LAPORAN PENDAHULUAN DAN ASUHAN KEPERAWA KEPERAWATAN PADA KLIEN DENGAN GASTRISTIS DI RUANG KELAS II RSI SITI HAJAR SIDOARJO
(MAKALAH INI DISUSUN UNTUK MEMENUHI TUGAS PRAKTIKUM RS.SITI HAJAR SIDOARJO)
Disusun Oleh: MAHASISWA STIKES SURABAYA SURABAYA
SEKOLAH TINGGI ILMU KESEHATAN KESEHATAN SURABAYA SURABAYA PROGRM STUDI S1 ILMU KEPERAWATAN
LAPORAN PENDAHULUAN GASTRITIS AKUT
A. Pen Pene! e!"i "i#n #n G#s"!i" G#s"!i"is is #$#l#h #$#l#h %e!#$# %e!#$#n# n#n n %#$# %#$# &u'(s# &u'(s# l#&)un l#&)un *#n *#n $#%#" $#%#" )e!si+# )e!si+#"" #'u" #'u" #"#u '!(ni' , $i+us #"#u l(-#l l(-# l S(e%#&#n,1//0 G#s"!i"is #$#l#h in+l#&#si $#!i &u'(s# l#&)un A!ie+ M#ns2(e!,1/// G#s"!i" G#s"!i"is is #$#l#h #$#l#h su#"u su#"u %e!#$# %e!#$#n# n#n n #"#u %e!$#! %e!$#!#h# #h#n n &u'(s &u'(s## l#&)un l#&)un *#n *#n $#%#" $#%#" )e!si+#" #'u",'!(nis, $i+us #"#u l(-#l P#"(+isi(l(i,Sil3i# A. A. P!i-e h#l 455 G#s"!i"is G#s"!i"is #$#l#h su#"u %e!#$#n#n &u'(s# l#&)un *#n )e!si+#" )e!si+#" #'u", '!(nis, $i+us #"#u #"#u l(-# l(-#ll
$en $en#n #n
'#!# '#!#'" '"e! e!is is"i "i'n 'n #n(! #n(!e' e'si si#, #, !#s# !#s# %enu enuh, "i$# "i$#' '
en#' en#' %#$ %#$#
e%i e%i#s #s"!i "!iu& u&,& ,&u# u#ll $#n $#n &un" &un"#h #h Asuh Asuh#n #n Ke%e Ke%e!#6 !#6#"# #"#n n Klie Klien n #n #nu u#n #n s*s"e s*s"e& & #s"!(in"es%in#l,5717 h#l 8/ B. Kl#s Kl#si+ i+i' i'#s #sii Menu!u" 2enisn*#, #s"!i"is $i)#i &en2#$i 5 *#i"u: 1. G#s"!i"is G#s"!i"is A'u" A'u" &e!u%#'#n &e!u%#'#n %e!#$#n %e!#$#n#n #n %#$# &u'(s# &u'(s# l#&)un l#&)un *#n &en*e)# &en*e)#)'#n )'#n e!(si $#n %e!$#!#h#n %e!$#!#h#n &u'(s# l#&)un $#n se"el#h "e!%#%#! %#$# 9#" i!i"#n. E!(si "i$#' &enen#i l#%is#n ("(" l#&)un. 5. G#s"!i"i G#s"!i"iss K!(ni' K!(ni',&e ,&e!u% !u%#'# #'#n n #s"!i #s"!i"is "is *#n *#n "e!'#i" "e!'#i" $en#n $en#n #"!(%i #"!(%i &u'(s# &u'(s# #s"!i#s"!isehin sehin## %!($u' %!($u'si si Hl &enu!u &enu!un n $#n &eni&) &eni&)ul' ul'#n #n '(n$is '(n$isii #-hl(! #-hl(!hi$ hi$!i# !i# $#n ulse!#si %e%!ie, G#s"!i"is '!(nis $#%#" $i'l#si+i'#si'#n %#$# "i%e A $#n "i%e B #. Ti%e Ti%e A &e!u%#'#n &e!u%#'#n #s"!i"is #s"!i"is #u"(i&un. #u"(i&un. A$#n*# A$#n*# #n"i)($* #n"i)($* "e!h#$#% "e!h#$#% sel %e!i"e!#l %e!i"e!#l &eni&) &eni&)ul' ul'#n #n !e#'si !e#'si %e!#$# %e!#$#n# n#n n *#n *#n %#$# %#$# #'hi!n* #'hi!n*## $#%#" $#%#" &eni&) &eni&)ul' ul'#n #n #"!(%i &u'(s# &u'(s# l#&)un. l#&)un. P#$# /8; %#sien $en#n $en#n #ne&i# #ne&i# %e!nisis(s# %e!nisis(s# $#n <7; %#sien $en#n #s"!i"is #"!(%i '!(ni' &e&ili'i #n"i)($* "e!h#$#% sel %#!ien"#l. Bi#s#n*# '(n$isi ini &e!u%#'#n "en$ensi "e!2#$in*# -# l#&)un %#$# "un$us #"#u '(!%u! ). Ti%e B &e!u%#'#n #s"!i"is *#n "e!2#$i #'i)#" in+e'si (leh heli-()#-"e!i %*l(!i. Te!$#%#" Te!$#%#" in+l#&#si *#n $is"use %#$# l#%is#n &u'(s# s#&%#i &us'ul &us'ul#!is #!is,, sehin sehin## se!in se!in &en*e) &en*e)#)' #)'#n #n %e!$#! %e!$#!#h# #h#n n $#n e!(si=s e!(si=se!in e!in &enen#i . ETIOL IOLOGI OGI − K(nsu&si #l'(h(l. Al'(h(l $#%#" &en*e)#)'#n 'e!us#'#n &u'(s# #s"e!. − K(nsu&si()#"=()#"'i&i#
− Te!#%i !#$i#si, !e+lu' e&%e$u, 9#"=9#" '(!(si+ -u'#, l#$# &en*e)#)'#n 'e!us#'#n −
&u'(s# #s"e! $#n &eni&)ul'#n e$e&# $#n %e!$#!#h#n. K(n$isi *#n s"!ess+ul "!#u&#, lu'# )#'#!, 'e&("e!#%i $#n 'e!us#'#n susun#n
−
s#!#+ %us#" &e!#ns#n %enin'#"#n %!($u'si HL l#&)un. In+e'si (leh )#'"e!i se%e!"i heli-()#-"(! %il(!i, es-he!i-i# -(li, s#l&(nel# $#n l#in= l#in.
D. MANI>E MANI>EST STAS ASII KLINI KLINIK K M#ni M#ni+# +#s"i s"i 'lin 'lini' i' )e!3 )e!3#!i #!i#s #sii &ul#i &ul#i $#!i $#!i 'elu 'eluh# h#n n !in !in#n #n hin hin# # &un&un-ul ul %e!$#!#h#n s#lu!#n -e!n# )#i#n #"#s )#h'#n %#$# )e)e!#%# %#sien "i$#' &eni&)ul'#n e2#l# *#n 'h#s. M#ni+es"i #s"!i"is #'u" $#n '!(nis h#&%iu! s#&#, se%e!"i $i)#6#h ini: − An(!e'si# − R#s# %enuh − N*e!i %#$# e%i#s"!iu& − Mu#l $#n &un"#hs − Sen$#6# − He&#+e&esis E. PATO>ISIO O>ISIOLOG LOGII O)#"=()#"#n, #l'(h(l, #!#& e&%e$u, 9#" i!i+#n l#inn*# *#n &#su' 'e$#l#& l#&)un l#&)un $#%#" $#%#" &e!us#' &e!us#' &u'(s &u'(s## l#&)un l#&)un #s"!i #s"!i"is "is e!(si+ e!(si+ #"#u #"#u i!i"#si i!i"#si sehin sehin## l#&)un l#&)un 'ehil#n#n 'ehil#n#n )#!!ie! )#!!ie! %elin$un %elin$un. . Sel#n2u"n* Sel#n2u"n*## "e!2#$i %enin'#"#n %enin'#"#n $i+usi )#i' i(n hi$!(en, #nu#n $i+usi %#$# &u'(s# $#n %enin'#"#n se'!esi #s#& l#&)un *#n *#n &eni &enin n'# '#". ". Keh# Keh#$i $i!# !#n n HL HL $i&u $i&u'( '(s# s# l#&)u l#&)un n &ens &ens"i "i&u &ulu luss %e!u %e!u)# )#h# h#n n %e%sin(en &ne2#$i %e%sin. Pe%s Pe%sin in &e!#n &e!#ns s#n #n %ele %ele%#s %#s#n #n his" his"#& #&in inee $#!i $#!i sel &#s". &#s". His"# His"#&i &in n #'#n #'#n &en* &en*e)# e)#)' )'#n #n e$e& e$e&## $#n $#n 'e!u 'e!us#' s#'#n #n '#%i '#%ile le!! sehi sehin n# # "i&)u "i&)ull %e!$ %e!$#!# #!#h# h#n n %#$# %#$# l#&)un. Bi#s#n*# l#&)un $#%#" &el#'u'#n !eene!#si &u-(s# (leh '#!en# i"u #nu#n "e!se)u" &enhil#n $en#n sen$i!in*#. N#&un l#&)un se!in "e!%#%#! $en#n 9#" i!i"#n i!i "#n &#'# in+l#&#si #'#n "e!2#$i "e!us "e!us &ene!u &ene!us. s. J#!in# J#!in#n n *#n *#n &e!#$# &e!#$#n n #'#n #'#n $iisi $iisi (leh (leh 2#!in# 2#!in#n n +i)!in +i)!in sehin sehin# # l#%is#n &u'(s# l#&)un $#%#" hil#n $#n "e!2#$i #"!(%i sel &u'(s# l#&)un. >#'"(! ins"!i ins"!insi nsi' ' *#n *#n $ih#sil $ih#sil'#n '#n (leh (leh sel &u'(s# &u'(s# l#&)un l#&)un #'#n #'#n &enu!u &enu!un n #"#u hil#n hil#n.. Sehin# -()#l#&i9i 3i"#&in B15 "i$#' $#%#" $ise!#% $i usus h#lus. Se&en"#!# 3i"#&in B15 ini )e!%e!#n %en"in $#l#& %e!"u&)uh#n $#n &#"u!#si sel $#!#h &e!#h. P#$# P#$# #'hi!n #'hi!n*# *# 'lien 'lien #s"!i" #s"!i"is is $#%#" $#%#" &en#l &en#l#&i #&i #ne&i# #ne&i#.. Sel#in Sel#in i"u $in$in $in$in l#&)un &eni%is !en"#n "e!h#$#% %e!+(!#si l#&)un $#n %e!$#!#h#n.
>. Pe&e Pe&e!i' !i's## s##n n Di# Di#n( n(s" s"i' i' − D#!#h len'#% )e!"u2u#n un"u' &nee"#hui #$#n*# #ne&i#. − Pe&e!i's##n se!u& 3i"#&in B15 )e!"u2u#n un"u' &nee"#hui #$#n*# $e+isiensi
− −
B15. An#lis# +eses )e!"u2u#n un"u' &ene"#hui #$#n*# $#!#h $#l#& +eses. An#lis# es"u! )e!"u2u#n un"u' &ene"#hui '#n$un#n HL l#&)un A-hl(si$!i#
−
&enun2u''#n #$#n*# #s"!i"is #"!(%i. Tes" Tes" #n"()($* se!u& )e!"u2u#n un"u' &ene"#hui #$#n*# #n"i)($* sel %#!ie"#l $#n
−
+#'"(! in"!insi' l#&)un "e!h#$#% heli-()#-"e! %*l(!i. En$(s-(%*, )i(%s* $#n %e&e!i's##n u!in )i#s#n*# $il#'u'#n )il# #$# 'e-u!i##n
−
"e!h#$#% )e!'e&)#nn*# ul'us %e%"i'un#. Si"(l(i )e!"u2u#n un"u' &nee"#hui( #$#n*# 'e#n#s#n se l l#&)un
G. K(&%li K(&%li'#si '#si G#s"!i" G#s"!i"is is 1. G#s" G#s"!i !i"i "iss #'u #'u"" K(&%li K(&%li'#si '#si *#n *#n $#%#" $#%#" "i&)ul "i&)ul %#$# %#$# #s"!i #s"!i"is "is #'u" #'u" #$#l#h #$#l#h 'e&e"e& 'e&e"e&esis esis #"#u &elen#. 5. G#s" G#s"!i !i"i "iss '!(n '!(nis is Pe!$#!#h#n s#lu!#n -e!n# )#i#n #"#s, ul'us, %e!+(!#si $#n #ne&i# '#!n# #nun# #)s(!)si 3i"#&in B15 #ne&i# %e!isi(s# H. We) (+ #u" #u"i(n i(n WO WO
I. PENA PENAT TALAKS LAKSAN ANAA AAN N P#$# 'lien *#n &ne#l#&i &u#l $#n &un"#h #n2u!#n %#sien un"u':
− Be$!es" − S"#"us NPO n("hin %e!(!#l, %e&)e!i#n #n"ie&e!i' − P#s#n in+us un"u' &e&%e!"#h#n'#n -#i!#n. Bil# &un"#h )e!l#n2u" )e!l#n2u" %e!lu $i%e!"i&)#n'#n %e&#s#n#n NGT n#s( #s"!i- "u)e. An"#si$# un"u' &en#"#si )e#h #"#u "i$#' en#' $i #)$(&en $#n &ene"!#lisi! #s#& l#&)un. − An"i)i("i' − An#"#(nis H5 !#ni"i$in, sine"i$in $#n − Inhi)i"(! %(&%# %!("(n Bil# "e!2#$i %e!$#!#h#n #'i)#" e!(si &u'(s# l#&)un &#'# %e!lu $i l#'u'#n: − T!#ns+usi $#!#h − L#3#e )il#s l#&)un − Pe&)e$#h#n $en#n 'lien #s"!e-"(&i %#!is#l, 3#("(&i, #"#u %*l(!(%#si − In2e'si I? -()#l#&in )il# "!$#%#" #ne&i# %e!nisi(#
J. >OKU >OKUS S PEN PENGKA GKAJIAN JIAN 1. D#"# D#"# Su)* Su)*e' e'"i "i++ Keluh#n Keluh#n 'lien )e!u%# )e!u%# n*e!i ulu h#"i, &u#l $#n &un"#h, #n(!e'si#, #n(!e'si#, !#s# %enuh )e#h, %(l# &#'#n s#l#h, s"!es, '(nsu&si ()#"=()#"#n, !('(', #l'(h(l, $ie", s#'i" 'e%#l#, )e!sen$#6#, !#s# se%e!"i "e!)#'#! se"el#h &#'#n. 5. D#"# D#"# O)*e' )*e'"i "i+ + H#si H#sill %en' %en'#2i #2i#n #n $i$# $i$#%#" %#"'# '#n n n*e!i n*e!i "e'#n "e'#n #)$( #)$(&e &en, n, $ehi $ehi$! $!#si #si,, &un" &un"#h #h +!e@uensi, )#h#n &#'#n#n, $#!#h
K. DIAGNOSA KEPERAW KEPERAWATAN 1. Ke'u!# Ke'u!#n# n#n n 3(lu&e 3(lu&e -#!i!#n -#!i!#n )e!hu )e!hu)un )un#n #n $en#n $en#n (u"%u" (u"%u" -#i!#n -#i!#n *#n *#n )e!le) )e!le)ih#n ih#n &un"#h, %e!$#!#h#n, in+l#'e -#i!#n *#n "i$#' #$e'u#". 5. N*e!i N*e!i )e!hu)u )e!hu)un# n#n n $en#n $en#n in+l#si in+l#si &u'(s# &u'(s# #s"e! #s"e! . Resi'( Resi'( "ini "ini nu"!isi nu"!isi 'u!#n 'u!#n $#n 'eu"uh 'eu"uh#n #n "u)uh "u)uh )e!hu)un )e!hu)un#n #n $en#n $en#n "in$#'#n "in$#'#n %e&)#"#s#n in"#'e nu"!isi K(nse% D#s#! Asuh#n Ke%e!#6#"#n Pen'#2i#n #. D#"# D#"# Su)* Su)*e' e'"i "i+ + 1. N#&# 5. Usi# si#P#si #sien . A#&# 4. Ke)#ns##n ##n 8. Pen$i$i'#n <. Pe'e!2##n . Al#&#" ). P(l#+unsi l('h#!". R,5770 1. A'"i+i"#s A'"i+i"#s $#n is"i!#h#" is"i!#h#" : 'e#$##n 'e#$##n u&u& le&#h , #'"i+i"#s #'"i+i"#s $i)#n" $i)#n"u u 5. S"i&ul#si S"i&ul#si : n#$i le&#h le&#h )il# )il# &un"#h &un"#h )e!l#n )e!l#nsun sun "e!us &ene!us &ene!us . Eli&in# Eli&in#si si : '#$#n '#$#n "e!2#$ "e!2#$ii $i#!e $i#!e 'e&)un 'e&)un 4. M#'#n M#'#n C -#i!#n -#i!#n : "i$#' #$# n#+su n#+su &#'#n &#'#n , &u#l &u#l , h#us , %enu!un %enu!un#n #n "u!( "u!(! ! 8. <. . 0. /.
'uli", sel#%u" &u'(s# 'e!in N*e!i C 'e"i$#' 'e"i$#' n*#&#n#n n*#&#n#n : N*e!i uluh h#"i h#"i "e!u"#&# "e!u"#&# sesu$#h sesu$#h &#'#n &#'#n In"e!i"#s In"e!i"#s e( : !i6#*#" !i6#*#" &u$#h &u$#h s"!ess s"!ess #'i)#" #'i)#" 'e!2#, 'eu#n#n 'eu#n#n , &u$#h &u$#h le&#s le&#s Neu! Neu!(s (sen ens( s(!i !i : s#' s#'i" i" 'e% 'e%#l# #l# Ke#& Ke#&#n #n#n #n : les lesu u Pen*ulu Pen*uluh#n h#n $#n %e&)el#2 %e&)el#2#!# #!#n n : !i6#*#" !i6#*#" &inu& #l-(h(l #l-(h(l , &e!('( &e!('(', ', %(l# $ie" *#n s#l#h
L. RENANA ASUHAN KEPERAW KEPERAWATAN D: D: 1. Ke'u Ke'u!# !#n n#n #n 3(lu 3(lu&e &e -#i! -#i!#n #n). ).$ $ (u"% (u"%u" u" -#i!# -#i!#n n *#n *#n )e!l )e!le) e)ih ih#n #n &un &un"# "#h h ,%e!$#$#!#h#n , in"#'e -#i!#n *#n "i$#' #$e'u#"
Tu2u#n: Pe&enuh#n %e&enuh#n 'e)u"uh#n -#i!#n #$e'u#" '!i"e!i# h#sil: #. ). -. $. e.
Pen Penel elu#! u#!#n #n u!in u!in #$e' #$e'u# u#"" T#n$#="#n$# T#n$#="#n$# si+#" $#l#& )#"#s n(!&#l Me&)! Me&)!#n #nee &u-( &u-(s# s# le&) le&)#) #) Tu!(! !(! 'uli 'uli"" )#i )#i' ' Pen Penisi isi#n #n '#%i '#%ile! le! $e"i $e"i' ' In"e!3ensi Ke%e!#6#"#n : 1. #"#" #"#" '#!#' '#!#'"e!i "e!is"i' s"i' &un"#h &un"#h $#n $#n $!in $!in#se #se 5. O)se! O)se!3# 3#si si TT? TT? se"i se"i#% #% 5 2#& 2#& . M(ni"( M(ni"(!! "#n$#= "#n$#="#n$ "#n$## $ehi$! $ehi$!#si #si &e&)!#n &e&)!#nee &u'(s &u'(s#, #, "u!( "u!(!! 'uli" 'uli" , %enis %enisi#n i#n '#%ile! 4. O)se! O)se!3# 3#si si in" in"#' #'ee F (u" (u"%u %u"" 8. Pe!" Pe!"#h #h#n #n'# '#n n "i!# "i!#h h )#! )#!in in <. Tini' Tini'#n #n 'e%#l# 'e%#l# "e&%#" "i$u! sel#&# %e&)e!i#n %e&)e!i#n #n"#si$# #n"#si$# . Be!i'# Be!i'#n n -#i!#n -#i!#n %e! (!#l 5 li"e! li"e! C h#!i h#!i 0. Men2el#s'#n Men2el#s'#n 'e%#$# 'e%#$# 'lien 'lien un"u' un"u' &enhi &enhin$#!i n$#!i '#+ein /. Be!i'#n Be!i'#n -#i!#n -#i!#n In"!# 3en# sesu#i %!(!#& %!(!#& "e!#%i "e!#%i &e$i17. Pe&#s#n#n NGT %#$# 'lien *#n &en#l#&i &en#l#&i %e!$#!#h#n #'u" R#si(n#l: 1. Un"u' Un"u' &e&)e$ &e&)e$#'# #'#n n $is"! $is"!ess ess #s"e! #s"e! 5. Pe!u)#h#n Pe!u)#h#n "e'#n#n "e'#n#n $#!#h $#!#h $#n n#$i n#$i in$i-#" in$i-#"(! (! $ehi$!# $ehi$!#si si . Un"u' Un"u' i$en"i i$en"i+i' +i'#si #si "e!2#$ "e!2#$in* in*## $ehi$!# $ehi$!#si si 4. Un"u' Un"u' &ene &ene"#h "#hui ui 'esei& 'esei&)#n )#n#n #n -#i!#n -#i!#n "u)u "u)uh h 8. Un"u' &enen"u''# &enen"u''#n n 'e!2# 'e!2# 'e!2# #s"e! #s"e! sehin# sehin# &en-e#h &en-e#h "e!2#$in* "e!2#$in*## &un"#h <. Men-e Men-e#h #h !e+lu' !e+lu' #s"e #s"e!! $#n #s%i #s%i!#si !#si #n"# #n"#-i$ -i$ . Mene Mene"!# "!#li lisi si !#s# !#s# l#&)u l#&)un n 0. K#+ein K#+ein &e!#n &e!#ns# s#n n %!($u %!($u'si 'si #s#& #s#& l#&) l#&)un un /. Un"u' Un"u' %en %en#n #n"i# "i#n n -#i!#n -#i!#n sesu# sesu#ii $e!#2#" $e!#2#"
D 5: N*e!i).$. i!i"#si &u'(s# #s"e! Tu2u#n: N*e!i "e!#"#si $en#n '!i"e!i# h#sil: #. Klien !il !ile's ). Klien $#%#" "i$u! -. S'#l# #l# n*e!i e!i 5
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4. A"u! A"u! %(sisi %(sisi "i$u! "i$u! *#n *#n n*#&#n n*#&#n )#i )#i 'lien 'lien 8. An2u!' An2u!'#n #n 'lien 'lien &el#'u &el#'u'#n '#n "e'ni '!el#'s# '!el#'s#si, si, se%e!"i se%e!"i n#+#s n#+#s $#l#&, $#l#&, &en$en# &en$en#!'#n !'#n &usi-, n(n"(n T?, &e&)#-# <. Be!i'#n Be!i'#n "e!#%i "e!#%i #n#l #n#le" e"i' i' $#n $#n #n"# #n"#-i$ -i$
R#si(n#l: 1. 5. . 4. 8.
Un"u' &enen"u' &enen"u' inin"e inin"e!3ensi !3ensi $#n &ene"#hui &ene"#hui e+e' "e!#%i M#'#n# M#'#n#n n se)##i se)##i %ene" %ene"!#li !#lis#si s#si #s#& #s#& l#&)un l#&)un M#'#n#n M#'#n#n *#n *#n &e!#ns#n &e!#ns#n $#%#" $#%#" &enin+# &enin+#si si &u'(s# &u'(s# l#&)un l#&)un P(sisi P(sisi *#n *#n n*#&# n*#&#n n $#%#" $#%#" &enu!u &enu!un'# n'#n n n*e!i n*e!i Te'ni Te'ni' ' !el#'s !el#'s#si #si $#%#" $#%#" &en#l &en#lih' ih'#n #n %e!h#"i %e!h#"i#n #n 'lien 'lien sehin sehin# # $#%#" $#%#" &enu!u &enu!un'# n'#n n
n*e!i <. Un"u' Un"u' &en &enhil hil#n #n'#n '#n n*e n*e!i !i l#&)u l#&)un n
D : Resi'( "ini nu"!isi 'u!#n $#!i 'e)u"uh#n "u)uh ).$. "in$#'#n %e&)#"#s#n In"#'e nu"!isi n("hin %e! (!#l Tu2u#n: Pe&enuh#n 'e)u"uh#n nu"!isi #$e'u#", $en#n '!i"e!i# h#sil: #. M#'# M#'#n n h#) h#)is is s#" s#"u u %(! %(!si si ). Be!#" )#$#n &enin'#" -. H#si H#sill l#)( l#)(!# !#"( "(!i !iu& u&:: = Al)u&in n(!&#l = H) n(!&#l In"e!3ensi Ke%e!#6#"#n: 1. 5. . 4. 8. <. . 0.
K#2i s"#"us s"#"us nu"! nu"!isi isi $#n $#n %(l# %(l# &#'# &#'#n n 'lien 'lien Pu#s#' Pu#s#'#n #n 'lien 'lien sel#&# sel#&# +#se #'u" #'u" Be!i'#n nu"!isi nu"!isi en"e!#l en"e!#l #"#u %#!en"e!#l, %#!en"e!#l, 2i'# 2i'# %#sien %#sien $i $i %u#s#'#n %u#s#'#n Be!i'#n &inu& %e! (!#l se-#!# )e!"#h#%, )e!"#h#%, 2i'# +#se #'u" )e!'u!#n )e!'u!#n Be!i'#n &#'#n %e! (!#l (!#l se-#!# se-#!# )e!"#h#%, )e!"#h#%, ,ul#i$#!i&# ,ul#i$#!i&# '#n se!in se!in Jel#s'#n ##! 'lien, 'lien, &enhi &enhin$#!i n$#!i &inu&# &inu&#n n *#n &en#n$un &en#n$un '#+ein '#+ein Ti&)#n Ti&)#n )e!#" )e!#" )#$#n )#$#n 'lien 'lien se"i#% se"i#% h#!i $en#n $en#n #l#" u'u! u'u! *#n *#n s#&# Be!i'#n "e!#%i &ul"i3i"#&in &ul"i3i"#&in $#n #n"#-i$ #n"#-i$ sesu#i %!(!#& %!(!#& &e$i&e$i-
R#si(n#l: 1. 5. . 4. 8. <. . 0.
Se)## Se)##ii $#s#! $#s#! un"u' un"u' &enen &enen"u' "u'#n #n in"e!3 in"e!3ens ensii Menu!un'#n Menu!un'#n !#ns#n#n !#ns#n#n l#&)un, l#&)un, sehin sehin## &en-e#h &en-e#h &un"#h &un"#h Un"u' Un"u' %e&e %e&enuh nuh#n #n 'e)u 'e)u"uh "uh#n #n nu"! nu"!isi isi Un"u' Un"u' &e!#n &e!#ns#n s#n 'e!2# 'e!2# #s"e! #s"e! se-#!# se-#!# )e!"# )e!"#h#% h#% Men-e Men-e#h #h "e!2# "e!2# $ii!i"# $ii!i"#si si %#$# %#$# &us'(l# &us'(l# l#&)un l#&)un K#+ein K#+ein $#%#" $#%#" &e!#n &e!#ns# s#n n #'"i3 #'"i3i"#s i"#s #s"e #s"e! ! Un"u' Un"u' &en &ene"# e"#hui hui s"#"us s"#"us nu"! nu"!isi isi 'lie 'lien n Un"u' &enin'#"'#n &enin'#"'#n n#+su &#'#n $#n &enh &enhil#n' il#n'#n #n &u#l &u#l
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"i$#' #$# 'e"e!#n"un#n ()#"= ()#"#n. II. O)se!3 O)se!3#si #si $#n $#n Pe&e!i' Pe&e!i's##n s##n >isi' >isi' 1. T#n$#= n$#= "#n$ "#n$## 3i"# 3i"#ll Kes#$#!#n: -(&%(s&en"is TD: 117C/7 &&H, N: 04 C&eni", S:<, RR: 55 C&eni" 5. S*s" S*s"e& e& %e! %e!n# n#+# +#s# s#n n − RR: 55 C&eni" − Keluh#n: )#"u' , #$#n*# se-!e" =, ses#' , n*e!i 6#'"u n#+#s − Ti$#' #$# %enun##n #l#" )#n"u n#+#s − I!#&# n#+#s "e!#"u!, su#!# n#+#s 3#si'ule! . S*s"e S*s"e& & '#! '#!$i $i(3 (3#s #s'u 'ule le!! − TD: 157C/7 &&H − N: 07 C&eni", n#$i '#!("is "e!#)# , n#$i %e!i+e! le&#h =, %e!$#!#h#n = − He#!" R#"eHR: 07 C&eni" − N*e!i $#$# = − I!#&# 2#n"un !eul#! , su#!# 2#n"un n(!&#l S1CS5 "un#l − RT -#%ill#!* !e+ill "i&e: $e"i', #'!#l %u-#".
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DA>TAR PRIORITAS DIAGNOSA KEPERAWATAN TANGGAL : .......... 1. 5. . 4. 8.
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RENANA INTER?ENSI HARICTANGGAL
WAKTU WAKTU
DIGNOSA KEPERAWATAN
DA>TAR PUSTAKA
INTER?ENSI
RASIONAL
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