun: yes;"> </span>perubahan terjadi selama
menopause adalah:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level2 lfo3; tab-stops: 35.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">I<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perubahan Organ Reproduksi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Akibat
berhentinya haid, berbagai reproduksi akan mengalami perubahan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level2 lfo3; tab-stops: 35.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">II<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perubahan Hormon</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US">Sesuatu yang berlebihan atau kurang,
tentu mengakibatkan timbulnya suatu reaksi pada kondisi menopause reaksi yang
nyata adalah perubahan hormon estrogen yang menjadi berkurang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US">Meski perubahan terjadi juga pada
hormon lainnya, seperti progesteron, tetapi perubahan yang mempengaruhi
langsung kondisi fisik tubuh maupun organ reproduksi, juga psikis adalah
perubahan hormon estrogen. Menurunnya kadar hormon ini menyebabkan<span style="mso-spacerun: yes;"> </span>terjadi perubahan haid menjadi sedikit, jarang,
bahkan siklus haidnya mulai terganggu, hal ini disebabkan tidak tumbuhnya
selaput lendir rahim akibat rendahnya hormon estrogen.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">III<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perubahan Fisik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 35.45pt; text-align: justify;">
<span lang="EN-US">Akibat perubahan organ reproduksi
maupun hormon tubuh pada saat menopause mempengaruhi berbagai keadaan fisik
tubuh seorang wanita, keadaan ini berupa keluhan ketidaknyamanan yang timbul
dalam kehidupan sehari-hari.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">IV<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perubahan Emosi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<span lang="EN-US">Selain fisik perubahan psikis juga sangat mempengaruhi
kualitas hidup seorang wanita dalam menjalani masa menopause sangat tergantung
pada masing-masing individu, pengaruh ini sangat tergantung pada pandangan
masing-masing wanita terhadap menopause, termasuk pengetahuannya tentang
menopause.</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level1 lfo7; tab-stops: -126.0pt list 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 14.0pt;"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Dampak</span><span lang="SV" style="line-height: 150%; mso-ansi-language: SV; mso-bidi-font-size: 14.0pt;"> Kesehatan Baik Fisik Maupun Psikis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Ketika
seseorang memasuki masa menopause, fisik mengalami ketidaknyamanan seperti rasa
kaku dan linu yang dapat terjadi secara tiba-tiba di sekujur tubuh, misalnya
pada kepala, leher dan dada bagian atas. Kadang-kadang rasa kaku ini dapat
diikuti dengan rasa panas dan dingin, pening, kelelahan, jengkel, resah, cepat
marah, dan berdebar-debar (Hurlock, 1992).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Beberapa
keluhan fisik yang merupakan tanda dan gejala dari menopause, yaitu :</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ketidakteraturan siklus haid</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Tanda paling umum adalah
fluktuasi dalam siklus haid, kadang kala haid muncul tepat waktu, tetapi tidak
pada siklus berikutnya. Ketidakteraturan ini sering disertai dengan jumlah
darah yang sangat banyak, tidak seperti volume pendarahan haid yang normal.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gejolak rasa panas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Arus panas biasanya timbul
pada saat darah haid mulai berkurang dan berlangsung sampai haid benar-benar
berhenti. Sheldom H.C. (dalam restta Reitz ,1979). Arus panas ini disertai oleh
rasa menggelitik disekitar jari-jari, kaki maupun tangan serta pada kepala,
atau bahkan timbul secara menyeluruh.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">3<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kekeringan vagina</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>kekeringan vagina terjadi karena leher rahim sedikit sekali
mensekresikan lendir. Penyebabnya adalah kekurangan estrogen yang menyebabkan
liang vagina menjadi lebih tipis, lebih kering dan kurang elastis. Alat kelamin
mulai mengerut, keputihan rasa sakit pada saat kencing.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">4<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perubahan kulit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>Estrogen berperan dalam menjaga
elastisitas kulit, ketika mensturasi berhenti maka kulit akan terasa lebih
tipis, kurang elastis terutama pada daerah sekitar wajah, leher dan lengan. (hurlock,1992).</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">5<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keringat dimalam hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>berkeringat malam hari, bangun
bersimbah peluh, sehingga perlu mengganti pakaian dimalam hari, karena tidak
dapat tidur nyenyak.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-list: l1 level2 lfo2; tab-stops: list 35.45pt; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sulit tidur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>Imsomnia (sulit tidur) lazim terjadi
pada waktu menopause, tetapi hal ini mungkin ada kaitannya dengan rasa tegang
akibat berkeringat malam hari.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">7<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perubahan pada mulut.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Pada
saat ini kemampuan mengecap pada wanita berubah menjadi kurang peka, sementara
yang lain mengalami gangguan gusi dan gigi menjadi lebih mudah tanggal.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">8<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kerapuhan tulang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>Rendahnya kadar estrogen merupakan
penyebab proses osteoporosis (kerapuhan tulang). Osteoporosis merupakan
penyakit kerangka yang paling umum dan merupakan persoalan bagi yang telah
berumur, paling banyak menyerang wanita yang telah menopause. Kehilangan 1%
tulang dalam setahun dapat akibat proses penuaan, tetapi kadang setelah menopause
kita kehilangan 2% setahunnya.</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">9<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Badan menjadi gemuk</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -35.45pt;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Banyak
wanita menjadi gemuk selama menopause, rasa letih yang biasanya dialami pada
masa menopause, diperburuk dengan perilaku makan yang sembarangan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-list: l1 level2 lfo2; tab-stops: list 35.45pt; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">10<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penyakit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Ada
beberapa penyakit yang seringkali dialami oleh wanita menopause, dari sudut
pandang medik ada 2 perubahan paling penting yang terjadi pada waktu menopause
yaitu meningkatnya kemungkinan terjadi penyakit jantung, pembuluh darah serta
hilangnya mineral dan protein di dalam tulang (osteoporosis).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 17.45pt; text-align: justify; text-indent: 18.55pt;">
<span lang="SV" style="mso-ansi-language: SV;">Beberapa
keluhan psikologis yang merupakan tanda dan gejala dari menopause yaitu :</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ingatan menurun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; tab-stops: list 35.45pt; text-align: justify;">
<span lang="EN-US">Sebelum menopause wanita dapat
mengingat dengan mudah, namun sesudah mengalami menopause terjadi kemunduran
dalam mengingat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-list: l4 level1 lfo5; tab-stops: 18.0pt 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 "Times New Roman";">
</span></span></span><span lang="EN-US">Kecemasan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; tab-stops: list 35.45pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Kecemasan
yang timbul sering di hubungkan dengan adanya kekhawatiran dalam menghadapi
situasi yang sebelumnya tidak pernah di khawatirkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-list: l4 level1 lfo5; tab-stops: 18.0pt 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 "Times New Roman";">
</span></span></span><span lang="EN-US">Mudah tersinggung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; tab-stops: list 35.45pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Gejala
ini lebih mudah terlihat dibandingkan kecemasan. Wanita lebih mudah tersinggung
dan marah terhadap sesuatu yang sebelumnya dianggap tidak mengganggu ini
mungkin disebabkan dengan datangnya menopause maka wanita menjadi sangat
menyadari proses mana yang sedang berlangsung dalam dirinya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-list: l4 level1 lfo5; tab-stops: 18.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Stress</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; tab-stops: list 35.45pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Tidak
ada yang bisa lepas sama sekali dari rasa was-was dan cemas, termasuk para
lansiamenopause. Di tingkat psikologis, respon orang terhadap sumber stress
tidak bisa diramalkan, sebagaimana perbedaan suasana hati dan emosi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo5; tab-stops: 18.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Depresi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: list 35.45pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Wanita
yang mengalami depresi sering merasa sedih, karena kehilangan kemampuan untuk
bereproduksi,sedih karena kehilangan kesempatan untuk memiliki anak, sedih
karena kehilangan daya tarik. Wanita merasa tertekan karena kehilangan seluruh
perannya sebagai wanita dan harus menghadapi masa tuanya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; mso-list: l6 level1 lfo7; tab-stops: -126.0pt list 21.3pt; text-align: justify; text-indent: -21.3pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Upaya</span><span lang="EN-US">-upaya Menghadapi menopause</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-list: l8 level1 lfo9; tab-stops: -126.0pt list 35.45pt; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pola Makan Yang Tepat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Menopause adalah suatu hal yang
alami, menurut spesialis gizi Dr. Melani, Sp.G, merupakan yang terjadi pada
wanita saat menopause sering berkaitan dengan gizi. </span><span lang="SV" style="mso-ansi-language: SV;">Antara lain, berat badan bertambah karena
aktivitas berkurang sehingga pengeluaran energi pun berkurang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 21.3pt; tab-stops: 18.0pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>Menurut Melani, ada beberapa hal yang harus
diperhatikan, yaitu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l9 level1 lfo10; tab-stops: list 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kebutuhan
kalori dan zat gizi harus cukup.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.15pt; text-align: justify; text-indent: .55pt;">
<span lang="SV" style="mso-ansi-language: SV;">Kalsium bisa
diperoleh dari susu, keju, dan sereal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l9 level1 lfo10; tab-stops: list 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Karbohidrat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 56.15pt; text-align: justify; text-indent: .55pt;">
<span lang="EN-US">Batasi mengkonsumsi lemak.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; mso-list: l9 level1 lfo10; tab-stops: list 2.0cm; text-align: justify; text-indent: -21.25pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Vitamin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 2.0cm; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Vitamin yang diperlukan antara
lain :</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Vitamin A, C dan E untuk anti
oksidan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l5 level2 lfo6; tab-stops: list 72.0pt; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Vitamin D untuk penyerapan kalsium yang
terdapat pada kuning telur, hati, mentega, dan keju.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; mso-list: l5 level2 lfo6; tab-stops: list 72.0pt; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Vitamin B kompleks yang berguna untuk
memperlambat datangnya menopause terdapat pada kacang-kacang dan sereal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 70.9pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Untuk memperlambat datangnya
menopause, hindari kafein, kopi, alkohol, minuman bersoda, rempah-rempah dan
makanan berlemak.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; mso-list: l8 level1 lfo9; tab-stops: -126.0pt list 35.45pt; text-align: justify; text-indent: -14.15pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Terapi Hormon</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Terapi sulih hormon atau HRT (<i style="mso-bidi-font-style: normal;">Hormon Replacement Therapi</i>) merupakan
pilihan untuk mengurangi keluhan pada wanita dengan kuluhan atau sindroma
menopause.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Terapi sulih hormon juga berguna
untuk mencegah berbagai keluhan yang muncul akibat menopause, vagina kering,
dan gangguan pada seluruh kandung kemih. </span><span lang="SV" style="mso-ansi-language: SV;">Penggunaan terapi sulih hormon juga dapat mencegah perkembangan penyakit
akibat dari kehilangan hormon estrogen seperi osteoporosis dan jantung koroner.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 35.45pt; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Dengan
pemberian terapi sulih hormon, kualitas hidupnya dapat ditingkatkan sehingga
memberikan kesempatan untuk dapat hidup nyaman, secara fisiologis maupun
psikologis. (Lastiko 2004).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-22611507181292589822013-01-25T06:12:00.004-08:002013-05-19T22:41:23.537-07:00ASKEB GANGREP DEENGAN MENOMETRORARGI<div dir="ltr" style="text-align: left;" trbidi="on">
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">ASUHAN KEBIDANAN PADA WANITA DENGANN GANGGUAN REPRODUKSI</span></b></div>
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<br /></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">MENOMETRORAGI</span></b><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://z.tuspics.net/img/i/00097/xk7lzpk96oht.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="218" src="http://z.tuspics.net/img/i/00097/xk7lzpk96oht.jpg" width="320" /></a></div>
</div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">PENGERTIAN</span></b></div>
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<span lang="SV" style="mso-ansi-language: SV;">Perdarahan bukan haid adalah :<span style="mso-tab-count: 1;"> </span></span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Perdarahan yang terjadi dalam masaantara 2
haid ( perdarahan itu tampak terpisah dan dapat dibedakan dari haid )Disebut
metrorgia.</span></div>
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<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Perdarahan yang menjadi satu disebut
Menometroragia</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">PENYEBAB</span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Metroragia atau Menometroragia dapat oleh disebabkan kelainan organik pada
alat genital atau oleh kelainan fungsional</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo4; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sebab-Sebab organik :<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">Vagina disebabkan karena keganasan vagina ,
varises pecah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">Serviks disebabkan karena perlukaan serviks ,
polip serviks.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">Uterus karena mioma uteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">Tuba Fallopi : KET.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<span lang="EN-US">Ovarium : radang dan tunas ovarium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo5; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sebab-sebab Fungsional</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">Sering di jumpai sewaktu masa permulaan dan masa
akhir fungsi ovarium.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">2/3 dari wanita yang dirawat di RS untuk
perdarahan disfungsionsl berumur > 40 th , dan 3% di bawah 2 th.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">Ada 2 bentuk yaitu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">Perdarahn disfungsional dengan ovulasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">Perdarahan disfungsional tanpa ovulasi.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">DIAGNOSIS</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level2 lfo1; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Anamesis tentang mulai perdarahan
bagaimana , sifat dan lama perdarahan , banyak / sedikit perdarahan .</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level2 lfo1; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pemeriksaan umum yang menunjuk kemungkinan
penyakit metabolic , endokrin , menahun dll</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level2 lfo1; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kerokan dilakukan jika :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l6 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Wanita pada usia 20-40 th yang
tidak menggangu kehamilan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l6 level1 lfo6; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Promenopouse untuk memastikan
keganasan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENANGANAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l5 level1 lfo7; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tirah baring dan transaksi darah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l5 level1 lfo7; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika perdarahan tidak karena abortus maka
dapat diberikan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level2 lfo2; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Estrogen dengan dosis tinggi supaya kadar
dalam darah meningkat dan perdarahan berhenti. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt;">
<span lang="EN-US">Diberikan secara IM Dipropionas estradional 2,5 mg/ Benzoas estradional
1,5 mg / Valeras estradiol 20 mg</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level2 lfo2; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Progesteron dapat mengimbangi pengaruh
estrogen terhadap endrometrium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt;">
<span lang="SV" style="mso-ansi-language: SV;">Diberikan Ser IM (Hidroksi-Progesteron 125 mg),
Per Os (Norethindrone 15 mg / Provera 10 mg).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-indent: 14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;">Terapi ini berguna pada wanita
dalam masa puberstas.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-37775975324250764832013-01-25T06:08:00.003-08:002013-01-25T06:08:57.654-08:00LUKA PERINEUM<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">LUKA PERENIUM</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Robekan<span style="mso-spacerun: yes;">
</span>jalan lahir merupakan penyebab kedua tersering dari perdarahan pasca
persalinan. Robekan dapat terjadi bersamaan dengan atonia uteri. Perdarahan
pasca persalinandengan uteruss yang berkontraksi baik biasanya disebabkan oleh
robekan serviks atau vagina.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Ada 4 tingkat robekan yang dapat terjadi<span style="mso-spacerun: yes;"> </span>pada persalinan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Robekan tingkat I yang mengenai mukosa
vagina dan jaringan ikat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Robekan tingkat II mengenai alat – alat
dibawahnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Robekan tingkat III mengenai m. sfingter
ani</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Robekan tingkat IV mengenai mukosa ltern.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Dalam penjahitansebaiknya menggunakan benang
poliglikolik, catgut kromik dapat juga digunakan, tetapi tidak ideal.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Perbaikan robekan tingkat I dan II</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Umumnya robekan tingkat I dapat sembuh sendiri,
tidak perlu dijahit,</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kaji ulang prinsip dasar perawatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan dukungan emosional.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pastikan tidak ada alergi terhadap
lidokain atau obat – obatan sejenis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Periksa vagina, perineum dan serviks.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika robekan panjang dan dalam, periksa
apakah robekan itu tingkat III atau IV :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Wingdings; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Masukkan jari yang bersarung tangan ke
anus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Identifikasi sfingter</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Rasakan tonus dari sfingter</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ganti sarung tangan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika sfingter kena, lihat reparasi robekan
tingkat III dan IV</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">A dan antisepsis di daerah
robekan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Masukkan jarum pada ujung atau pojok
laserasi atau luka, dan dorong masuk sepanjang luka mengikuti garis tempat
jarum jahitnya akan masuk atau keluar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Aspirasikan dan kemudiansuntikkan sekitar
10 ml lidokain 0,5 % dibawah mukosa vagina, dibawah kulit perineum dan pada
otot – otot perineum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tunggu 2 menit agar anestesi efektif.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US">Jahitan mukosa vagina</span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jahit mukosa vagina secara jelujur dengan
catgut kromik 2 – 0</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Wingdings; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Mulai dari sekitar 1 cm diatas puncak luka
di dalam vagina sampai pada batas vagina.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US">Jahitan otot perineum </span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Lanjutkan jahitan pada daerah otot perineum
sampai ujung luka pada perineum secara jelujurdengan catgut kromik 2 – 0</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Lihat ke dalam luka untuk mengetahui letak
ototnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Penting sekali untuk menjahit otot ke
otot, agar tidak ada rongga diantaranya.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US">Jahitan kulit</span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Carilah lapisan subcutikuler persis di
bawah lapisan kulit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Lanjutkan dengan jahitan subcutikuler
kembali kea rah batas vagina, akhiri drngan simpul mati pada bagian dalam
vagina.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Untuk membuat simpul mati benar – benar
kuat, buatlah 1 ½ simpul mati. Potong kedua ujung benang dan hanya disisakan
masing – masing 1 cm.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika robekan cukup luas dan dalam, lakukan
colok rectal dan pastikan tidan ada bagian rectum yang terjahit.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Perbaikan robekan yingkat III dan IV</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Jika robekan tingkat III tidak diperbaiki dengan
baik, pasien dapat menderita gangguan defekasi dan flatus. Jika robekan rectum
tidak diperbaiki, dapat terjadi infeksi dan fisula rektovaginal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kaji ulang prinsip dasar
perawatan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Lakukan blok pudendal atau kelamin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Minta asisten membantu menahan fundus dan
melakukan masase uterus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Cek apakah sfingter ani robek.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Wingdings; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jari bersarung tangan masukkan ke dalam
anus.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Identifikasi sfingter ani</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Periksa permukaan rectum. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ganti sarung tangan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Antiseptis pada daerah robekan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pastikan tidak ada alergi terhadap
lidokain atau obat – obatan sejenis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Masukkan jarum pada ujung atau pojok
laserasi atau luka dan dorong masuk sepanjang luka mengikuti garis tempat jarum
jahitnya akan masuk atau keluar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Aspirasi
dan kemudian suntikkan sekitar 10 ml lidokain 0,5% di bawah mukosa vagina. </span><span lang="EN-US">Di bawah kulit perineum dan dibawah otot – otot perineum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Catatan : Aspirasi untuk meyakinkan suntikan lidokain
yidak masuk dalam pembuluh darah, kejang dan kematian dapat terjadi jika
blidokain diberikan lewat IV ( pembuluh darah ).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tunggu 2 menit agar anestesi efektif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tautkan mukosa rectum dengan benang kromik
3 – 0 atau 4 – 0 secara interuptus dengan 0,5 cm antara jahitan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jahitlah otot – otot dengan rapi, lapis
demi lapis dengan jahitan satu – satu.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="EN-US">Jahitan Sfingter ani</span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jepit otot sfingter ani dengan klem allis
atau pinset</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tautkan ujung otot sfingter anidengan 2 –
3 jahitan benang kromik 2 – 0 angka 8 secara interuptus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Larutkan antiseptic pada daerah robekan,</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Reparasi mukosa vagina, otot perineum dan
kulit.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Perawatan pasca tindakan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Apabila terjadi robekan tingkat IV (
robekan sampai mukosa rectum ), berikan antibiotic profilaksis dosis tunggal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Ampisillin 500 mg per oral</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Metronidazole 500 mg per oral</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Observasi tanda – tanda infeksi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jangan lakukan pemeriksaan rectal atau
enema selama 2 minggu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Berikan pelembut feses selama seminggu per
oral.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Penanganan kasus terlantar</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pada kasus terlantar ( robekan lebih dari
12 jam ), kemungkinan infeksi sulit dihindari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pada<span style="mso-spacerun: yes;">
</span>Robekan Perineum tingkat I dan II , robekan dibiarkan terbuka</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pada<span style="mso-spacerun: yes;">
</span>Robekan Perineum Tingkat III danVi , lakukan jahitan situasi dengan 2-3
Jahitan, Penjahitan otot, mukosa Vagina dan Kulit Perineum dilakukan sekitar 6
hari kedepan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Penanganan Komplikasi</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika terdapat hematom, darah dikeluarkan
jika tidak ada tanda infeksi dan perdarahan sudah berhenti, lakukan penjahitan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika terdapat infeksi, buka dan drain luka
:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika infeksi ringan tidak perlu antibiotic</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level4 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika Infeksi Berat, tetapi tidak akan
mencapai jaringan dalam, Berikan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Wingdings; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Ampisilin 4 X 500 mg per oral selama 5
hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level3 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Wingdings; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Dan metronidazol 3 X 400 mg per oral
selama 5 hari</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika infeksi mencapai otot dan terdapat
nekrosis , berikan antibiotic secara kombinasi sampai nekrosis sudah
dikeluarkan dan pasien sudah bebas demam selama 48 jam :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Penisilin G<span style="mso-spacerun: yes;"> </span>2
Juta unit setiap 6 Jam I.V ;</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Ditambah gentamisin 5 mg/Kg
Berat badan Setiap 24 jam I.V ;</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Ditambah metronidazol 500 mg
setiap 8 Jm I.V ;</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Sesudah pasien bebas demam 48
Jam, Berikan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Ampisilin 4 X 500 mg Per oral
selama 5 hari </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Ditambah metronidazol 3 X 400
mg per oral selama 5 hari</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Catatan : Lakukan debridemen
jaringan nekrosis dan jahitan ulang 2 minggu kemudian jika perlu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 99.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="SV" style="mso-ansi-language: SV;">Fistula
rektovaginal perlu dilakukan bedah rekonstruksi 3 bulan atau<span style="mso-spacerun: yes;"> </span>lebih pasca persalinan</span></i></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 90.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-55292363251457327342013-01-25T06:05:00.002-08:002013-01-25T06:05:48.519-08:00LETAK LINTANG<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">LETAK LINTANG</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENGERTIAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 1.0cm;">
<span lang="EN-US">Letak
lintang adalah bila sumbu meanjang janin menyilang sumbu panjang Ibu secara
tegak lurus atau mendekati 90</span><span lang="EN-US" style="font-family: "Tw Cen MT Condensed","sans-serif";">°</span><span lang="EN-US">.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Jika sudut yang
berbentuk kedua sumbu ini tajam, disebut oblique lie yang terdiri presentation
(letak bokong mengolak). Karena biasanya yang paling rendah adalah baku, maka dalam hal ini
disebut juga shoulder presentation.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo1; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menurut letak kepala terbagi
atas :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo1; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Letak lintang 1 : kepala di
kiri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo1; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Letak lintang 2 : kepla di
kanan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo1; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menurut posisi punggung terbagi
atas :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l6 level2 lfo4; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Dorsio Anterior (di depan)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l6 level2 lfo4; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Dorsio Posterior (di belakang)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l6 level2 lfo4; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Dorsio Superior (di atas)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l6 level2 lfo4; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Dorsio Inferior (di bawah)</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">ETIOLOGI</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US">Penyebab dari letak lintang merupakan kombinasi dari
berbagai ltern, sering pula penyebabnya tetap merupakan suatu misteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Faktor – ltern tersebut adalah :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Fiksasi kepala tidak ada,
karena punggung sempit. Hidrosephalus, Anenchepalus, Plasenta previa, dan tumor
– tumor pelvis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Janin sudah bergerak pada
hidramnion multiparitas anak kecil, atau sudah mati.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gemeli (kehamilan ganda)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kelainan uterus, seperti
arkuatus, bikornus, atau sptum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lumbas scoliosis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Monster</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pelvil kudny dan kandung kemih
serta rectum yang penuh.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">DIAGNOSIS</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Inspeksi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Perut membuncit kesamping</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Palpasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l4 level3 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">TFU lebih rendah dari
seharusnya tua kehamilan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l4 level3 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">TFU kosong, dan bagian bawah kosong,
kecuali kalau bahu sudah masuk ke dalam PAB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l4 level3 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kepala (lternative) terasa
kanan atau kiri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Auskultasi </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">DJJ setinggi pusat kanan atau kiri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pemeriksaan Dalam (VT)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l5 level3 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Teraba tulang iga, scapula, dan
kalau tangan menumbung, teraba tangan, untuk menentukan lengan kanan atau kiri
dengan cara bersalaman.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l5 level3 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Teraba bahu dan ketiak yang lte
menutup kekanan atau ke kiri. Bila kepala terletak di kiri, ketiak menutup ke
kiri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l5 level3 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Letak punggung di tentukan
dengan adanya scapula letak dada dengan klavikula.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l5 level3 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pemeriksaan dalam agak sukar
dilakukan bila pembukaan kecil dan ketuban intak, namun pada letak lintang
biasanya ketuban cepat pecah. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l4 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Foto Rongent</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Tampak janin dalam letak lintang</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">MEKANISME PERSALINAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Beberapa cara janin lahir spontan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menurut DENMAN</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Setelah bahu lahir, kemudian diikuti bokong, perut,
dada, dan akhirnya kepala.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menurut DOUGLAH</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Bahu diikuti oleh dada, bokong, dan akhirnya kepala pada
letak lintang biasanya :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ketuban cepat pecah </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pembukaan lambat jalannya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Partus jadi lebih lama</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tangan menumbung (20 – 50%)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tali pusat menumbung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menurut EASTMAN dan GREENHILL</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bila ada panggul sempit, seksio
sesarea adalah cara yang terbaik dalam segala letak lintang dengan anak hidup</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Semua primi gravida dengan
letak lintang harus ditolong dengan seksio sesarea walaupun tidak ada panggul
sempit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PROGNOSA</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US">1. Bagi Ibu</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US">Bahaya yang mengancam adalah rupture uteri, baik
spontan, atau sewaktu versi dan ekstrasi partus lama, ketuban pecah dini dengan
demikian lebih mudah dpat infeksi intra partum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US">2. Bagi Janin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Angka kematia tinggi (25 – 40%) yang disebabkan oleh :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Prolapsus funiculli</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Trauma partus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hipoksia karena kontraksi
uterus terus menerus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level1 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ketuban pecah dini</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENANGANAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sewaktu Hamil</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Usahakan jadi letak membujur (kepala atau bokong) dengan
melakukan versi luar pada primi dengan usia 34 minggu atau multi pada kehamilan
36 minggu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sewaktu Partus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Janin dapat dilahirkan dengan cara pervaginam, yaitu
dengan versi dan ekstraksi atau embriotomi (delapitasi eviserasi) bila janin
sudah meninggal atau perabdominal seksio sesarea.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level2 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tingkat Pertolongan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level3 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bila ketuban belum pecah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level4 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pembukaan 5 cm lakukan versi
luar</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l0 level4 lfo7; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pembukaan >5 cm, tunggu
sampai ltern lengkap, ketuban dipecahkan persiden ekstraksi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l7 level2 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bila ketuban sudah pecah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level3 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Baru pecah dan pembukaan
lengkap, lakukan versi dan ekstraksi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level3 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lama pecah, lakukan section
sesarea</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level3 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Letak lintang kasep anak hidup,
lakukan seksio sesarea</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l7 level3 lfo8; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Letak lintang kasep anak mati,
laparatomi atau kalau fasilitas kurang, embriotomi secara hati – hati.<span style="mso-tab-count: 1;"> </span><span style="mso-tab-count: 1;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-13222993760200972332013-01-25T06:03:00.000-08:002013-05-19T22:52:27.740-07:00KONTRASEPSI IMPLAN<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; mso-outline-level: 1; text-align: center; text-indent: 36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US" style="font-size: 16.0pt; line-height: 150%;">KONTRASEPSI IMPLAN</span></b></div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; mso-list: l11 level1 lfo4; tab-stops: list 24.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pengertian</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; tab-stops: 54.0pt; text-align: justify; text-indent: 12.0pt;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Susuk KB adalah suatu <span style="mso-spacerun: yes;"> </span>alat kontrasepsi bawah kuit yang mengandung
levonorgestrel yang dibungkus dalam kapsul silastik silicon ( polydimethyl
siloxane ) yang berisi hormon golongan progesteron yang dimasukkan dibawah
kulit lengan kiri atas bagian dalam yang berfungsi untuk mencegah kehamilan
selama 5 tahun.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US">B.<span style="mso-tab-count: 1;"> </span>
jenis – jenis implan</span></div>
<ol start="1" style="margin-top: 0cm;" type="1">
<li class="MsoNormal" style="line-height: 150%; mso-list: l8 level1 lfo1; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Norplant</span></li>
</ol>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; tab-stops: 60.0pt; text-align: justify;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Tediri
dari <span style="mso-spacerun: yes;"> </span>6 batang silastik lembut berongga
dengan panjang 3,4 cm, dengan diameter 2,4 mm, yang diisi dengan 36 mg
levonorgestrel dan lama kerja 5 tahun..</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">2.<span style="mso-tab-count: 1;"> </span>Implanon</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US"><span style="mso-spacerun: yes;">
</span>tediri dari 1 batang putih lentur dengan panjang kira – kira 40 mm, dan
diameter 2 mm, yang diisi dengan 68 mg 3- keto- desogestrel dan lama kerja 3 tahun.</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 18.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US">3.<span style="mso-tab-count: 1;"> </span>Jodena
dan indoplant</span></div>
<div class="MsoNormal" style="line-height: 150%; tab-stops: 66.0pt; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>tediri
dari 2 batang yang diisi dengan 75 mm levonorgestrel dengan lama kerja 3 tahun.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US">C.<span style="mso-tab-count: 1;"> </span><span style="mso-spacerun: yes;"> </span>Mekanisme kerja</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">1.<span style="mso-tab-count: 1;"> </span>Lendir servik menjadi
lebih kental. </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">2.<span style="mso-tab-count: 1;"> </span>Mengganggu
proses pembentukan endometrium sehingga sulit terjadi implantasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">3.<span style="mso-tab-count: 1;"> </span>Menghalangi terjadinya
ovulasi</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">4.<span style="mso-tab-count: 1;"> </span>mengurangi
transportasi sperma.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 6.0pt;">
<span lang="EN-US">D.<span style="mso-spacerun: yes;"> </span>Efektivitas </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 54.0pt;">
<span lang="EN-US">Sangat efektif ( 0,2 – 1 kehamilan per 100 perempuan )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo5; tab-stops: list 24.0pt; text-align: justify; text-indent: -30.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">E.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Indikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">1.<span style="mso-tab-count: 1;"> </span>Usia reproduksi</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">2.<span style="mso-tab-count: 1;"> </span>Punya anak atau
belum</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">3.<span style="mso-tab-count: 1;"> </span>Postpartum atau
menyusui</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">4.<span style="mso-tab-count: 1;"> </span>Pasca keguguran</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">5.<span style="mso-tab-count: 1;"> </span>Tidak ingin punya
anak lagi tapi tolak steril</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">6.<span style="mso-tab-count: 1;"> </span>Tekanan Darah <span style="mso-spacerun: yes;"> </span>< 180/110 mmHg</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">7.<span style="mso-tab-count: 1;"> </span>Kontra indikasi
terhadap kontrasepsi hormonal yang mengandung estrogen</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">8. Sering lupa mengunakan pil</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 24.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo5; tab-stops: list 24.0pt; text-align: justify; text-indent: -30.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">F.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kontra indikasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: list 42.0pt; text-align: justify; text-indent: -48.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hamil atau diduga hamil</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: list 42.0pt; text-align: justify; text-indent: -48.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan pervaginam yang belumlum
jelas peyebabnya</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: list 42.0pt; text-align: justify; text-indent: -48.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Riwayat kangker payudara</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: list 42.0pt; text-align: justify; text-indent: -48.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">DM ( diabetes mellitus )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: list 42.0pt; text-align: justify; text-indent: -48.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penderita peyakit hati</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: list 42.0pt; text-align: justify; text-indent: -48.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kelainan jiwa ( psikis,
neurosis )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: 42.0pt list 72.0pt; text-align: justify; text-indent: -48.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Varikosis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l3 level2 lfo5; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Riwayat KET</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: list 42.0pt; text-align: justify; text-indent: -48.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">9.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kelainan kardiovaskuler</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo5; tab-stops: 24.0pt list 36.0pt; text-align: justify; text-indent: -30.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">G.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Teknik pemasangan susuk KB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; tab-stops: 24.0pt; text-align: justify; text-indent: 30.0pt;">
<span lang="EN-US">Prinsi p pemasangan
susuk adalah dipasang pada lengan kiri atas dan pemasangan seperti kipas mekar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; tab-stops: 24.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US">Teknik pemasangan
susuk KB adalah sebagai berikut:</span><br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://z.tuspics.net/img/i/00097/t7puuqmyrayx.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://z.tuspics.net/img/i/00097/t7puuqmyrayx.jpg" /></a></div>
</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; tab-stops: 30.0pt 42.0pt; text-align: justify;">
<ul>
<li><span lang="EN-US"><span style="mso-tab-count: 1;"> </span>Rekayasa tempat pemasangan dengan tepet
seperti kipas terbuka.</span></li>
<li><span lang="EN-US"> </span><span lang="EN-US">Tempat pemasangan dilengan kiri atas, dipatirasa dengan lidokain 2%.</span><span lang="EN-US"> </span></li>
<li><span lang="EN-US">Dibuat insisi kecil, sehingga trokar dapat masuk.</span><span lang="EN-US"> </span></li>
<li><span lang="EN-US">Trokar ditusukkan subkutan batasnya.</span> </li>
<li>Kapsul dimasukkan kedalam trokar dan di dorong dengan alat pendorong sampai
terasa tertahan.<span lang="EN-US"> </span></li>
<li><span lang="EN-US">Untuk menempatkan kapsul, trokar di
tarik keluar.</span><span lang="EN-US"> </span></li>
<li><span lang="EN-US">Untuk menyakinkan bahwa kapsul telah ditempatkannya, alat pendorong
dimasukkan sampai terasa tidak ada tahanan.</span><span lang="EN-US"> </span></li>
<li><span lang="EN-US">Setelah semua kapsul dipasang, bekas insisi ditutup dengan tensoplast (<i style="mso-bidi-font-style: normal;">band aid ).</i></span></li>
</ul>
</div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; tab-stops: 30.0pt 42.0pt; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo5; tab-stops: list 24.0pt; text-align: justify; text-indent: -30.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">H.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keuntungan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Reversibilitas tinggi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Evektivitas sangat tinggi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perlindungan jangka panjang (
sampai 5 tahun )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mudah dalam pemakaian</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidak menganggu kegiatan senggama</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l3 level2 lfo5; tab-stops: list 54.0pt; text-align: justify; text-indent: -36.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidak mengganggu pengeluaran
ASI</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Klien hanya perlu kembali ke
klinik bila ada keluhan </span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Biaya ringan </span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l9 level1 lfo2; tab-stops: list 24.0pt; text-align: justify; text-indent: -30.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">I.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kerugian atau efek samping</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1).<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gangguan pola haid</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2).<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perubahan libido dan Berat Badan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3).<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Nyeri kepala, pusing, pening</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4).<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Nyeri mamae</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">5).<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perasaan mual</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">6).<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Anoreksia</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">7).<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidak dapat menghentikan pemakaian
sendiri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">8).<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Efektifitas turun jika menggunakan
obat – obatan tuberkolosis dan epilepsi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; mso-list: l9 level2 lfo2; tab-stops: list 54.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">9).<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidak bisa melindungi dari IMS</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 6.0pt;">
<span lang="EN-US">J.<span style="mso-spacerun: yes;"> </span>Pencabutan
Susuk KB</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Susuk KB bisa di cabut setiap saat bila peserta ingin
punya anak lagi, kendala yang di jumpai: </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.4pt; mso-list: l4 level1 lfo6; tab-stops: list 23.4pt; text-align: justify; text-indent: -14.4pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kendala teknik pencabutan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 73.8pt; mso-list: l4 level2 lfo6; tab-stops: list 63.0pt; text-align: justify; text-indent: -10.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemasangan terlalu dalam </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 73.8pt; mso-list: l4 level2 lfo6; tab-stops: list 63.0pt; text-align: justify; text-indent: -10.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemasangan susuk KB tidak teratur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 73.8pt; mso-list: l4 level2 lfo6; tab-stops: list 63.0pt; text-align: justify; text-indent: -10.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pemasangan yang berjauhan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.4pt; mso-list: l4 level1 lfo6; tab-stops: list 23.4pt; text-align: justify; text-indent: -14.4pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Komplikasi </span></div>
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<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Perdarahan dan hematoma </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 73.8pt; mso-list: l4 level2 lfo6; tab-stops: list 63.0pt; text-align: justify; text-indent: -10.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Infeksi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 73.8pt; mso-list: l4 level2 lfo6; tab-stops: list 63.0pt; text-align: justify; text-indent: -10.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tidak semua susuk KB besar</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 59.4pt; mso-list: l4 level1 lfo6; tab-stops: list 23.4pt; text-align: justify; text-indent: -14.4pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Biaya untuk mencabut susuk KB
besar </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 12.0pt; text-align: justify; text-indent: 24.0pt;">
<span lang="EN-US">Pada pencabutan banyak dijumpai
kesulitan sehingga diupayakan untuk merekayasa teknik pencabutan sebagai
berikut:</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 12.0pt;">
<span lang="EN-US">1. Metode standar</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 58.8pt; mso-list: l10 level1 lfo7; tab-stops: list 48.0pt; text-align: justify; text-indent: -34.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tempat pencabutan didesifektan kemudian ditutup dengan duk</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 58.8pt; mso-list: l10 level1 lfo7; tab-stops: list 48.0pt; text-align: justify; text-indent: -34.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dilakukan patirasa lokal dengan lidokain 2%</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 58.8pt; mso-list: l10 level1 lfo7; tab-stops: list 48.0pt; text-align: justify; text-indent: -34.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Insisi dibuat pada sekitar tempat insersi susuk KB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 58.8pt; mso-list: l10 level1 lfo7; tab-stops: list 48.0pt; text-align: justify; text-indent: -34.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Pencabutan dengan cara:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l10 level2 lfo7; tab-stops: 54.0pt 66.0pt 78.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Teknik blind ( buta )</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; tab-stops: list 54.0pt; text-align: justify;">
<span lang="EN-US">Kapsul dijepit dengan klem arteri
dan selanjutnya ditarik keluar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l10 level2 lfo7; tab-stops: list 54.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Teknik a vue</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; tab-stops: list 54.0pt; text-align: justify;">
<span lang="EN-US">Ujung kapsul dibersihkan dari
jaringan ikat dan selanjutnya dipegang dengan klien arteri dan dikeluarkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 12.0pt;">
<span lang="EN-US">2. Teknik
U.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l7 level1 lfo8; tab-stops: 42.0pt list 54.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Tempat pencabutan didesinfektan kemudian ditutup dengan duk steril.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l7 level1 lfo8; tab-stops: 42.0pt list 54.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Insisi dibuat sejajar dengan pemasangan susuk.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l7 level1 lfo8; tab-stops: 42.0pt list 54.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Jaringan penutup susuk KB dibersihkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l7 level1 lfo8; tab-stops: 42.0pt list 54.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Alat U dipakai memegang kapsul, ditarik kea rah insisi, jaringan
ikatnya dibersihkan dan selanjutnya kapsul ditarik keluar.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 12.0pt;">
<span lang="EN-US">3. Teknik tusuk ( Ma) pencabutan susuk KB.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 12.0pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-ascii-font-family: "Times New Roman"; mso-char-type: symbol; mso-hansi-font-family: "Times New Roman"; mso-symbol-font-family: Wingdings;"><span style="mso-char-type: symbol; mso-symbol-font-family: Wingdings;">Ø</span></span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Tahap pencabutan susuk KB
dengan “ teknik susuk “ ( Ma ) sebagai berikut:</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; mso-list: l6 level1 lfo9; tab-stops: list 48.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">A.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tahap disenfektan. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; text-align: justify; text-indent: 30.0pt;">
<span lang="EN-US">Desinfeksi lapangan operasi dengan
betadin atau isodin, yodium – alkohol, atau bahan desinfektan lainnya. Setelah
steril, lapangan operasi ditutup dengan duk steril.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; mso-list: l6 level1 lfo9; tab-stops: list 48.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tahap insisi luka tempat
pencabutan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 83.4pt; mso-list: l2 level1 lfo11; tab-stops: list 47.4pt; text-align: justify; text-indent: -29.4pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Anestesi lokal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -6.0pt;">
<span lang="EN-US" style="font-family: "Viner Hand ITC";">-</span><span lang="EN-US"><span style="mso-tab-count: 1;"> </span> Tempat susuk KB
dipasang ( ujung distal ) dengan lidokain.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -6.0pt;">
<span lang="EN-US" style="font-family: "Viner Hand ITC";">-</span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Anestesi di bawah kapsul
susuk KB sehingga dapat mendorong ke permukaan kulit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 78.0pt; text-align: justify; text-indent: -6.0pt;">
<span lang="EN-US" style="font-family: "Viner Hand ITC";">-</span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Anestesi diratakan dan
ditunggu sekitar 2 menit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 83.4pt; mso-list: l2 level1 lfo11; tab-stops: list 47.4pt; text-align: justify; text-indent: -29.4pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Insisi tempat pencabutan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 54.0pt; tab-stops: 78.0pt 90.0pt; text-align: justify; text-indent: 18.0pt;">
<span lang="EN-US" style="font-family: "Viner Hand ITC";">-</span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Dilakukan melintang di bagian pangkal susuk
KB ditusukkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 84.0pt; tab-stops: 78.0pt 90.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: "Viner Hand ITC";">-</span><span lang="EN-US"><span style="mso-tab-count: 1;"> </span> Insisi diperdalam dan jaringan ikat lemak
yang melekat pada kapsul susuk KB sebagian dibersihkan dengan klem arteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; mso-list: l6 level1 lfo9; tab-stops: list 48.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tahap pencabutan susuk KB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l0 level1 lfo10; tab-stops: list 66.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tangan kanan mendorong satu
kapsul KB kea rah luka insisi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l0 level1 lfo10; tab-stops: list 66.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tangan kiri memegang pinset
atau klem arteri untuk menjepit atau menangkap kapsul susuk KB.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l0 level1 lfo10; tab-stops: list 66.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kapsul susuk KB ditarik
semaksimal mungkin ke arah luka insisi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 66.0pt; mso-list: l0 level1 lfo10; tab-stops: list 66.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Setelah kapsul susuk KB yang
elastis terpegang oleh pinset atau klem arteri, untuk mengeluarkannya dapat
ditempuh dua jalan:</span></div>
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<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">– Bersihkan<span style="mso-spacerun: yes;"> </span>kapsul susuk KB dari jaringan ikat dengan
pisau yang di pegang oleh tangan kanan sampai tampak putih.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.0pt; tab-stops: 90.0pt; text-align: justify; text-indent: -30.0pt;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>-<span style="mso-spacerun: yes;">
</span>Setelah tampak putih ( bebas dari jaringan ikat ) alat tusuk ( Ma )
ditusukkan pada kapsul terus mengait keluar.<span style="mso-spacerun: yes;">
</span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.0pt; mso-list: l0 level2 lfo10; tab-stops: 90.0pt list 102.0pt; text-align: justify; text-indent: -30.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">– Tangan kanan mengambil alat
tusuk ( Ma ) dan menusukkan kedalam kapsul serta mengungkit kapsul ke arah luka
insisi<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; tab-stops: 90.0pt; text-align: justify;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>-<span style="mso-spacerun: yes;"> </span>Pinset atau klem arteri dilepaskan dari
tangan kiri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.0pt; tab-stops: 90.0pt; text-align: justify; text-indent: -30.0pt;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>- Tangan kiri mengambil pisau untuk
membebaskan sedikit demi sedikit kapsul dari jaringan ikat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 102.0pt; tab-stops: 90.0pt; text-align: justify; text-indent: -30.0pt;">
<span lang="EN-US"><span style="mso-tab-count: 1;"> </span>- <span style="mso-tab-count: 1;"> </span>Kapsul
terus diungkit ke arah luka insisi dan selanjutnya dengan mudah dapat
dikelurkan dari implantasinya.<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 48.0pt; mso-list: l6 level1 lfo9; tab-stops: list 48.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penutupan luka insisi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.8pt; mso-list: l6 level2 lfo9; tab-stops: list 66.0pt left 78.0pt; text-align: justify; text-indent: -22.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Luka insisi ditutup dengan tensoplast ( <i style="mso-bidi-font-style: normal;">band iad </i>).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.8pt; mso-list: l6 level2 lfo9; tab-stops: list 66.0pt left 78.0pt; text-align: justify; text-indent: -22.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Untuk profilaksis diberikan antibiotika dan analgesik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 76.8pt; mso-list: l6 level2 lfo9; tab-stops: list 66.0pt left 78.0pt; text-align: justify; text-indent: -22.8pt;">
<span lang="EN-US" style="font-family: Wingdings; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">§<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kontrol kembali setelah 5 sampai 7 hari.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; mso-list: l1 level1 lfo12; tab-stops: list 24.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">K.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Yang Boleh Menggunakan Implant</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Usia reproduksi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 129.0pt; mso-list: l6 level3 lfo9; tab-stops: 42.0pt list 48.0pt; text-align: justify; text-indent: -99.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Telah memiliki anak ataupun
yang belum.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l6 level3 lfo9; tab-stops: 42.0pt list 48.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menghendaki kontrasepsi yang
memiliki efektifitas tinggi dan menghendaki pencegahan kehamilan jangka
panjang.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l6 level3 lfo9; tab-stops: 42.0pt list 48.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menyusui dan membutuhkan
kontrasepsi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l6 level3 lfo9; tab-stops: 42.0pt list 48.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasca persalinan dan tidak
menyusui.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l6 level3 lfo9; tab-stops: 42.0pt list 48.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pasca keguguran.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l6 level3 lfo9; tab-stops: 42.0pt list 48.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidak menginginkan anak lagi,
tetapi menolak strerilisasu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l6 level3 lfo9; tab-stops: 42.0pt list 48.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Riwayat kehamilan ektopik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l6 level3 lfo9; tab-stops: 42.0pt list 48.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tekanan darah < 180/110
mmHg, dengan masalah pembekuan darah, atau anemia bulan sabit <i style="mso-bidi-font-style: normal;">( sicle cell ). </i></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l6 level3 lfo9; tab-stops: 42.0pt list 48.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidak boleh menggunakan
kontrasepsi hormonal yang mengandung estrogen.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l6 level3 lfo9; tab-stops: 42.0pt list 48.0pt; text-align: justify; text-indent: -12.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sering lupa menggunakan pil.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; mso-list: l1 level1 lfo12; tab-stops: list 24.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">L.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Yang Tidak Boleh Menggunakan
Implan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level1 lfo13; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hamil atau di duga hamil.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level1 lfo13; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan pervaginan yang
belum jelas penyebabnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level1 lfo13; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Benjolan/ kanker payudara atau
riwayat kanker payudara.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level1 lfo13; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tidak dapat menerima perubahan
pola haid yang terjadi. </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level1 lfo13; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Miom uterus dan kanker
payudara.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l16 level1 lfo13; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gangguan toleransi glukosa</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; mso-list: l1 level1 lfo12; tab-stops: list 24.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">M.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Intruksi untuk klien</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l14 level1 lfo14; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Daerah insersi harus tetap
dibiarkan kering dan bersih selama 48jam pertama.hal ini bertujuan untuk
mencegah infeksi pada luka insisi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l14 level1 lfo14; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perlu dijelaskan bahwa mungkin
terjadi sedikit rasa perih, pembengkakan, atau lebam pada daerah insisi. Hal
ini tidak perlu dikhawatirkan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l14 level1 lfo14; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pekerjaan rutin harian tetap
dikerjakan. Namun hindari benturan, gesekan, atau penekanan pada daerah insisi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l14 level1 lfo14; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Balutan penekan jangan dibuka
selama 48 jam, sedangkanplester dipertahankan hingga luka sembuh (biasanya 5
hari).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l14 level1 lfo14; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Setelah luka sembuh, daerah
tersebut dapat disentuh dan dicuci dengan tekanan yang wajar.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l14 level1 lfo14; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Bila ditemukan adanya
tanda-tanda infeksi seperti demam, peradangan atau bila rasa sakitmenetap
selama beberapa hari, segera kembali ke klinik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; mso-list: l1 level1 lfo12; tab-stops: list 24.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">N.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Informasi Lain yang Perlu Disampaikan
</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l12 level1 lfo15; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Efek kontrasepsi timbulbeberapa
jam setelah insersi dan berlangsung 5 tahun bagi Norplantdan 3 tahun bagi susuk
Implanon, dan akan berakhir sesaat setelah pengangkatan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l12 level1 lfo15; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sering ditemukan gangguan
haid,terutama pada 6 sampai 12 bulanpertama. Beberapa perempua mungkin akan
mengalami berhetinya haid sama sekali.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l12 level1 lfo15; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Obat-obat tuberculosis ataupun
obat epilepsy dapat menurunkan efektifitas implant.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l12 level1 lfo15; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Efek samping yang berhubungan
dengan implant dapat berupa sakit kepala, penambahan berat badan dan nyeri payudara.
Efek-efek samping ini tidak berbahaya dan biasanya akan hilang dengan
sendirinya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l12 level1 lfo15; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Norplant dicabut seteleh 5
tahun pemakaian dan susuk implanon dicabut setelah 3 tahun, dan bila
dikehendaki dapat dicabut lebih awal.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l12 level1 lfo15; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US"><span style="mso-spacerun: yes;"> </span>Bila Norplant dicabut sebelum 5 tahun dan
susuk Implanon sebelum 3 tahun kemungkinan hamil sangat besar, dan meningkatkan
resiko kehamilan ektopik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l12 level1 lfo15; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan kepada klien kartu yang
ditulis nama, tanggal insersi, tempat insersi, dan nama klinik.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 45.0pt; mso-list: l12 level1 lfo15; tab-stops: list 45.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Implant tidak melindungi klien
dari infeksi menular seksual, termasuk AIDS. Bila pasangan memiliki resiko,
perlu menggunakan kondom untuk melakukan hubungan seksual.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; mso-list: l1 level1 lfo12; tab-stops: list 24.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">O.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jadwal Kunjungan Kembali Ke
Klinik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 6.0pt; text-align: justify;">
<span lang="EN-US">Klien tidak perlu kembali ke klinik, kecuali ada masalah
kesehatan atau klien ingin mencabut implan. Klien dianjurkan ke klinik tempat
implan dipasang bila ditemukan hal-hal sebagai berikut:<span style="mso-spacerun: yes;"> </span></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l13 level1 lfo16; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Amenorea yang disertai nyeri
perut bagian bawah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l13 level1 lfo16; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Perdarahan yang banyak dari
kemaluan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l13 level1 lfo16; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Rasa nyeri pada lengan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l13 level1 lfo16; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Luka bekas insisi mengeluarkan
darah atau nanah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l13 level1 lfo16; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ekspulsi dari batang implant.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l13 level1 lfo16; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sakit kepala hebat atau
penglihatan menjadi kabur.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l13 level1 lfo16; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Nyeri dada hebat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l13 level1 lfo16; tab-stops: list 42.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Dugaan adanya kehamilan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 24.0pt; mso-list: l1 level1 lfo12; tab-stops: list 24.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">P.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Efek Samping</span></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 6.0pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 173.4pt;" valign="top" width="231"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Efek Samping / Masalah</span></div>
</td>
<td style="border-left: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 365.4pt;" valign="top" width="487"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Penanganan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 173.4pt;" valign="top" width="231"><ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">amenorea</span></li>
</ul>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 365.4pt;" valign="top" width="487"><ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">pastikan hamil
atau tidak, dan bila tidak hamil, tidak memerlukan penanganan khusus,
cukup konseling saja.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Bila<span style="mso-spacerun: yes;"> </span>klien tetap saja tidak dapat menerima,
angkat implant dan anjurkan menggunakan kontrasepsi lain.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Bila terjadi
kehamilan dank lien ingin melanjutkan kehamilan, cabut implant dan
jelaskan, Bahwa progestin tidak berbahaya bagi janin.Bila diduga terjadi
kehamilan ektopik klien dirujuk.Tidak ada gunanya memberikan obat
hormone untuk memancing timbulnya perdarahan.</span></li>
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Pastikan hamil
atau tidak, bila tidak hamil, perlu tindakan khusus.Cukup konseling
saja. Bila amenorea berlanjut atau hal tersebut membuat klien khawatir,
rujuk ke klinik. Bila hamil, hentikan pil, dan kehamilan dilanjutkan.
Jelaskan kepada klien bahwa minipil sangat kecil menimbulkan kelainan
pada janin. Bila diduga kehamilan ektopik klien perlu dirujuk jangan
memberikan obat-obat hormonal untuk menimbulkan haid. Kalaupun
diberikantidak akan ada gunanya.</span></li>
</ul>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 173.4pt;" valign="top" width="231"><ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Perdarahan tidak
teratur (spotting)</span></li>
</ul>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 365.4pt;" valign="top" width="487"><ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Bila tidak
menimbulkan masalah kesehatan/tidak hamil, tidak perlu tindakan khusus.
Bila klien tetap saja tidak dapat menerima kejadtan tersebut, perlu
dicari metode kontrasepsi lain.</span></li>
</ul>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 173.4pt;" valign="top" width="231"><ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Perdarahan
bercak (spoting ) ringan </span></li>
</ul>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 365.4pt;" valign="top" width="487"><ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Jelaskan pertama
bahwa perdarahan ringan sering ditemukan terutama pada tahun pertama.
Bila tidak ada masalah dan klien tidak hamil, tidak diperlukan tindakan
apapun. Bila klien tetap saja mengeluh masalah perdarahan dan ingin
melanjutkan pemakaian implant dapat diberikan pil kombinasi satu siklus
atau ibuprofen 3x800 mg selama 5 hari. Terangkan kepada klien bahwa akan
terjadi perdarahan lebih banyak dari biasa., berikan 2 tablet pil
kombinasi 3-7 hari dan kemudian dilanjutkan dengan satu siklus pil
kombinasi, atau dapat juga diberikan 50 mg etinilestradiol, atau 1,25 mg
estrogen equin konjugasi untuk 14-21 hari.</span></li>
</ul>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 173.4pt;" valign="top" width="231"><ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Ekspulsi</span></li>
</ul>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 365.4pt;" valign="top" width="487"><ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Cabut kapsul
yang ekspulsi, periksa apakah kapsul yang lain masih di tempat dan
apakah terdapat tanda-tanda infeksi daerah insersi. Bila tidak ada
infeksi dan kapsul lain masih berada pada tempatnya pasang kapsul baru 1
buah pada tempat insersi yang berbeda . Bila ada infeksi cabut seluruh
kapsul yang ada dan pasang kapsul yang baru pada lengan yang lain atau
anjurkan klien untuk menggunakan kontrasepsi lain. </span></li>
</ul>
</td>
</tr>
<tr style="height: 26.5pt; mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; height: 26.5pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 173.4pt;" valign="top" width="231"><ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Infeksi pada
daerah insersi</span></li>
</ul>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; height: 26.5pt; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 365.4pt;" valign="top" width="487"><ul style="margin-top: 0cm;" type="disc">
<li class="MsoNormal" style="line-height: 150%; mso-list: l5 level1 lfo17; tab-stops: list 36.0pt; text-align: justify;"><span lang="EN-US">Bila terdapat
infeksi tanpa nanah, bersihkan dengan sabun dan air, atau antiseptic.
Berikan antibiotic yang sesuai untuk 7 hari. Implan jangan dilepas dan
klien diminta kembali satu minggu.<span style="mso-spacerun: yes;">
</span>Apabila tidak membaik, cabut implan dan pasang yang baru pada
sisi lengan yang lain atau metode kontrasepsi yang lain. Apabila
ditemukan abses, bersihkan dengan antiseptic, insisi dan alirkan pus
keluar, cabut impalan, lakukan perawatan luka dan berikan antibiotic
oral 7 hari.</span></li>
</ul>
</td>
</tr>
<tr style="mso-yfti-irow: 6;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 173.4pt;" valign="top" width="231"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 365.4pt;" valign="top" width="487"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
</tr>
<tr style="mso-yfti-irow: 7; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 173.4pt;" valign="top" width="231"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 365.4pt;" valign="top" width="487"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; margin-left: 6.0pt; text-align: justify;">
<span lang="EN-US">Rumor-rumornya di masyarakat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l5 level2 lfo17; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Verdana","sans-serif"; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana;"><span style="mso-list: Ignore;">•<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Dalam islam KB implant atau susuk itu haram.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 72.0pt; mso-list: l5 level2 lfo17; tab-stops: list 72.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Verdana","sans-serif"; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana;"><span style="mso-list: Ignore;">•<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Implan atau susuk itu menyatu dengan daging sehingga susah dicabut.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l15 level1 lfo3; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Verdana","sans-serif"; mso-bidi-font-family: Verdana; mso-fareast-font-family: Verdana;"><span style="mso-list: Ignore;">•<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Periksa ulang pemasangan implan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; mso-outline-level: 1; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Jadwal kunjungan</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="EN-US">Klien tidak perlu kembali ke klinik, kecuali ada masalah
kesehatan atau klien ingin mencabut implant</span><span style="mso-ansi-language: IN;"></span></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-32400458615804866082013-01-25T06:00:00.002-08:002013-05-19T23:01:20.958-07:00KONTRASEPSI SUNTIK<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">KONTRASEPI SUNTIK</span></b><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://s.tuspics.net/img/i/00097/5q3cn4ioostn.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" height="240" src="http://s.tuspics.net/img/i/00097/5q3cn4ioostn.jpg" width="320" /></a></div>
</div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Pengertian</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Suntikan KB adl alat
kontrasepsi jangka lama yang diberikan tiap 3 bln dan ada juga yang diberikan
tiap 1 bln.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Fungsi KB suntik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l6 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">•<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mencegah pelepasan telur, shg
tdk bsa dibuahi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l6 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="font-family: "Tahoma","sans-serif"; mso-ansi-language: SV; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">•<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Memperkental
lendir leher rahim, shg sperma tidak bisa masuk</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l6 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="SV" style="font-family: "Tahoma","sans-serif"; mso-ansi-language: SV; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">•<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Menipiskan
dinding rahim shg tidak bisa utk pengeraman telur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l6 level1 lfo1; tab-stops: list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Tahoma","sans-serif"; mso-fareast-font-family: Tahoma;"><span style="mso-list: Ignore;">•<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menghambat pematangan sel telur</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Suntikan KB tidak dapat diberikan bila :<br />
1. kemungkinan hamil atau terbukti hamil setelah menjalani tes kehamilan<br />
2. menderita tekanan darah tinggi</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Macam-macam
Kontrasepsi Suntik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Comic Sans MS"; mso-bidi-font-family: "Comic Sans MS"; mso-fareast-font-family: "Comic Sans MS";"><span style="mso-list: Ignore;">•<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kontrasepsi suntik 3 bln sekali</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Comic Sans MS"; mso-bidi-font-family: "Comic Sans MS"; mso-fareast-font-family: "Comic Sans MS";"><span style="mso-list: Ignore;">•<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Kontrasepsi suntik 1 bln sekali</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Kontrasepsi Suntik
3 Bln Sekali</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span lang="EN-US">DMPA
(Depo-Provera)</span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US"><span style="mso-spacerun: yes;"> </span>adl jenis obat kontrasepsi suntik</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">1. Cara kerja :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menghalangi ovulasi jalan
menekan pembentukan Releasing Factor</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Lendir
servik mjd kental, menghambat penetrasi sperma</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tjd
perubahan endometrium, tdk tjd nidasi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l4 level1 lfo3; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">K’cpatan
transpor ovum m’llui tuba b’rubah</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">2 .Cara Pemberian</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>Disuntikkan secara IM, pd
musculus gluteus, agak dalam. Sebelum diberikan, obat dikocok dlu sampai lama
dan benar2 larut serta tercampur (dosis 150 mg) </span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">3 .Efektivitas</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>Tinggi, cocok utk ibu
menyusui, sederhana, aman.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">4. Efek Samping</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l1 level1 lfo4; tab-stops: list 42.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Amenorhea</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l1 level1 lfo4; tab-stops: list 42.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Spotting</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l1 level1 lfo4; tab-stops: list 42.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">BB b’tambah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l1 level1 lfo4; tab-stops: list 42.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menorragie</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l1 level1 lfo4; tab-stops: list 42.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mual</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l1 level1 lfo4; tab-stops: list 42.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sakit kepala</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">NET EN (Nonsterat)</span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">1 .Cara Kerja</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>Tidak tjd penetrasi sperma,
krn lendir servik berubah kental spt lem.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">2. Cara Pemberian</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>Disuntikkan scr IM, pada
otot gluteus agak dlm dgn dosis 200 mg</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Efektivitas</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span>Siklus haid lebih stabil,
amenorhea jarang.</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">4. Efek Samping</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gangguan haid</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l3 level1 lfo5; tab-stops: list 36.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">BB b’tambah 1-5 kg pd th
pertama</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sakit kepala</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<b><span lang="EN-US">Kontrasepsi
Suntik 1 Bln Sekali</span></b></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Jenis Obat :<br />
<span style="mso-spacerun: yes;"> </span>a. Cycloprovera</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US"><span style="mso-spacerun: yes;"> </span>b. HRP 102 (Human Reproduktion Program)</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Cycloprovera</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Kombinasi 25 mg
DMPA dan 5 mg estradinol cypionate</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">B. HRP 102 </span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Kombinasi 50 mg NET EN dan 5 mg estradinol falerate</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Kelebihan Kontrasepsi
Suntik 1 bln sekali</span></div>
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<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; mso-list: l0 level1 lfo6; tab-stops: list 30.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jarang timbul spotting</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; mso-list: l0 level1 lfo6; tab-stops: list 30.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">-<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jarang timbul amenorhea</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Kerugian :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; mso-list: l5 level5 lfo7; tab-stops: list 30.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penyuntikan lebih sering</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; mso-list: l5 level5 lfo7; tab-stops: list 30.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Biaya lebih tinggi</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; mso-list: l5 level5 lfo7; tab-stops: list 30.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Haid teratur</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; mso-list: l5 level5 lfo7; tab-stops: list 30.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jarang timbul spotting</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 30.0pt; mso-list: l5 level5 lfo7; tab-stops: list 30.0pt; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: "Courier New"; mso-fareast-font-family: "Courier New";"><span style="mso-list: Ignore;">o<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jarang timbul amenorhea</span></div>
<div class="MsoNormal" style="line-height: 150%;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<span lang="EN-US">Kerugian :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l7 level1 lfo8; tab-stops: list 42.0pt; text-indent: -18.0pt;">
<span lang="SV" style="font-family: Wingdings; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Penyuntikan lebih sering</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l7 level1 lfo8; tab-stops: list 42.0pt; text-indent: -18.0pt;">
<span lang="SV" style="font-family: Wingdings; mso-ansi-language: SV; mso-bidi-font-family: Wingdings; mso-fareast-font-family: Wingdings;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="EN-US">Biaya lebih tinggi</span></div>
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com1tag:blogger.com,1999:blog-1046821544739119892.post-83222334179250179592013-01-25T05:58:00.003-08:002013-05-19T23:10:32.980-07:00KETUBAN PECAH DINI (KPD)<div dir="ltr" style="text-align: left;" trbidi="on">
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<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">KETUBAN PECAH DINI (KPD)</span></b><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://z.tuspics.net/img/i/00097/vk2m4tj3ouvo.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://z.tuspics.net/img/i/00097/vk2m4tj3ouvo.jpg" /></a></div>
</div>
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">PENGERTIAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;">Ketuban pecah dini adalah ketuban pecah sebelum
proses persalinan berlangsung (Buku Acuan Kesehatan Maternal dan Neonatal,
yayasan Bina Pustaka sarwono Prawiroharjo. Jakarta 2002).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;">Ketuban pecah dini adalah pecahnya ketuban sebelum
inpartu, yaitu bila pembukaab pada primi < 3 cm, dan pada multi < 5 cm.
(Sinopsis Obstetri, Prof. Dr. Rustam Mochtar, MPH. jilid I ).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;">Bila periode laten terlalu panjang, dan ketuban
sudah pecah, maka dapat terjadi infeksi yang dapat meningkatkan AKB dan AKI.
Ketuban pecah dini merupakan masalah penting dalam obstetric, berkaitan dengan
penyulit kelahiran premature, dan terjadinya infeksi khorioamnionitis.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-indent: 1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;">KPD disebabkan oleh karena berkurangnya usia
gestasi, adanya infeksi pada komplikasi ibu dan janin, dan adanya tanda – tanda
persalinan. (Acuan Nasional Pelayanan Kesehatan Maternal dan Neonatal yayasan
Bina Pustaka Sarwono Prawiroharko. Jakarta 2002)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">ETIOLOGI</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="SV" style="mso-ansi-language: SV;">Sampai saat ini, penyebab dari
KPD belum dikethui dengan pasti, namun prinsipnya, berkurangnya kekuatan lternat
oleh karena adanya peningkatan tekanan intra uteri, misalnya pada hidramnion
dan gemeli.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PATOGENESIS</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Adanya hipermotilasi rahim yang sudah lama
terjadi sebelum ketuban pecah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Selaput ketuban terlalu tipis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Infeksi lamnionitis /
korioamnionitis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">ltern – ltern lain yang
merupakan predisposisi ialah : multipara, malposisi, disproporsi, cervic
incompetent dll</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">KPD artificial (amniotomi),
dimana ketuban dipecahkan terlalu dini.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Penilaian klinis :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tentukan pecahnya selaput
ketuban. Ditentukan dengan adanya cairan ketuban di vagina, jika tidak ada,
dapat dicoba dengan gerakan sedikit bagian bawah janin, atau meminta pasien
batuk / mnegejan. Penentuan cairan ketuban dapat dilakukan dnegan tes lakmus
(nitrazin test), merah menjadi biru. Membantu dalam menentukan jumlah cairan
ketuban dan usia kehamilan, kelainan janin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tentukan usia kehamilan, bila perlu dengan
USG</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tentukan ada tidaknya infeksi, tanda –
tanda infeksi bila suhu ibu > 38 </span><span lang="SV" style="font-family: "Tw Cen MT Condensed","sans-serif"; mso-ansi-language: SV;">°</span><span lang="SV" style="mso-ansi-language: SV;"> C, air ketuban yang keruh dan berbau. Pemeriksaan
air ketuban, dengan test LEA (lekosit esterase), lekosit darah > 15.000 / mm<sup>3</sup>.
janin yang mengalami takikardi, mungkin mengalami infeksi intra uteri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tentukan
tanda – tanda inpartu, tentukan adanya kontraksi yang teratur, periksa dalam
dilakukan bila akan dilakukan penanganan aktif (terminasi kehamilan) antara
lain untuk menilai skor pelvic. </span><span lang="EN-US">(Maternal Neonatal.
Yayasan Bina Pustaka Prawiriharjo. Jakarta 2002)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Memeriksa adanya cairan yang
berisi meconeum, vernic kaseosa, rambut lanugo, bila telah terinfeksi berbau.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Inspekulo : lihat dan
perhatikan apakah memang air ketuban keluar dari kanalis cerviks dan apakah ada
bagian yang sudah pecah </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Periksa PH forniks posterior
pada prom PH adalah basa (air ketuban)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pemeriksaan histopatologi air (ketuban).
Aborization dan sitologi air ketuban (synopsis lternati)</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">PENGARUH DARI KPD</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Pengaruh KPD dibagi menjadi 2, yaitu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pengaruh terhadap janin</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Walaupun ibu belum menunjukkan gejala infeksi, tetapi
pada janin memungkinkan sudah terkena infeksi, karena infeksi intra uterine
lebih dahulu terjadi (amnionitis, vaskulitis) sebelum gejala pada ibu
dirasakan. Selain itu, air ketuban yang keluar terus – menerus akan
mempengaruhi suplai makanan dan O<sub>2</sub> terhadap janin, sehingga besar
kemungkinan akan terjadi infeksi terhadap janin.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pengaruh terhadap Ibu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Karena jalan sudah terbuka,
maka dpat terjadi infeksi intranatal, apalagi bila terlalu sering dilakukannya
periksa dalam. </span><span lang="EN-US">Selain itu dapat dijumpai infeksi
puerperalis (nifas) peritonitis, septicemia, dary labor.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Ibu akan merasa lelah karena
terbaring di tempat tidur, partus akan menjadi lama, maka suhu badan naik, nadi
cepat, dan nampaklah gejala – gejala infeksi.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">PENANGANAN KPD</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Penanganan KPD dibagi menjadi 2 cara, yaitu :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Secara konservatif</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Rawat di rumah sakit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Berikan antibiotic (ampisillin 4x500 mg /
eritromicyn bila alergi terhadap ampicillin) dan metronidazole 2x500 mg selama
7 hari.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika umur kehamilan 32-34 minggu, dirawat
selama air ketuban masih keluar (sampai air ketuban tidak keluar lagi).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika
umur kehamilan 32-37 minggu, belum inpartu, tidak ada infeksi, tes busa (-)
negative, beri dexamethasone, observasi tanda – tanda infeksi dan kesejahteraan
janin. </span><span lang="EN-US">Terminasi pada kehamilan 37 minggu.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika umur kehamilan 32 – 37 minggu, sudah
inpartu, tidak ada infeksi, berikan tokolitik (salbutamol), dexamethasone, dan
induksi seesudah 24 jam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Jika usia kehamilan 32-37 minggu, ada
infeksi, beri antibiotic dan lakukan induksi.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Nilai tanda – tanda infeksi (suhu naik,
leukosit, dan tanda – tanda infeksi intra uterin)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pada usia kehamilan 32-34 minggu, berikan
asteroid, untuk memacu kematangan paru janin, dan kalau memungkinkan, periksa
kadar lacitin dan spingoielin tiap minggu, dosis dexamethasone 12 mg/hari,
dosis tunggal selama 2 hari, dexamethasone IM 5 mg/6 jam/hari sebanyak 4x.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Bila tanda – tanda infeksi, berikan
antibiotic dosis tinggi, dan persalinan diakhiri, dengan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Bila
skor pelvic < 5, lakukan pematangan serviks, kemudian induksi. </span><span lang="EN-US">Jika tidak berhasil, akhiri persalinan dengan SC</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Bila
skor pelvic > 5, induksi persalinan dan lakukan persalinan per vaginam.
(Buku Acuan Maternal dan Neonatal, Yayasan Bina Pustaka Sarwono Prawiriharjo. </span><span lang="EN-US">Jakarta 2002).</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="SV" style="font-family: Symbol; mso-ansi-language: SV; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Selain itu, penatalaksanaan persalinan
dengan KPD dapat dilakukan dengan :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level2 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="SV" style="mso-ansi-language: SV;">Bila
anak belum viable, (<36 minggu), penderita dianjurkan untuk istirahat di
tempat tidu, dan berikan obat antibiotika profilaksis, spasmolifika, dan
robaransia. </span><span lang="EN-US">Dengan tujuan untuk mengundur waktu sampai
anak viable</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.55pt; mso-list: l4 level2 lfo1; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Bila anak sudah vaibel (>36 minggu),
lakukan induksi partus 6 – 12 jam setelah lagpase, dan lakukan antibiotika
profilaksis, pada kasus – kasus dimana indukdi partus dengan drip sintosinon
gagal, maka lakukan tindakan operatif.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Jadi, pada kasus KPD
penyelesaian persalinan dapat melalui :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Partus spontan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ekstraksi vakum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Embriotomi, bila anak sudah
meninggal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l0 level1 lfo4; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;"><span style="mso-spacerun: yes;"> </span>Sectio sesaria, bila ada indikasi obstetric.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify; text-indent: 14.2pt;">
<span lang="EN-US">(Sinopsis obstetric, Dr. rustam
Muchtar. Jilid I)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l2 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Secara aktif</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">KOMPLIKASI KPD</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Komplikasi yang ditimbulkan dari KPD antara lain :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Komplikasi pada anak IUFD
prematuritas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l5 level1 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Komplikasi pada Ibu</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Partus lama dan infeksi,
atonia uteri, perdarahan post partum atau infeksi nifas. </span><span lang="EN-US">(Sinopsis Obstetri, Dr. Rustam Muchtar).</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENATALAKSANAAN KPD</span></b></div>
<table border="1" cellpadding="0" cellspacing="0" class="MsoTableGrid" style="border-collapse: collapse; border: none; margin-left: 5.4pt; mso-border-alt: solid windowtext .5pt; mso-padding-alt: 0cm 5.4pt 0cm 5.4pt; mso-yfti-tbllook: 480;">
<tbody>
<tr style="mso-yfti-firstrow: yes; mso-yfti-irow: 0;">
<td colspan="4" style="border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 414.0pt;" valign="top" width="552"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Ketuban pecah</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 1;">
<td colspan="2" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 206.75pt;" valign="top" width="276"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">< 37 Minggu</span></div>
</td>
<td colspan="2" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.25pt;" valign="top" width="276"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US" style="font-family: "Tw Cen MT Condensed","sans-serif";">≥</span><span lang="EN-US"> 37 Minggu</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 2;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.65pt;" valign="top" width="134"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Infeksi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.1pt;" valign="top" width="141"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Tidak ada infeksi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.1pt;" valign="top" width="141"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Infeksi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 101.15pt;" valign="top" width="135"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Tidak ada infeksi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 3;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.65pt;" valign="top" width="134"><div class="MsoNormal" style="line-height: 150%;">
<span lang="SV" style="mso-ansi-language: SV;">Berikan penicillin, gentamicyn, dan metronidazole, lahirkan bayi.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.1pt;" valign="top" width="141"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Amoxillin + eritromicyn untuk 7 hari, steroid
untuk pematangan paru.</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.1pt;" valign="top" width="141"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Berikan penicillin, gentamicyn, dan
metronidazole, lahirkan bayi</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 101.15pt;" valign="top" width="135"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Lahirkan bayi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 4;">
<td colspan="4" style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 414.0pt;" valign="top" width="552"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Antibiotika setelah melahirkan</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 5;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.65pt;" valign="top" width="134"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Profilaksis</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.1pt;" valign="top" width="141"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Infeksi</span></div>
</td>
<td colspan="2" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.25pt;" valign="top" width="276"><div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<span lang="EN-US">Tidak ada infeksi</span></div>
</td>
</tr>
<tr style="mso-yfti-irow: 6; mso-yfti-lastrow: yes;">
<td style="border-top: none; border: solid windowtext 1.0pt; mso-border-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 100.65pt;" valign="top" width="134"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Stop antibiotika</span></div>
</td>
<td style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 106.1pt;" valign="top" width="141"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Lanjutkan untuk 24 jam setelah bebas panas</span></div>
</td>
<td colspan="2" style="border-bottom: solid windowtext 1.0pt; border-left: none; border-right: solid windowtext 1.0pt; border-top: none; mso-border-alt: solid windowtext .5pt; mso-border-left-alt: solid windowtext .5pt; mso-border-top-alt: solid windowtext .5pt; padding: 0cm 5.4pt 0cm 5.4pt; width: 207.25pt;" valign="top" width="276"><div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Tidak perlu antibiotika</span></div>
</td>
</tr>
</tbody></table>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-36724304526963748602013-01-25T05:57:00.002-08:002013-01-25T05:57:13.852-08:00KEPUTIHAN<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; tab-stops: 0cm; text-align: center;">
<span lang="EN-US">KEPUTIHAN (LEUKOREA)</span></div>
<div align="center" class="MsoNormal" style="line-height: 150%; tab-stops: 0cm; text-align: center;">
<br /></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo1; tab-stops: 0cm list 18.0pt; 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 "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Definisi</span></b></div>
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<span lang="EN-US">Leukorea (white
discharge, flour albus, keputihan) adalah nama gejala yang diberikan kepada
cairan yang dikeluarkan dari alat-alat genital yang tidak berupa darah.</span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">B.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Etiologi</span></b></div>
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<span lang="EN-US">Leukorea merupakan
gejala yang paling sering dijumpai pada penderita ginekologik, adanya gejala
ini diketahui penderita karena mengotori celananya. Dengan memperhatikan cairan
yang keluar, terkadang dapat diketahui penyebab keputihan yaitu:</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Infeksi gonore, misalnya
menghasilkan banyak cairan kental, bernanah dan berwarna kuning kehijauan.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Parasit trichomonas vaginalis
menghasilkan banyak cairan, berupa cairan encer berwarna kuning kelabu</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keputihan yang disertai bau
busuk dapat disebabkan oleh kanker.</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo1; tab-stops: 0cm list 18.0pt; text-align: justify; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">C.<span style="font: 7.0pt "Times New Roman";"> </span></span></span></b><b style="mso-bidi-font-weight: normal;"><span lang="EN-US">Patofisiologi</span></b></div>
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<span lang="EN-US">Banyak hal
sebenarnya yang membuat wanita rawan terkena keputihan patologis. Biasanya
penyebab keputihan patologis ini karena kuman. Di dalam vagina sebenarnya bukan
tempat yang steril, berbagai macam kuman ada disitu. Flora normal didalam
vagina membantu menjaga keasaman PH vagina, pada keadaan yang optimal. PH
vagina seharusnya antara 3,5-5,5. flora normal ini bisa terganggu. Misalnya
karena pemakaian antiseptic untuk daerah vagina bagian dalam. Ketidakseimbangan
ini mengakibatkan tumbuhnya jamur dan kuman-kuman yang lain. Padahal adanya
flora normal dibutuhkan untuk menekan tumbuhan yang lain itu untuk tidak tumbuh
subur. Kalau keasaman dalam vagina berubah, maka kuman-kuman lain dengan mudah
akan tumbuh sehingga akibatnya bisa terjadi infeksi yang akhirnya menyebabkan
keputihan yang berbau, gatal dan menimbulkan ketidaknyamanan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 18.0pt; text-align: justify; text-indent: 18.0pt;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level1 lfo1; tab-stops: 0cm list 18.0pt; text-align: justify; text-indent: -36.0pt;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">D.<span style="font: 7.0pt "Times New Roman";"> </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" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keluarnya cairan berwarna
putih, kekuningan atau putih kelabu dari saluran vagina. Cairan ini dapat encer
atau kental dan kadang-kadang berbusa. Mungkin gejala ini<span style="mso-spacerun: yes;"> </span>merupakan proses normal sebelum atau sesudah
haid pada wanita tertentu.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pada penderita tertentu,
terdapat rasa gatal yang menyertainya. Biasanya keputihan yang normal tidak
disertai dengan rasa gatal. Keputihan juga dalam dialami oleh wanita yang
terlalu lelah atau yang daya tahan tubuhnya lemah. Sebagian besar cairan
tersebut berasal dari leher rahim, walaupun ada yang berasal dari vagina yang
terinfeksi atau alat kelamin luar.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pada bayi perempuan yang baru
lahir, dalam waktu satu hingga sepuluh hari dari vaginanya dapat keluar cairan
akibat pengaruh hormone yang dihasilkan oleh plasenta atau uri.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l1 level2 lfo1; tab-stops: 0cm; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gadis muda terkadang juga
mengalami keputihan, sesaat sebelum masa pubertas. Biasanya gejala ini akan
hilang dengan sendirinya.</span></div>
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<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="EN-US"><span style="mso-list: Ignore;">E.<span style="font: 7.0pt "Times New Roman";"> </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">Keputihan dapat diatasi dengan
berbagai cara tergantung pada penyebabnya.</span></div>
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<span lang="EN-US">Cara mencegah keputihan: </span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Menjaga kebersihan daerah
vagina </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; tab-stops: 0cm 18.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Membilas vagina dengan cara
yang benar</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; tab-stops: 0cm 18.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jangan suka tukar menukar
celana dalam menggunakan celana dalam bersama dengan teman wanita lainnya.</span></div>
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<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jangan menggunakan handuk
bersamaan (suka tukar menukar handuk)</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l2 level1 lfo2; tab-stops: 0cm 18.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lebih berhati-hati dalam
menggunakan sarana toilet umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 18.0pt; tab-stops: 0cm 18.0pt; text-align: justify;">
<span lang="EN-US">Yang perlu diperhatikan </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo3; tab-stops: 0cm 18.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Cara membilas vagina yang
benar, setelah habis buang air besar atau sehabis buang air kecil, sebaiknya
membilas vagina dari arah depan kebelakang kea rah anus </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo3; tab-stops: 0cm 18.0pt 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keputihan fisiologis (normal)
cirri-cirinya lendirnya seperti lender bening, tidak gatal dan tidak berbau.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 36.0pt; mso-list: l0 level1 lfo3; tab-stops: 0cm 18.0pt list 36.0pt; text-align: justify; text-indent: -18.0pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keputihan patologis (karena
penyakit), cirri-cirinya warna lendirnya tidak bening lagi tetapi putih seperti
kepala susu, bias kuning kehijauan atau kecoklatan, bahkan bias kemerahan
karena adanya darah. Biasanya disertai rasa gatal dan ada bau yang menyertai.</span></div>
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<br /></div>
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muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-27175147036095180162013-01-25T05:55:00.002-08:002013-01-25T05:55:43.884-08:00HYDRAMNION<div dir="ltr" style="text-align: left;" trbidi="on">
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">HYDRAMNION</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Air ketuban paling banyak pada
minngu ke 38 ialah sebanyak 1030 cc pada ahir kehamilan tinggal 790 ccdan terus
bekurang sehiungga pada minggu ke 43 hanya 240cc pada ahir kehamilan seluruh
air ketuban di ganti dalam 2jam berhubungan adanya produksi dan pengaliran</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Macam – macam hydromion</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l0 level1 lfo1; tab-stops: list 42.0pt; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Hydromnion yang chronis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Dimana penambahan air ketuban
perlahan – lahan berangsur – angsur ini bentuk yang paling umum</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l0 level1 lfo1; tab-stops: list 42.0pt; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Hydromnion yang akut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Dimana penambahan cairan
ketuban terjadi dalam beberapa hari biasanya terjadi pada kehamilan muda pada
buylan ke IV atau V</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Etiologinya</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Hydronion belum jelas</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Hydromnion terjadi secara</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="SV" style="mso-ansi-language: SV;">Produksi
air ketuban bertambah</span></i></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Yang di duga meng hasilkan air
ketuban ialah epitel amnion tapi air ketuban dapat bertambah karena cairan lain
masuk kedalam amnion</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<i style="mso-bidi-font-style: normal;"><span lang="SV" style="mso-ansi-language: SV;">Pengaliran
air ketuban terganggu</span></i></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Aire ketuban yang telah di
buat di alirkan dan diganti dengan yang barusalah satu jalan pengaliran ialah
ditelan oleh janin diapsorsi oleh usus dan dialirkan oleh plasenta</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Gejala – gejala</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l1 level1 lfo2; tab-stops: list 42.0pt; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">sesak nafas</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l1 level1 lfo2; tab-stops: list 42.0pt; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">oedem labia vulva dan dinding perut</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l1 level1 lfo2; tab-stops: list 42.0pt; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Regangan dinding rahim sendiri menimbulkan
nyeri</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l1 level1 lfo2; tab-stops: list 42.0pt; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;"><span style="mso-spacerun: yes;"> </span>palpasi anak sulit</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 42.0pt; mso-list: l1 level1 lfo2; tab-stops: list 42.0pt; 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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">bunyi jantung tidak sering terdengar</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Diagnosa</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Hydromnion harus di bedakan
dari asites a ovarii dan mola hidodidosa</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="SV" style="mso-ansi-language: SV;">Untuk membantu diaknostik dan untuk mencari etiologi
di buat foto rogen atau ultasonogram yang dapat memperlihatkan anencephalus
gemeli dan lain – lain</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Pengobatan</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 36.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Hydromnion yang ringan tidak
memerlukan terapi dapat di beri sedatifa dan diit pantang garam karlo perlu </span></div>
<div class="MsoNormal">
<br /></div>
</div>
muanizhttp://www.blogger.com/profile/14856911187063367978noreply@blogger.com0tag:blogger.com,1999:blog-1046821544739119892.post-5653953731764109552013-01-25T05:54:00.003-08:002013-05-19T23:37:35.479-07:00HIPEREMESIS GRAVIDARUM (HEG)<div dir="ltr" style="text-align: left;" trbidi="on">
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<br />
<div align="center" class="MsoNormal" style="line-height: 150%; text-align: center;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">HIPEREMESIS GRAVIDARUM</span></b><br />
<br />
<div class="separator" style="clear: both; text-align: center;">
<a href="http://z.tuspics.net/img/i/00097/9fxui4t181fx.jpg" imageanchor="1" style="margin-left: 1em; margin-right: 1em;"><img border="0" src="http://z.tuspics.net/img/i/00097/9fxui4t181fx.jpg" /></a></div>
</div>
<div class="MsoNormal" style="line-height: 150%;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENGERTIAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US">Mual dan muntah yang berlebihan pada wanita hamil sampai
mengganggu pekerjaan sehari – hari arena keadaan pada umumnya menjadi buruk,
karena terjadi dehidrasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">ETIOLOGI</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Sebab pasti belum diketahui. Tetapi ltern predisposisi dapat
dijabarkan sebagai berikut :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Sering terjadi pada primi
gravida, molahidatidosa, DM, dan kehamilan ganda akibat peningkatan kadar HCG.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">ltern organic, karena masuknya
vili khoriales dalam sirkulasi maternal dan perubahan metabolic.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">ltern psikologi, keretakan
rumah tangga, kehilangan pekerjaan, rasa takut terhadap kehamilan dan
persalinan, takut memikul tanggungjawab dan sebagainya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l3 level1 lfo1; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">ltern endokrin lainnya,
hipertiroid, DM, dan lain – lain.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">GEJALA DAN TINGKAT</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US">Batas mual muntah berapa banyak yang disebut Hiperemesis
Gravidarum tidak ada kesepakatan. Ada
yang mengatakan lte > 10x muntah, akan tetapi apabila keadaan umum ibu
berpengaruh dianggap sebagai hiperemesis.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<span lang="EN-US">Gambaran gejala hiperemesis Gravidarum secara klinis dapat dibagi
menjadi 3 tingkat :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l5 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tingkat 1 : Ringan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l5 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Muntah berlangsung terus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l5 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Makan berkurang </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l5 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berat badan menurun </span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l5 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kulit dehidrasi, tonusnya lemah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l5 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Nyeri di daerah epigastrium</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l5 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tekanan darah turun, dan nadi
meningkat</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l5 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Lidah kering</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l5 level2 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mata tampak cekung.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l5 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tingkat II : Sedang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penderita tampak lebih lemah</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gejala dehidrasi makin tampak,
mata cekung, turgor kulit kurang, lidah kering dan kotor.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tekanan darah turun, nadi
meningkat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berat badan makin menurun</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mata ikterik</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gejala hemokonsentrasi makin
tampak : urin berkurang, badan aseton dalam urin meningkat.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Terjadinya gangguan BAB</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Mulai tampak gejala gangguan
kesadaran, menjadi apatis.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l2 level2 lfo5; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Nafas berbau aseton.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l5 level1 lfo2; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Tingkat III : Ringan</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l4 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Muntah berkurang</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l4 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Keadaan umum wanita hamil makin
menurun : tekanan darah turun, nadi meningkat, suhu naik, keadaan dehidrasi
makin jelas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l4 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gangguan fungsi hati terjadi
dengan manifestasi ikterus</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l4 level2 lfo6; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US" style="font-family: Symbol; mso-bidi-font-family: Symbol; mso-fareast-font-family: Symbol;"><span style="mso-list: Ignore;">·<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Gangguan kesadaran dalam bentuk
: somnolen sampai koma, komplikasi susunan saraf pusat (ensefalopati wernicke)
: nistaqmus – perubahan arah bola mata, diplopia ga,bar tampak ganda, perubahan
mental.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">DIAGNOSIS HIPEREMESIS
GRAVIDARUM</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US">Menetapkan kejadian Hiperemesis Gravidarum tidak sukar,
dengan menentukan kehamilan, muntah berlebihan sampai menimbulkan gangguan
kehidupan sehari – hari dan dehidrasi.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US">Muntah yang berlebihan atau tanpa pengobatn dapat
menimbulkan gangguan tumbuh kembang janin dalam rahim dengan manifestasi
kliniknya oleh karena itu, Hiperemesis Gravidarum berkelanjutan harus mendapat
pengobatan yang adekuat.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PATOLOGI</span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US">Dari otopsi wanita yang meninggal karena Hiperemesis
gravidarum diperoleh keterangan bahwa terjadi kelainan pada organ – organ tubuh
sebagai berikut :</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hepar</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Pada tingkat ringan hanya ditemukan degenerasi lemak
sentrilobuler tanpa nekrosis</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Jantung</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Jantung Atrofi, kecil dari biasa, kadangkala dikumpai
pendarahan Sub – Endokardial</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Otak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Terdapat bercak perdarahan pada otak</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l0 level1 lfo3; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Ginjal</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; text-align: justify;">
<span lang="EN-US">Tampak pucat, degenerasi lemak pada tubuh konforti.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PENANGANAN</span></b></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Pencegahan, dengan memberikan
informasi dan edukasi tentang kehamilan kepada ibu – ibu dengan maksud
menghilangkan ltern psikis rasa takut, juga tentang ibu hamil, makan jangan
sekaligus banyak, tetapi dalam porsi sedikit – sedikit namun sering. Jangan
tiba – tiba berdiri waktu bangun pagi, akan terasa oyong, mual, dan muntah.
Defekasi hendaknya diusahakan teratur.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Terapi obat, menggunakan
sedative (luminal, stesolid), vitamin (B1 dan B6). Anti muntah (Mediamer B6,
Drammamin, Avopreg, Avonim, Torecan), Antarida dan anti mulas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 14.2pt; mso-list: l1 level1 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Hiperemesis Gravidarum tingkat
II dan III harus dirawat inap di rumah sakit.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">a.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Kadang – kadang pada beberapa wanita,
hanya tidur di rumah sakit saja, telah banyak mengurangi mual muntahnya.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">b.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Isolasi jangan terlalu banyak
tamu, kalau perlu hanya perawat dan dokter saja yang boleh masuk. Kadang kala
hal ini saja, tanpa pengobatan khusus telah mengurangi mual dan muntah.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">c.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Terapi psikologik : Berikan
pengertian bahwa kehamilan adalah suatu hal yang wajar, normal dan fisiologis.
Jadi tidak perlu takut dan<span style="mso-spacerun: yes;"> </span>khawatir.
Cari dan coba hilangkan ltern psikologis seperti keadaan sosioekonomi dan
pekerjaan serta lingkungan.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">d.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Penambahan cairan, berikan
infuse dekstrose atau glucose 5% sebanyak 2 sampai 3 liter dalam 24 jam.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">e.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Berikan obat – obatan seperti :
sedative (luminal, sfesolid), vitamin ( B1 dan B6), anti muntah (Mediamer B6,
Drammamin, Auopreg, Avomin Terecam), Antasid dan anti mulas.</span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 28.4pt; mso-list: l1 level2 lfo4; text-align: justify; text-indent: -14.2pt;">
<span lang="EN-US"><span style="mso-list: Ignore;">f.<span style="font: 7.0pt "Times New Roman";">
</span></span></span><span lang="EN-US">Beberapa kasus bila terapi
tidak dapat dengan cepat memperbaiki keadaan umum penderita dapat
dipertimbangkan abortus buatan,</span></div>
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<br /></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<b style="mso-bidi-font-weight: normal;"><span lang="EN-US">PROGNOSIS DAN SIKAP BIDAN </span></b></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify; text-indent: 1.0cm;">
<span lang="EN-US">Sebagian besar Hiperemesis Gravidarum dapat diatasi
dengan berobat jalan sehingga sangat sedikit memerlukan pengobatn rumah sakit.
Pengobatan penderita Hiperemesis Gravidarum yang dirawat di rumah sakit, ltern
seluruhnya dapat dipulangkan dengan memuaskan, sehingga kehamilannya dapat
diteruskan.</span></div>
<div class="MsoNormal" style="line-height: 150%; text-align: justify;">
<br /></div>
<div class="MsoNormal">
<br /></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">GAWAT JANIN</span></b></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-tab-count: 1;"> </span><b style="mso-bidi-font-weight: normal;">Definisi
</b></span></div>
<div class="MsoNormal" style="line-height: 150%; margin-left: 3.0pt; text-align: justify; text-indent: -3.0pt;">
<span lang="SV" style="mso-ansi-language: SV;">Yang di
maksut gawat janin ialah keadaan hiposeksia janin</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Filosofi</span></b></div>
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<span lang="SV" style="mso-ansi-language: SV;">Kematian
parinatal terbanyak disebabkan oleh afeksia Hal ini ditemukan baik dilapapangan
maupun dirumah sakit rujukan di indonisia diamerika di perkirakan 12.000 bayi
meninggal atau menderita kelainan akibat afeksia parenatal retal dasi mental
dan kelumpuhan syaraf sebanyak 20 – 40 % merukan akibat dari kejadian intra
partum</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Belum di
pastikan bahwa ada kemungkinan perbaikan setruktur otak bahkan lesi otak yang
terjadi berakibat kelainan yang menetap penyakit pada ibu misalnya hipertensi
perdarahan anterpatum merupakan bahanya yang menimbulkan hipopoksia pada janin
tingkat bahaya kematian janin menjadi meningkat bial faktor – faktor lain juga
berinteraksi misalnya peritas lebih dari kelainan letak pertubuhan janin
terlambat dan sebagainya</span></div>
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<span lang="SV" style="mso-ansi-language: SV;">Adanya cara
untuk mengetahui hipopoksia pada gawat janin akan sangat berguna untuk
menyelamatkan janin kini dengan pengawasan denyut jantung secara elek tronik
dan pemeriksaan darah janin tingkat hipoksia dapat diketahui lebih dini
beberapa cara lain yang dapat dilakukan dalam masa anternal misalnya
pemeriksaan HPL pemeriksaan ektrial amnioskopi </span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Kejadian yang menimbulkan gawat janin </span></b></div>
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<i style="mso-bidi-font-style: normal;"><span lang="SV" style="mso-ansi-language: SV;">Posisi tidur ibu</span></i></div>
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<span lang="SV" style="mso-ansi-language: SV;">Posisi
terlentang dapat menimbulkan tekanan pada aurta vena kava sehingga timbul
hipotensi oksigenesasi dapat diperbaiki dengan perubahan posisi tidur menjadi
miring kekiri atau semilateral</span></div>
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<i style="mso-bidi-font-style: normal;"><span lang="SV" style="mso-ansi-language: SV;">Infus oksitosin </span></i></div>
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<span lang="SV" style="mso-ansi-language: SV;">Bila
kontraksi uterus menjadi hipor tonik atau sangat kerap maka relaksasi uterus
terganggu yang berati penyaluran arus darah uterus mengalami kelainan hal ini
disebut sebagai hipersistimulasi</span></div>
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<i style="mso-bidi-font-style: normal;"><span lang="SV" style="mso-ansi-language: SV;">Anastesi epidural</span></i></div>
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<span lang="SV" style="mso-ansi-language: SV;">Blokade
sistim simpatik dapat berakibat penurunan arus darah vena curah jantung dan
penyaluran darah uterus obat anas tesi epidural dapart menimbulkan kelainan
pada denyut jantung janin yaitu penurunan parefaliabilitras bahkan dapat
terjadi deselerasi lambat </span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Pemantauan denyut jantung janin</span></b></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Denyut jantung janin anter normal berkisar
antara 120 – 160 per menit dan variabel meningkat karena pengaruh maturitas
sistim saraf atonom</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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">taki kardika mungkin bukan akibat hiposia
ringan saja tapi bila tampa diselarasi pada umumnya berhubungan dengan
peningkatan dengan suhu ibu</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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Bentuk atau pola siosidikal yang jarang di
jumpai dilaporkan sebagai ada hunganya dengan hipoksia berat terutama di jumpai
pada janin dengan isoimuniasasi rhesusa</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Desewlerasi dini yaitu bardikar dia y7ang
terjadi segera pada saat kontraksi tidak disebabkan oleh hipoksia dan tidak
berhubungan dengan hasil yang buruk</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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Deselerasi lambat ialah bardika simatrik
yang timbul dari 20 detik setelah terjadinya kontraksi uterus dan di hubungkan
dengan insusiensi plasenta</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Deserarasi vertibal ialah deselarasi yang
tidak seirama dengan kontraksi uterus </span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Pola denyiut jantung janin yang normal
merupakan ramalan yang sangat baik untuk mendapatkan bayi yang sehat sebaiknya
deselarasi fariabel dan lambat meningkatkan kemungkinannbayi lahir dengan niali
abgar yang rendah dan bayi tersebut mungkin mendapatkan kelainan reologik</span></div>
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<b style="mso-bidi-font-weight: normal;"><span lang="SV" style="mso-ansi-language: SV;">Tindakan definisi</span></b></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Tindakan definitif pada gawat janin dapat
dilakukan secara pervagina atau SC tergantung pada syraf pada saat itu</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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Kecepatan dan ketepatan tindakan merupakan
pengembangan sistim yang meliputi organisasai menejemen kemampuan medik dan
sarana</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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">Setiap kamar bersalin yang lengkap harus
memiliki instrumen bedah inkubator mejaresusitasi dan laboratorium</span></div>
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<span lang="SV" style="mso-ansi-language: SV;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">bayi yang defesif harus di bantu
pernafasanya dengan cara pemompaan inspirasi dengan tekanan 25 – 30 air selama
15 detik yaitu 4 – 5 nafas yang pertama</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 "Times New Roman";"> </span></span></span><span lang="SV" style="mso-ansi-language: SV;">pertayaan mengenai berapa tingkat hipoksia
yang dapat dianggap aman agar dapat tidak mengfakibatkan kerusakanneorologik
yang irefersibel pada manusia belum dipastikan saat ini.</span></div>
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